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.
Written by: Dr. Serkan Kaya
Plastic, Reconstructive and Aesthetic Surgeon
The method used for a mole or naevus depends on its type, depth, location and whether tissue needs to be preserved for pathology. In suitable cases, CO₂ laser, radiofrequency or surgical removal may be considered; when surgical removal is required, closure is planned with scar direction and tissue tension in mind. Learn more about mole and naevus treatment.
For benign, diagnostically uncertain, premalignant or malignant skin lesions, diagnostic requirements, pathology and, where relevant, surgical margins determine the treatment pathway. After surgical removal, direct closure, a local flap or a skin graft may be required for reconstruction. Learn more about skin lesions and skin tumours.
Skin tags may occur singly or in large numbers. Depending on their size, base and location, radiofrequency, CO₂ laser or surgical removal may be considered; a lesion that does not have the expected appearance of a typical skin tag is assessed separately. Learn more about skin tag treatment.
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, aiming to remove the cyst wall where feasible and to remove a lipoma completely in the appropriate surgical plane. 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. Learn more about cyst and lipoma excision.
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.