Before Your Procedure

Dr. Kunal Sayani's team will provide you with specific pre-procedure instructions, which typically include:

• Avoiding blood-thinning medications (such as aspirin, ibuprofen, certain herbal supplements) for a specified period, if medically permissible, to minimize bruising and bleeding. Always consult your prescribing physician before discontinuing any medication.
• Refraining from alcohol for at least 24-48 hours before the procedure.
• Arriving with the treatment area clean and free of lotions or creams.

The Surgical Procedure (Performed in a Sterile Clinic Environment)

Most lipoma, cyst removals, and scar revisions are performed as outpatient procedures under local anesthesia, ensuring your comfort throughout. The duration varies depending on the size and complexity of the lesion or scar.

Lipoma Removal

• Anesthesia: Local anesthetic is injected around the lipoma to numb the area.
• Incision: Dr. Kunal Sayani makes a small, carefully placed incision, often within a skin fold or natural wrinkle to minimize visibility.
  The incision length is typically proportional to the size of the lipoma, though larger lipomas may require a slightly longer incision for complete removal.
• Excision: The lipoma is carefully dissected free from the surrounding tissues. Dr. Sayani ensures complete removal of the fatty tumor.
• Closure: The incision is closed with sutures, sometimes in layers (deep and superficial), to promote optimal healing and minimize scarring.
  A small drain may be placed for very large lipomas, though this is rare.

Cyst Removal

• Anesthesia: Local anesthetic is administered to numb the area around the cyst.
• Incision: A small incision is made directly over the cyst.
• Excision: Dr. Kunal Sayani meticulously dissects and removes the entire cyst wall or sac, which is crucial to prevent recurrence.
• Closure: The incision is closed with sutures, often with a deep layer to reduce tension on the skin surface and a superficial layer for skin approximation.
  The removed tissue may be sent for pathological examination to confirm its benign nature.

Scar Revision (Techniques vary widely based on scar type)

• Anesthesia: Local anesthesia is applied to the scar and surrounding tissue.
• Excision & Re-closure: For many hypertrophic or keloid scars, the old scar tissue is surgically removed.
  Dr. Kunal Sayani then meticulously re-approximates the skin edges with advanced suturing techniques (e.g., Z-plasty, W-plasty) to redistribute tension, improve flexibility, and create a less noticeable linear scar.
• Subcision: For depressed (atrophic) scars, a needle is used to break up the fibrous bands beneath the scar, allowing the skin to lift and flatten.
  This may be combined with dermal fillers or fat grafting.
• Skin Grafts/Flaps: For very large or severe scars (e.g., from burns), Dr. Kunal Sayani may use healthy skin from another part of the body (graft) or relocate a section of tissue with its own blood supply (flap) to cover the defect.
• Adjunctive Therapies: Scar revision often incorporates other treatments such as corticosteroid injections (for keloids/hypertrophic scars), silicone sheeting, laser therapy, or dermabrasion, which Dr. Kunal Sayani may discuss as part of a comprehensive treatment plan.

Dr. Kunal Sayani's precision, anatomical knowledge, and aesthetic judgment are paramount in all these procedures, aiming for the most effective removal and the most cosmetically refined healing.

Recovery & Aftercare (Post-Op Instructions): Healing Smoothly with Dr. Kunal Sayani

Proper recovery and diligent aftercare are crucial for achieving optimal results and minimizing visible traces after lipoma/cyst removal or scar revision with Dr. Kunal Sayani at his Mumbai clinic. You will receive detailed, personalized post-operative instructions, but here's a general overview of what to expect:

Risks & Safety: Dr. Kunal Sayani's Commitment to Patient Well-being in Excision & Scar Revision

At Dr. Kunal Sayani's clinic in Mumbai, patient safety is our paramount concern. While the removal of lipomas and cysts, and scar revision procedures, are generally considered safe when performed by a qualified and experienced aesthetic surgeon like Dr. Kunal Sayani, it is essential to be aware of the inherent risks associated with any surgical procedure. Dr. Kunal Sayani will meticulously discuss these potential risks during your comprehensive consultation, ensuring you are fully informed.

General Surgical Risks:

• Bleeding: Minor bleeding is common. Excessive bleeding (hematoma formation) is rare but may require drainage.
• Infection: Risk of infection at the incision site, minimized by sterile techniques and proper wound care.
• Anesthesia Risks: Adverse reactions to local anesthesia (e.g., allergic reaction, lightheadedness), though rare.
• Pain/Discomfort: Post-operative pain, managed with medication.
• Swelling & Bruising: Temporary and usually resolves within days to weeks.

Specific Risks for Lipoma/Cyst Removal:

• Scarring: While Dr. Kunal Sayani uses meticulous techniques to minimize scarring, any incision leaves a scar. The goal is to make it as inconspicuous as possible.
• Recurrence: For cysts, if any part of the cyst wall is left behind, there is a risk of recurrence. Dr. Sayani emphasizes complete excision to prevent this. Lipomas can recur, though less commonly, if not entirely removed.
• Seroma: Collection of clear fluid under the skin, which may require drainage.
• Nerve Damage: Rare, but can occur if the lipoma/cyst is close to a nerve, leading to temporary or permanent numbness or weakness in the affected area.
• Damage to Surrounding Structures: Extremely rare, depending on the location of the lesion (e.g., blood vessels, muscles).

Specific Risks for Scar Revision:

• Incomplete Improvement: Scar revision aims to improve the appearance of a scar, not completely remove it. Some residual scarring will always remain.
• Worsening of Scar: In rare cases, the revised scar might heal less favorably than the original, especially with keloid-prone individuals, or if post-operative instructions are not followed.
• Discoloration: The revised scar may be lighter or darker than the surrounding skin.
• Asymmetry: Slight differences in appearance between sides if treating paired scars.
• Recurrence of Keloids/Hypertrophic Scars: Individuals prone to keloids or hypertrophic scars have a higher risk of them recurring after revision, often requiring adjunctive treatments (e.g., steroid injections, radiation) to manage this.
• Numbness/Altered Sensation: Temporary or, rarely, permanent changes in skin sensation in the treated area.

Minimizing Risks with Dr. Kunal Sayani:

• Board-Certified Expertise: As a qualified aesthetic surgeon, Dr. Sayani possesses extensive training, profound anatomical knowledge, and vast experience in skin lesion excisions and scar revision techniques.
• Thorough Patient Assessment: A comprehensive medical history and physical examination are conducted to identify any contraindications or risk factors.
• Precise Surgical Planning: Meticulous planning of incision lines, considering skin tension lines and natural contours to minimize visible scarring.
• Sterile Environment & Techniques: All procedures are performed in a fully equipped, sterile clinic setting with strict adherence to aseptic protocols to prevent infection.
• Meticulous Surgical Technique: Dr. Sayani employs refined surgical techniques, including careful tissue handling, precise dissection, and multi-layered, tension-free wound closure, to promote optimal healing and minimize complications.
• Pathological Examination: Whenever necessary, removed lesions are sent for histopathological examination to confirm benignity and rule out any underlying concerns.
• Comprehensive Post-Operative Care: Providing clear, detailed instructions and close monitoring during the recovery period to ensure proper healing and early detection of any issues.
• Patient Education: Ensuring patients are fully informed about potential side effects, realistic expectations, and proper post-operative care.