Treatment | Description | |
---|---|---|
Breast reconstruction, other flap, with , if required, implant, post mastectomy |
|
|
Mastopexy including full thickness graft from other areas |
|
|
Hallux valgus and follow up, other than simple removal of exostosis (bilateral) operation for |
|
|
Fracture of posterior malleolus (with, if required, fracture of other malleolus) internal fixation of |
|
|
Excision of chalazion, papilloma, dermoid or other cyst or eye lesion |
|
|
Adrenal glands - any other operations |
|
|
Mole removal |
Mole Removal Dublin & Ireland
Moles are extremely common skin lesions that are also termed beauty marks or birthmarks. People of any skin tone can have moles. Known medically as a nevus (plural: nevi), the large majority of moles are completely harmless and require no medical intervention. However, any nevus has the potential to be an indicator of skin cancer. For this reason, you should always have new moles examined by a dermatologist. Moles that have changed in size or shape also need professional dermatologic inspection. Mole removal, whether for cancer screening or cosmetic preference, is typically simple and straightforward.
Types of Moles
There are well over a dozen types of moles. It is virtually impossible to distinguish each mole type without an expert examination. In some cases, removal and biopsy - which involves inspection under a microscope - are required to determine the category of mole in question. However, there are two broad classifications of moles.
Congenital moles are moles present at birth. So-called beauty marks and birthmarks usually fit into this category. Moles of this type may begin to grow from two to five weeks after birth. Congenital moles often stay small and may be no more than a speck. However, a congenital mole can also cover a large area of the body - for example, an entire buttock or most of a limb.
Although congenital moles appear early in life, they still require surveillance. A person with one or more congenital mole(s) should visit their dermatologist regularly for screening. Such screening ensures that the mole(s) are not changing, as a change in colour, shape, size, and other characteristics is a possible sign of malignancy or cancer.
The other major type of mole is an acquired mole. These moles manifest once a person is out of infancy. Examples of acquired moles include freckles and other lesions caused by sun exposure. Almost everyone has at least one acquired mole somewhere on their body, but people with more than 50 moles may have a higher risk of skin cancer than the general population.
Mole Characteristics
As discussed above, a mole can be any size or shape. Moles also have varying colours. Many people think of a mole as an area of increased pigmentation, but a mole may also be hypopigmented, or lighter than the surrounding skin. Furthermore, some moles are not even visible on the skin. These lesions include nevi deep in the connective tissue or blood vessels.
Moles can also be present on any part of the body. While freckles and other lesions on the face are most visible, moles often appear in “hidden” areas. Such areas include skin creases or between the toes. Moles can even form inside the mouth.
Suspicious Moles
It takes a medical professional and diagnostic tests to determine with certainty whether a mole is potentially dangerous. However, there are some features that should prompt you to visit a dermatologist immediately for a mole check. These features include:
A mole with an asymmetrical shape. In other words, the two halves do not match. These include moles that are not perfect circles or ovals and moles with irregular borders.
Moles with inconsistent colour. These include moles that do not have a uniform colour throughout, multicoloured moles, and moles with a colour that has changed over time.
Enlarging moles. Any mole that has exhibited growth should be checked. Moles over 6 mm in diameter are of particular concern.
Other changes in appearance and nature that should be investigated include moles shifting from flat to raised, bleeding or crusting, and turning black.
Mole Removal Dublin & Ireland
Dermatologists may remove moles for further investigation, such as during a biopsy, or because the patient has cosmetic concerns. There are several mole removal methods available, and the removal process usually entails minimal discomfort. In the case of a biopsy, the dermatologist will determine the appropriate procedure to remove your mole for analysis.
Many suspicious moles are removed through shave biopsy. This biopsy method removes only the topmost layer of skin. Your dermatologist will give you medication to numb pain and control bleeding before the biopsy. The biopsy itself is quick, and healing time is typically brief. There are several other biopsy methods available, but these are reserved for moles located in deeper tissue. Skin biopsies can almost always be performed in your dermatologist’s clinic without the need for hospitalisation.
People frequently choose to have moles removed for aesthetic reasons. If you have a mole or moles that you would like to get rid of, you should first consult with a dermatologist. The size and nature of the mole largely determine the success of the removal process. For example, it may be relatively easy to have a small, lightly-coloured mole removed, while a large, dark birthmark could require surgery.
Besides surgery, dermatologists use several less invasive methods for mole removal. A chemical peel is one example. In this procedure, the dermatologist uses a weak acid to cause controlled damage to the upper skin layers. These layers then peel away, revealing rejuvenated skin. Chemical peels can be repeated when necessary if interspersed with a healing interval.
Cryotherapy is also a possibility for mole removal. This procedure is similar to that used for the removal of warts. The mole is frozen with liquid nitrogen or another chemical and then removed. Cryotherapy generally requires a short healing time and leaves minimal scarring.
Recent medical advances have given dermatologists even more tools for mole elimination. Laser therapy is one of these breakthroughs. A series of laser treatments delivered by your dermatologist can often eradicate unsightly moles, even in sensitive locations.
