Minor Surgery (age 13 yrs and above)

Minor surgery, also known as community surgery refers to low risk, minimally invasive procedures that are typically performed under local anesthesia in a GP or outpatient setting.

At Naya Skin and Minor Surgery Clinic, we assess and manage many skin, dermatological, and musculoskeletal conditions. Below are a few common conditions that can safely and efficiently be managed at our clinic.

 

Sebaceous/Epidermoid/Pilar cysts 

Sebaceous cysts, also known as pilar or epidermoid cysts are dome shaped, non-cancerous, slow growing lumps. They are often multiple and can run in families. They get filled up with a cheesy material (macerated keratin) and can occasionally become infected. When infected, they are tender, red and may rupture and often require a course of antibiotics. Most sebaceous cysts can be excised under local anaesthesia by removing the cyst its contents.

 

Ingrown toe nails

Ingrowing toenails are common and can be asymptomatic or cause recurrent infections. The infections cause pain, swelling, redness, and discharge which can be distressing. Removing a small strip of nail from the ingrown side allows the nail bed to be treated with phenol to prevent the nail from becoming ingrown again. This procedure has been carried out for many years and has a success rate of over 90%.

 

Suspicious or changing moles/naevi

Moles and naevi occur on almost everyone. The majority are harmless and remain harmless and do not need treatment. However, certain skin types and patient groups are at a higher risk of developing some types of skin cancer. The most important advice is to seek medical help for any mole or naevus which has recently changed, changed colour, changed size, feels different or has started to bleed or itch.

 

Low risk Basal cell carcinomas and Squamous cell carcinomas

Basal cell and squamous cell carcinomas are two of the most common skin cancers. When they are small ( less than 1cm), and located anywhere between the collarbone and the knees (except digits and genitals) they are considered low risk and can be safely and appropriately managed in a community based clinic.

Warts and Verrucae

Warts  are common and are caused by a virus but not everyone one gets them despite being in contact with the virus. Verrucae (plantar warts) are warts on the sole of the foot. If left alone, most warts and verrucae will eventually disappear. When warts disappear spontaneously, they do not leave a scar. Where there are large numbers of warts or verrucae, no treatment seems to be very good, and it probably means waiting patiently until they disappear on their own. Large, single, stubborn warts can be treated either with liquid nitrogen or surgically. Liquid nitrogen destroys the wart by freezing to – 196°C and is very effective in many cases. If this fails, we can remove the wart surgically however it is important to realise that no treatment can offer a 100% guarantee of cure. Even with very thorough treatment, they can return, so you should be aware of this possibility.

 

Embedded Implants (Implanon/Nexplanon)

Implanon/Nexplanon contraceptive implants, also known as LARCs (Long acting reversible contraceptives) can get embedded and become difficult to remove.  At Naya Skin and Minor Surgery clinic, these embedded implants can safely be removed eliminating the need for further referrals.

 

Recurrent nose bleeds (Epistaxis)

The lining of the nasal cavity and the blood vessels can dry out , get fragile and cause nose bleeds. Most nose bleeds can be controlled by using the thumb and index fingers to apply pressure to the ‘soft’ part of the nose. In recurrent nose bleeds, the bleeding vessels are identified and cauterised.

 

Musculoskeletal disorders

Joints , bursa, and tendons can become inflamed from repetitive use or wear and tear. Where first line agents do not improve pain, swelling and discomfort, combined steroid and analgesic injections may be used. At Naya Skin and Minor Surgery Clinic, the aim of injecting is to significantly relieve symptoms to allow for adequate rehabilitation through physiotherapy. You will be provided with  simple exercises you can start at home but will be encouraged to attend a local physiotherapist for ongoing rehabilitation. We inject radiologically confirmed pathology only.