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Skin Tag Surgical Removal Tips

Things You Must Know About Non Surgical Cosmetic Procedure!

Dr. Ramakant Bembde 89% (107 ratings)
MCh - Plastic & Reconstructive Surgery, DNB (Plastic Surgery)
Cosmetic/Plastic Surgeon, Aurangabad
Things You Must Know About Non Surgical Cosmetic Procedure!

Non-surgical cosmetic procedures are non-invasive procedures that make the skin look smoother and unblemished. Since surgical procedures need more downtime & hence may not always be the preferred choice. This is when non-surgical procedures come in picture. Non-surgical cosmetic procedures can reduce wrinkles, alter the appearance of the lips, remove blemishes, moles and thread veins and even smoothen out the surface of the skin. 

What are the types of non-surgical treatments you can opt for? 

There are several types of non-surgical treatments. The commonly-used ones include: 

1. Botox injections: Botox or botunilaum toxin type A is treatment used for removing skin blemishes. It is injected into a particular part of the face to reduce fine lines and wrinkles that usually appear at middle age. It is very popular as people consider it as an effective and relatively safer procedure compared to other invasive procedures. 

2. Dermal fillers: Dermal fillers are injections that are used to fill in wrinkles and creases on the skin surface. They also play a part in increasing the volume and size of the lips. 

3. Chemical peels: Chemical peels are specifically designed liquids that remove dead skin cells on the surface of the skin and accelerate the growth of new cells. They improve the general appearance of the skin, reduce uneven pigmentation and eliminate acne. There are three types of chemical peels - superficial, medium and deep. 

4. Non-surgical laser treatments: These forms of treatment are usually used to remove unwanted hair on the face and body, and to remove tattoos from the skin surface. In laser hair removal treatment, a laser beam is used to damage hair roots in the skin from which the hair grow out. This process reduces the growth of hair. 

A beam of Fractional CO2 laser is used to make small dots on the skin with normal skin left untouched in between. This causes tightening of the tissue underneath, producing a firmer appearance which can take off years from the appearance. 

5. Microdermabrasion: Microdermabrasion is a procedure in which fine crystals and vacuum are used to remove dead cells from the skin surface. It successfully eliminates fine wrinkles and skin blemishes. 

What are the risks? 

Non-surgical procedures are less harmful than surgical procedures. However, over correction can be difficult to treat, as well as asymmetrical placement of fillers and allergic reactions to the procedures. You should discuss the allergies and other potential complications of the procedure with the plastic surgeon.

3230 people found this helpful

Surgical Management of Kidney Stones

Dr. Anil Agarwal 90% (159 ratings)
MBBS, MS - Urology, DNB
Urologist, Guwahati
Surgical Management of Kidney Stones

Kidney stones are not exactly stones, but hard deposits that are composed of minerals such as calcium or uric acid. These deposits start accumulating and over time enlarge to form obstructions within the urinary tract. Most kidney stones pass out on their own with little or no medication required, but in some cases, they have to be taken out through surgery. Let us now look at the surgery options available for the removal of kidney stones and why they are needed.

Need for surgery:
You might have to opt for a surgical procedure if you are in a lot of pain and if the stone is very large and cannot pass out on its own. Surgery will also be advised if the stone blocks the urinary tract hampering the free flow of urine. There are four types of surgical procedures that can be done for kidney stones.

  1. Shockwave lithotripsy
  2. Ureteroscopy
  3. Percutaneous nephrolithotomy
  4. Open surgery

Shock Wave Lithotripsy
This is the most common procedure that is performed for the removal of a kidney stone. It works best for small or medium stones. It is noninvasive - there are no cuts or scars made in your skin. In this procedure, the doctor after identifying the exact location of the stone sends out shock waves aimed at your kidneys. This dislodges the stone and breaks it into small pieces. This is a painless procedure, and no hospitalization is needed. You might have blood in the urine for a few days after the procedure, but it is considered normal and heals on its own. Check with your doctor in case you experience any complications

Ureteroscopy
This procedure is recommended to treat stones in the kidneys and ureters. A thin, flexible scope is used to find and remove the stones. There are no cuts made, and you will be under anesthesia throughout the procedure. A thin scope is passed through your bladder and ureter to reach the kidney. Once the exact location of the stone is reached, the doctor uses a small basket to scoop out the stone. In case the stone is big, a laser is used to break the stones. This is procedure too does not require a hospital stay. Recovery time is short and you can get back to normal activities soon.