Dermabrasion is another minimally-invasive technique for mole removal. During this procedure, the top layer of the skin is carefully scraped to remove surface moles and other blemishes. Dermabrasion is safe and effective for many types of moles.
Speak with Your Dermatologist
Each patient is unique, and every situation is different. It is impossible to know the appropriate treatment for your suspicious or undesired moles without consulting a local dermatologist. Contact a dermatologist now to learn more.
|
|
Full Body Mole Mapping |
Mole Mapping - Dublin & throughout Ireland
Moles are incredibly common skin features, and the vast majority of moles are completely harmless. Ranging from beauty marks to large “birthmarks,” nevi - the medical term for moles - are typically a normal part of the skin present from early childhood. However, moles can sometimes be an indication of an underlying problem.
In fact, certain types of moles may be a sign of melanoma, the deadliest form of skin cancer. Ireland has one of the highest rates of skin cancer in Europe, and data from 2017 indicates that melanoma cases are on the rise, according to the National Cancer Registry Ireland. Like all types of cancer, early detection is crucial to the effective treatment of melanoma.
For this reason, it is vital to have your skin checked by a dermatologist. These skin specialists can perform mole mapping, which is invaluable for cataloguing and tracking your moles and other skin characteristics and engage in mole removal when necessary.
What is Mole Mapping?
Much like a map of terrain records geographic features, mole mapping involves logging your skin features. Your dermatologist will perform a visual inspection of your skin and record the location, size, colour, shape, and other descriptions of your moles and any other lesions. You may very well have no suspicious or concerning moles. However, mole mapping is also essential for future surveillance.
Unchanging moles are low-risk for melanoma, yet moles that are new, growing, or shifting in size, shape, or colour may require further investigation. Your dermatologist may want to check your moles using dermoscopy, a specialized skin microscope. They may also decide to take a skin biopsy - a simple and largely painless procedure that can be accomplished in the clinic - to have your mole analysed by a pathologist.
What is Involved in Mole Mapping?
Mole mapping is straightforward. Your dermatologist will ask you to undress and will survey your skin. They will mark all your moles on a chart and list their characteristics. They may also take close-up photographs of your skin for comparison to future examinations. As stated above, your dermatologist may elect to perform dermoscopy or skin biopsies as necessary.
Who Should Undergo Mole Mapping?
Really, anyone can benefit from mole mapping. In particular, patients with many moles should certainly consider mole mapping. Speak with a dermatologist if you have questions or concerns. You should also be aware of the risk factors for melanoma. These factors include:
Fair or light-coloured skin
Frequent exposure to sunlight
A history of frequent sunburns
Numerous moles, especially moles that are unusual or irregular in appearance
A family history of melanoma
Melanoma has excellent survival rates, but only when the disease is caught in its early stages. If melanoma is detected late, the chances of survival can decrease significantly. Therefore, it is paramount to have regular skin surveillance, especially if you have one or more risk factors for melanoma. Make certain that you have a dermatologist examine your skin and undergo mole mapping if your dermatologist recommends it. Mole mapping is a brief, non-invasive procedure that could possibly save your life.
|
|
Advanced Early pregnancy (12 weeks) ultrasound |
The purpose of the Advanced Early pregnancy scan is:
To check the site of the pregnancy sac (Is the pregnancy inside the uterus?)
To check for viability of the fetus (Is my baby’s heart beating?)
To calculate fetal heart rate (How many beats per minute is the baby’s heart beating?)
To check the baby’s growth by measuring the crown-rump-length (To determine accurate dates)
To calculate the baby’s due date (What date is my baby due?)
To count number of babies (Could I be expecting twins?)
To identify and examine some of the main organs in the fetus (such as brain, face, heart, stomach, umbilical cord, bladder, arms and legs). The normality of these organs cannot be fully determined in the first trimester – however, if an obvious abnormality is identified you will be referred on to a fetal medicine specialist)
To assess the amniotic fluid volume, placenta and umbilical cord vessels.
To examine for obvious uterine and ovarian pathology Please note that this scan: Is not the Nuchal Translucency / first trimester screening / Down Syndrome scan Cannot exclude all chromosomal or anatomical abnormalities Cannot assess placental location or function as it is too early
When to have an Advanced Early Pregnancy Scan?
The Advanced Early Pregnancy Scan is carried out between 12 weeks 0 days – 13 weeks 6 days. Many couples decide to announce their pregnancy after 12 weeks scan as they have gained some reassurance about the well-being of their baby. Pictures and a video clip provided from the scan can of course add to the special announcement.
How to prepare for an Advanced Early Pregnancy Scan?
Please make sure that your bladder is moderately full for this scan. You don’t need to purposely drink water before your scan. Just try not to empty it for an hour before your appointment.
What to expect from an Advanced Early Pregnancy Scan
You will lie back while the sonographer puts a bit of gel on your abdomen and then move a transducer over your tummy. You will be able to see the scan on a big screen television in front of you so that you can see what the sonographer sees. As with the Early Pregnancy Scan, there is a small chance that a transvaginal scan may need to be performed in order to get a better picture of the baby and to examine some of the very small structures.
|