Clinical Procedures — office-based procedures planned with surgical discipline
A selection of office-based procedures performed under local anaesthesia in a clinical setting. These are not reduced-care interventions; they are planned with the same attention to indication, technique, and closure applied elsewhere in this practice.
If your concern does not fit a standard procedure category, direct consultation is often the clearest way to assess whether an office-based correction is appropriate.
Surgical excision of benign moles and nevi — chosen over laser or shave techniques where complete removal and a clean closure are the priority. The excision margin and closure method are planned based on lesion size, location, and skin tension. Where clinically indicated, excised tissue is submitted for histopathological examination.
Excision of selected benign or indeterminate skin lesions — dermatofibromas, seborrhoeic keratoses, epidermal cysts presenting as surface lesions, and similar. The closure is designed with scar outcome in mind from the outset. Where clinically appropriate, excised tissue is sent for histopathological analysis. Lesions requiring formal dermatological or oncological assessment are referred accordingly before any surgical intervention.
Surgical removal of skin tags at the base using precise excision or ligation, depending on size and location. Where multiple tags are present in a single area, they can typically be addressed in the same session. No histopathological submission is routinely required for typical skin tags, though unusual morphology is handled accordingly.
Correction of split, stretched, or elongated earlobes — from torn piercings, heavy jewellery wear, or age-related laxity. Earlobe reduction addresses disproportionately large or ptotic lobes. The repair technique is chosen based on the type and extent of the defect; closure is layered to minimise scarring and restore a clean contour. Re-piercing, if appropriate, can be discussed during follow-up.
Selected corrective nail surgery may be planned for ingrown nails, curved nail deformities, recurrent edge problems, and selected structural nail abnormalities affecting appearance or function. The goal is not temporary relief alone, but a cleaner nail contour, lower recurrence risk where possible, and a better long-term functional and aesthetic result.
Surgical improvement of scars that are poorly oriented, widened, depressed, raised, or functionally restricting. Minor scar revision addresses scars that are suitable for direct excision and re-closure with improved technique — correct orientation relative to relaxed skin tension lines, layered closure, and appropriate suture selection. Not all scars benefit from surgery; timing and realistic expectations are discussed at consultation.
Excision of epidermoid cysts, pilar cysts, and small lipomas — with intact capsule removal where possible to reduce recurrence. Incision placement follows skin tension lines and is kept as short as the anatomy allows. Infected or previously ruptured cysts may require a staged approach; this is assessed at consultation. Where appropriate, excised tissue is submitted for histopathological examination.
Correction of small tissue puckers that can occur at the ends of surgical closures, whether from a previous procedure here or elsewhere. Dog-ear correction is limited in scale, but still requires careful planning: the correction incision must address the underlying tissue redundancy, not just the surface irregularity. It is typically performed under local anaesthesia as a short clinic procedure.
Revision of suboptimally healed wounds — dehiscences, widened closures, or wounds that healed under tension. The revision approach depends on the size, location, and cause of the poor outcome. Where appropriate, closure technique is adjusted to distribute tension more effectively and improve the long-term scar result.
Minor local anaesthetic correction of small contour irregularities — small asymmetries, limited tissue redundancies, or isolated contour imperfections after a prior procedure. These are not revisions of major surgical outcomes; they address small, localised corrections suitable for an office setting. Suitability and realistic expectations are assessed at consultation.
What belongs here — and what does not belong here
The procedures on this page are selected office-based surgical procedures performed under local anaesthesia. They do not routinely require general anaesthesia or full operating-theatre planning, although some cases may be better managed in a more controlled setting depending on size, location, or complexity.
Formal aesthetic procedures such as rhinoplasty, blepharoplasty, facelift, fat grafting, and otoplasty are not listed here. Neither are cases that routinely require sedation, general anaesthesia, complex reconstruction, or broader operative planning. Where there is uncertainty about whether a concern falls within this scope, direct consultation is the appropriate next step.