Percutaneous Nephrolithotomy or Percutaneous Nephrolithotripsy
This procedure is done when you have a large size stone and the other methods do not work. In this procedure, a small cut is made in the back, and a thin tube is inserted to reach the stone. Once it reaches the stone, high-frequency sound waves are used to break the stone. You will be under anesthesia throughout the procedure. This can be considered as the most successful types of procedure and is routinely used to remove large stones. Recovery time is short but a short stay in hospital of about a day will be required.

Open surgery
This procedure is rarely done nowadays as it involves the traditional method of surgery. However in some rare cases, when your stone is very large, and the other methods are not an option this approach is used. Hospitalization is required for this procedure and the recovery period usually takes between 4 to 6 weeks. In case you have a concern or query you can always consult an expert & get answers to your questions!

2773 people found this helpful

The Different Methods Of Surgical Facelifting!

Dr. Nishant Chhajer 91% (596 ratings)
M. Ch. (Plastic Surgery), MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Noida
The Different Methods Of Surgical Facelifting!

Facelift surgery is a procedure that allows you to knock years off your face with the help of an incision and refashioning your face. The effects stay for 10 years, and in most cases surgery causes minimal pain and discomfort, and a very short downtime ranging anywhere from a day to a week before resuming normal daily activities.

However, like any good medicinal procedure, you have to customize the procedure to your exact personal needs to obtain the best results possible. Here are the choices you can flip through and make a decision:

  1. The deep plane lift: This has been considered the most reliable sort of face-lift surgery by popular opinion, as it keeps the face in the post-surgery state and appearance till the longest time among all the methods. It works by penetrating the skin through a cut or ‘incision’ until it reaches the ‘deep’ level. There, it works to remove excess fat tissue and wrinkles to give a naturally youthful look.
  2. Short scar lifts: These are done in case it is imperative for you to have only a short scar as remnant of your surgery, and not a longer one. It also is usually the best for you if you are in your 40’s or 50’s. In most cases, the scar left behind is ‘S’-shaped.
  3. Endoscopic facelift: The specialty of this method is that 2-3 tiny tubes with cameras are inserted into your face carrying cameras (the endoscopes) and your face is pictured onto a screen to operate on the areas most requiring improvement. This treatment only helps cheeks look younger, though.

Facelifts are common and risk free surgeries, but there exist different varieties to give results or either the whole face (say the deep plane lift) or specific parts only (the endoscopic lifts only the cheeks). Choose one judiciously, as they are permanent and therefore should give only the desired results. Wishing you a safe surgery!
 

360 people found this helpful

Piles Surgery: Know About The Different Surgical Options

Dr. Nimesh Shah 84% (11 ratings)
MBBS, MS - General Surgery
General Surgeon, Mumbai
Piles Surgery: Know About The Different Surgical Options

Do you bleed or feel pain during bowel movements, or the skin around your anus feels sore or itches? Or maybe there's a lump in or around your anus, or you feel as if your bowels haven't emptied completely? Then you may be suffering from piles. Piles or hemorrhoids are essentially swollen veins and muscles in your anal canal or around your anus. And they may stay inside your anus or come outside depending on the severity of the affliction.

Often, piles can be successfully treated with high-fiber diet, proper hygiene, and topical medicines or ointments. But in situations where non-surgical methods don't achieve desired results, surgery becomes the only option. And this may be particularly necessary for those suffering from large painful or bleeding hemorrhoids. The different surgical options are given below:

Hemorrhoidectomy - In this procedure, the surgeon makes incisions around the anus to remove the piles formations. Local or general anesthesia is offered during the operation, and you can usually return home on the same day. After the procedure, the area might require stitches and commonly remains very tender and painful for quite some time.

PPH or Procedure for Prolapse and Hemorrhoids - This method is minimally invasive and makes use of a stapler-like machine for repositioning the hemorrhoids and cutting off their blood supply. So eventually, the piles shrink and die without blood supply and your pain diminishes greatly. With this process, you can expect a faster recovery, less itching and bleeding, and minimal complications, if any.

Laser - An accurate and special laser beam is used in this method, to burn off the hemorrhoids.

Rubber Band Ligation - This procedure can be used for areas with fewer pain receptors. In this, a rubber band is tied around the base of hemorrhoid to stem the blood supply and destroy the affected tissue.

Sclerotherapy - This method involves the injection of a chemical solution around the blood vessel which supplies the hemorrhoid tissues, to shrink and kill them. Though non-invasive methods are preferred by many since they create less pain, hemorrhoidectomy may provide more long-lasting benefits. Here are some other aspects you need to consider regarding piles surgery:

Risks - Infection, bleeding, reaction to anesthesia, trouble with urination, fecal incontinence are some of the risks involved, though the surgery is usually quite safe.

