Many people have tumors on the body in the subcutaneous fatty tissue or in the uppermost layer of the skin. Often these structures are "only" aesthetically disturbing as skin changes, but can also lead to pain or a pricking sensation if they increase in size.
An initial consultation and follow-up care can take place at our location in Lankwitz.
The operations take place in Lankwitz.
In most findings, the surgeon's visual diagnosis is sufficient to determine the type of tumor. In some cases, a brief ultrasound examination is useful for deeper structures to differentiate them from the musculature or larger blood vessels. In the case of larger tumors in the head and neck region or structures that are difficult to move, magnetic resonance imaging (MRI) is also rarely indicated for clarification.
In the case of skin changes and tumors, it is always decisive whether the problem is cosmetic or whether there are real complaints. If patients have e.g. pain or recurring inflammations, the medical indication for an operation is given and the costs are always covered. Since only doctors with a health insurance license (KV Zulassung) work in our practices, all surgeries can also be billed to the health insurance company - there are no costs for you!
For aesthetic operations, on the other hand, there is no medical indication and therefore the costs of an operation are not covered by health insurance. These must then be paid for independently as so-called IGel services, which we also offer.
Most findings in skin surgery can be performed on an outpatient basis under local anesthesia without any problems. As experienced surgeons, we perform these procedures routinely and safely in our operating room in Steglitz. Patients do not have to wait and can go home a few minutes after the operation.
A typical procedure looks like this:
Atheromas (synonym: trichilemmal cysts) are benign cysts in the subcutaneous tissue that can grow from the size of a pinhead to an apple.
Atheromas develop from a blockage of the excretory duct for the sebaceous gland secretions, which are closely connected to the hair roots. Due to the stagnation, a somewhat foul-smelling mixture of, among other things, fat crystals and skin cells is formed. Because of the connection to the hair roots, atheromas are mostly found on the hairy head or neck as well as on the back or in the intimate area.
If atheromas are present and there are no symptoms, surgery need not be performed. However, atheromas are often prone to inflammation and are the most common cause of abscesses in the neck/back and earlobe. In the case of advanced abscesses with pus formation, surgery is inevitable and should also be performed radically. It is especially important not only to cut into it, but to remove the entire atheroma with capsule, otherwise it will come back. Afterwards, the infected wound cannot be sutured, but remains open.
Therefore, in case of recurrent inflammation with swelling of the atheroma, we recommend surgical removal in a non-inflammatory interval, as the entire atheroma can be completely removed and the wound closed with a suture, which is always the better option aesthetically, especially in the face. However, atheromas also have a tendency to recur.
Fibromas are benign mesenchymal tumors that arise from a proliferation of connective tissue cells (fibrocytes). Most often, fibromas develop on the arms and legs and can grow up to 1cm in size. Fibromas vary greatly in consistency and number. Sometimes they appear as single nodular growths on the face or occur in large numbers of small, soft lobules such as under the armpits. The causes are unclear and fibromas occur more frequently in obese people.
A lipoma is also called a fat tumor and is a benign growth (tumor) consisting of a proliferation of adipose tissue cells (adipocytes). Lipomas are the most common tumor in humans and men are affected slightly more often. Usually they are small nodules palpable under the skin, which one suddenly notices. As a sign of a benign tumor, lipomas are easily movable and can also be easily demarcated. Symptoms such as pain are rare, but an increase in size can cause an annoying pricking sensation or the squeezing of venous blood vessels.
Many lipomas are located superficially on the arms and legs and can be palpated well there. However, there are also lipomas in deeper layers between the muscles, which can be well diagnosed by ultrasound. Some people have a pathological proliferation of lipomas, which is called lipomatosis.
Lipomas have a fine capsule that separates them from the "normal" subcutaneous fat tissue and never go away on their own. The sole treatment is surgical removal (extirpation) of the entire lipoma. There is also the possibility of suction or dissolution, but this is only possible for small findings and is usually an IGel service.