Ways of treating pain - Pain, especially during and after a bowel movement, can be an issue for several days after the surgery. But it can be dealt with by taking prescribed pain medications, stool softeners, and soaking in a warm bath. Recovery can take up to 3 to 6 weeks after the procedure.

Avoiding recurrence - Following a high-fiber diet, maintaining good hygiene, taking lots of fluids, and avoiding straining or constipation can prevent piles from coming back. If you wish to discuss about any specific problem, you can consult a General surgeon.

2965 people found this helpful

Cause Of Jaundice And Surgical Pathology!

Dr. Sanjeev Kumar 89% (86 ratings)
MBBS, MS - General Surgery, MCH - Surgical Gastroenterology, Ex assistant professor
Gastroenterologist, Patna
Cause Of Jaundice And Surgical Pathology!

Jaundice is a condition that results in excess of bilirubin in the blood. One of the first signs that become evident is the skin becomes yellowish in color. This article will reflect on the probable causes of jaundice and the way to detect them. While there are a lot of treatment options, the exact course of treatment depends on the underlying cause of the disease.

Causes of Jaundice:
Jaundice is the result of an underlying disorder that either cause overproduction of bilirubin or stops the liver from getting rid of it. In either case, the bilirubin gets deposited in the tissue. Some of the underlying causes of jaundice include the following:

  1. Liver inflammation: An acute inflammation of the liver can restrict the liver to conjugate resulting in accumulation of the bilirubin inside the liver.
  2. Inflammation of the bile duct: This is a serious condition that might result in non-secretion of the bile and failure to remove the bilirubin resulting in jaundice.
  3. Gilbert's syndrome: This is an inherited condition. It restricts the enzymes to excrete bile resulting in jaundice.
  4. Hemolytic anemia: This is a condition where a large amount of RBC is broken down resulting in an increased production of bilirubin. This lead to jaundice.
  5. Cholestasis: This is a condition that leads to an interruption of the flow of bile from the liver. As a result, the bilirubin gets accumulated in the liver resulting in jaundice.
  6. Dubin-Johnson syndrome: This is again an inherited condition that stops the bilirubin from draining out of the liver.
  7. Pseudojaundice: This is a harmless condition that might result in jaundice due to an excess of beta-carotene. People who tend to eat a lot of melon, carrot, and pumpkin have a high possibility of getting this type of jaundice.
  8. Crigler-Najjar syndrome: This is a genetic condition that impairs the ability of the tissue to excrete bilirubin from the liver resulting in jaundice.

Surgical Pathological Cause-

  1. CBD stone 
  2. Periampullary carcinoma of pancreas 
  3. Cholangiocarcinoma 
  4. Choledochal cyst 
  5. Mirrizi syndrome 
  6. Duodenal growth

How is it diagnosed?

  1. Urine Test: A urine test aims to measure the count of urobilinogen. The latter is produced when bacteria inside the body breaks the bile into smaller parts. A Higher count of urobilinogen certainly suggests the indication of Jaundice.
  2. Blood tests and Liver function: A liver function test can help a doctor diagnose certain liver ailment such as the cirrhosis, hepatitis and alcohol led diseases. Apart from these, the protein produced by liver and releases into the body tends to fall. A blood work will capture the reading and indicate towards jaundice.
  3. Imaging tests: Imaging tests are only required when post-hepatic or intra-hepatic jaundice is suspected. Some of the tests that are helpful include MRI, Ultrasound scan and CT scan.
  4. Liver Biopsy: A biopsy is recommended to witness the condition of the liver when the liver is affected by serious condition along with jaundice such as cirrhosis etc.

Treatment-

In surgical pathology(jaundice), laproscopy / open surgery require according to diagnosis and symptoms! If you wish to discuss about any specific problem, you can consult a Gastroenterologist.

1811 people found this helpful

Surgical Sperm Retrieval (TESA/PESA/MESA)

Dr. Richika Sahay Shukla 92% (827 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Surgical Sperm Retrieval (TESA/PESA/MESA)

Surgical Sperm Retrieval (TESA/PESA/MESA)

The main methods of surgical sperm retrieval available include:

  • PESA: percutaneous epididymal sperm aspiration.

  • MESA: microsurgical epididymal sperm aspiration.

  • TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).

  • TESE: testicular sperm extraction.

  • Microdissection TESE.

  • Perc biopsy: percutaneous biopsy of the testis.

Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.

  • Tests required before surgical sperm retrieval

A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.

Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.