Basal cell carcinoma (Basalioma) is a malignant disease of the skin and develops from cells of the basal cell layer of the skin and the root sheaths of the hair follicles. Colloquially, it is also called "white skin cancer" in distinction to "black skin cancer", although there are definitely also dark forms of basal cell carcinoma. It is the most common skin cancer worldwide, affecting men and women equally. With an average age of 60 years, approx. 180,000 inhabitants in Germany are newly affected by the disease.
Basal cell carcinoma is most common in areas of the body that are directly exposed to sunlight, such as the face, especially the forehead, nose and ears. As a malignant tumor, basal cell carcinoma can grow into (infiltrate) surrounding tissue such as cartilage or bone, but unlike black skin cancer and most other malignant tumors, it does not form tumor metastases in other organs.
Dr. Haase specializes in basal cell carcinoma surgery with skin plasty. An initial consultation and follow-up care can take place at our locations in Dahlem and Lankwitz. The operations take place only in Lankwitz.
If basal cell carcinoma is suspected, surgical removal should always be performed. In this case, the entire skin change is completely excised with a safety zone of at least 5mm and then histologically examined. Since some defects can be quite large due to this precipitation in healthy tissue, a displacement plastic must often be performed to close the skin without tension. Therefore, it is recommended to have the operation performed by an experienced surgeon in plastic surgery, so that the wound is also primarily closed.
The edges of the incision are examined microscopically and if tumor remnants can be detected in one or more areas, recutting must be performed at the sites.
The ingrown toenail or also called "unguis incarnatus" is a very painful and purulent inflammation of the nail bed. When the nail of the usually big toe grows into the skin on the sides, we speak of an ingrown toenail.
The inflammation is common and affects all ages and men and women equally.
An initial consultation and follow-up care can take place at our locations in Dahlem and Lankwitz. The operations only take place in Lankwitz.
The most common variant is a nail bed reduction. The nail is reduced by about one fifth and part of the nail bed must also be removed. This leads in most cases to a permanent success without re-growth. Visually, the nail is somewhat narrower as a result.
The procedure is usually performed under local anesthesia. For operations under anesthesia, please contact your local hospital.
There are also therapy approaches with the laser, but due to the insufficient study situation and thus comparability of the results, we currently do not use this therapy.
Pilonidal cyst or sinus is an acute or chronic inflammation in the subcutaneous fatty tissue. In most cases, the coccyx region is affected, but there are also descriptions of this disease, for example, in the interdigital spaces or in the umbilical region.
The word coccygeal fistula, which is often used in the German language, is inaccurate, since this is a pure skin disease and the bone (coccyx) is not involved. The word pilonidal sinus or sinus pilonidalis is composed of the Latin words "pilus" for hair and "nidus" for nest, thus translated hair nests.
The therapy of a pilonidal sinus is always surgical and antibiotic therapy is not indicated. A simple sentence that actually explains everything. However, when patients are sent to the surgeon or to the neighboring hospital by their family doctor, the large-scale excision is usually always recommended, which is better known to patients as the so-called "slaughter method". The shock runs deep.
This is definitely a simple, inexpensive and quickly performed operation with a low recurrence rate, which any surgeon can do and is also recommended in the guidelines.
A problem is only the long time of wound healing, which (by the way, earlier also by me) is indicated with 6 weeks, after that the wound is closed. Unfortunately, this is not the case and in our practice we have many patients after external operations, where after 6-12 months there is still an open wound with understandable physical and psychological problems of the (often young) patients.
We have therefore thought about what alternatives there are and have specialized in minimally invasive therapy procedures in the treatment of the sinus pilonidalis for 6 years.
Minimally invasive procedures include operations in which no major tissue is excised and which can be performed under outpatient conditions.
Because of the small wounds, these operations are associated with less pain, faster wound healing and significantly shorter work absences.
Here, under local anesthesia, the abscess cavity with the fistula ducts is excised via a small lateral incision. The small fistula ducts (pits) in the midline are punched out.
Under general anesthesia, a laser diode is used to close the fistula tract with the pits by emitting energy in a circular pattern. Small scars remain. Only suitable for longer, not too wide fistula tracts.
You can find detailed information on the topic of Pilonidal cyst on our homepage sinus-pilonidalis-zentrum.de