If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead

  • Surgical sperm retrieval techniques used when obstruction is the problem

When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anaesthetic. The fourth requires open surgical sperm retrieval and is usually carried out under general anaesthetic.

Some small studies have been done to compare success rates after the different types of surgical sperm retrieval. These concluded that MESA gives the highest number of sperm, with a hundred times more sperm being recovered compared to TESA and perc biopsy.

MESA also produced sperm that were better swimmers and therefore more useful for infertility treatments, including IVF and ICSI.

  • Surgical sperm retrieval techniques when there is no obstruction

Men who have no sperm in their semen, despite having clear tubes in their testicles, usually have a problem with the process of sperm production. It is unlikely that sperm are present in large numbers, so the surgical sperm retrieval techniques required are more invasive

  • TESE: Testicular sperm extraction. This involves opening up the scrotum and taking a large volume of testicular tissue, perhaps from several regions of the testicle. Sperm are then retrieved using a microscope to identify individual sperm.

    • Microdissection TESE: A similar technique but a microdissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.

1 person found this helpful

Why And When To Surgically Remove Your Thyroid?

Dr. Vijay Chourdia 88% (65 ratings)
MS - ENT
ENT Specialist, Indore

It can be both a stressful and fearful experience when dealing with thyroid problems. #Thyroiddisease is a common cause of hormonal imbalance in the body and occurs when the thyroid gland overproduces (hyperthyroidism) or underproduces (hypothyroidism) thyroid hormones.There are several other thyroid conditions, some benign and others more malignant, to which people are susceptible to such as thyroid nodules, thyroiditis, goiter, and thyroid cancer.
The most extreme cases, such as thyroid cancer and goiter, may require a more invasive treatment than medicinal thyroid treatment, which can mean partial or complete thyroid removal.
The thyroid is a butterfly-shaped hormonal gland located at the front base of your neck. It plays a major role in regulating your metabolism and the growth and maturation of the human body. Additionally, it assists in regulating various body functions by regularly releasing a stream of hormones to the bloodstream. 
#Thyroidnodules are an abnormal growth of thyroid cells which form a lump on the thyroid gland and are an extremely common thyroid disease. 
The presence of malignant nodules or tumors is the most common reason for thyroid surgery. However, even benign nodules can potentially be an issue if they grow too large and obstruct the throat or potentially stimulate the thyroid gland so that there is an overproduction of hormones, also known as hyperthyroidism. #Goiter, a thyroid condition in which the thyroid gland is abnormally large or swollen, may also interfere with throat function and is another reason for thyroid surgery.

#FNABC is must before operation and only expert histopathologist must do it.
#Lobectomy & #Thyroidectomy are 2 types of surgery routinely done. #Enucleation is done by many surgeons but should never be done.Lobectomy can be done under local anesthesia safely and securely. surgery for cancer should be done by only those who are experienced in it.
Quite often surgery are advised where only medical treatment can resolve or reduce thyroid nodule or goitre;hence second opinion and cross check should be done before surgery,so large no of operations can be avoided.Ethics and experience both are important and one may read #indications of surgery, through any search engine.
Laryngeal nerves and parathyroid needs great attention

3 people found this helpful

4 Surgical Alternatives for Burns and Wounds

Dr. Sandeep Bhasin 88% (351 ratings)
MBBS, MS Surgery
Cosmetic/Plastic Surgeon, Delhi
4 Surgical Alternatives for Burns and Wounds

4 plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause.

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:


- restriction of mobility

- aesthetic disfigurement and scarring

- loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.


2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head.

'consult'.

Related Tip: 6 Quick and Handy Remedies To Treat Burns

3502 people found this helpful

Burns and Wounds: 4 Surgical Alternatives

Mch - Plastic Surgeon , MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
Burns and Wounds: 4 Surgical Alternatives

4 Plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause.

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:

- Restriction of mobility
- Aesthetic disfigurement and scarring
- Loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.

2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head. Free flap is also used in defects which can't be covered by simple skin grafts especially in areas where vital structures are exposed. If you wish to discuss about any specific problem, you can consult a cosmetic-plastic-surgeon.

2980 people found this helpful

Surgical Ways To Manage Burns And Wounds!

Dr. Ashutosh Shah 87% (39 ratings)
DNB (Plastic Surgery), MCh, MBBS
Cosmetic/Plastic Surgeon, Surat
Surgical Ways To Manage Burns And Wounds!

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause.

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:


- Restriction of mobility

- Aesthetic disfigurement and scarring

- Loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.


2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.

3245 people found this helpful
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