Here at RENU SKIN CLINIC we use Ellman radio wave surgery to remove skin tags.
Renu Skin Clinic are proud to be the only clinic in Tayside to use this method of mole/lesion removal without the need of any stitches leaving a scar left with the use of stitches. . Most dermatologists/surgeons still use this old method today. At Renu we are always at the forefront of technology and invest heavily to make sure our patients get the best results with the best outcome and less side effects.
A new technology, 4.0 Mhz radio- wave surgery has put a new spin on scarless nevi removal. Radiowave surgery is quite different from electro- surgery.
Electrosurgery generally occupies a place on the electromagnetic spectrum from 350 Khz to 1.7 Mhz. The lower the Mhz, the more lateral tissue damage produced with tissue incision. In electro surgery, the electrode tip provides the resistance during ablation. The tip heats up and significant heat is tranferred to the target tissue. This heat also affects the surrounding normal tissues, resulting in lateral tissue damage that can produce scarring. Common dermatology electrosurgical ma- chines operate at low frequencies (500 to 750 Khz, about 500,000 cycles per second), and this results in significant lateral tissue damage.
Radiowave surgery operates at a frequency of 4.0 Mhz, which is about 4 million cycles per second.This is the optimum wavelength for precise incision with minimal lateral tissue damage. The reason that radiowave surgery is much more tissue friendly than electrosurgery has to do not only with the 4.0 Mhz wavelength but the fact that the electrode tip does not provide the resistance and hence does not get hot. It is the tissue that provides the resistance. Radiowaves are transferred to tissue through an electrode. Radiowaves cause a pro cess known as intracellular volatiliztion whereby steam is produced in the cells, causing them to rupture. An- other difference between radiowave surgery and electrosurgery is the ground plate. With electrosurgery, it is possible to shock or burn the patient. Radiowave surgery does not employ a ground plate but rather an antenna that gathers the radiowaves and channels them back to the machine. The antenna, which does not need to be in direct contact with the patient, is Teflon coated so it cannot shock or burn the patient.
Reference. Dr. Niamtu (2007). Aesthetic Dermatology News.
Skin tags are common soft harmless lesions that appear to hang off the skin. They are also described as:
- Fibroepithelial polyp
- Soft fibroma
- Pedunculated (this means it is on a stalk)
- Filiform (this means it is thread-like)
Skin tags develop in both men and women as they grow older. They are skin coloured or darker and range in size from 1mm to 5cm. They are most often found in the skin folds (neck, armpits, groin). They tend to be more numerous in obese persons and in those with type 2 diabetes mellitus. They are soft, small growths that often can also form around the eyes or under the breasts. Skin tags are benign growths which can cause great annoyance to people and they can catch on necklaces,jewellery and bra straps.
Skin tags are collagen fibres together with blood vessels that are surrounded by skin. They are harmless, however, if you find that they start to bleed from everyday activities such as catching on your necklace, it may be best to have this removed.
Skin tags are not contagious, they occur because of friction of the skin.
Skin tags are made up of loosely arranged collagen fibres and blood vessels surrounded by a thickened or thinned-out epidermis.
Seborrhoeic keratoses, viral warts or molluscum contagiosum may also resemble skin tags.
It is not known what really causes skin tags but there are some factors that may play a role:
- Chaffing and irritation from skin rubbing together
- Human papillomavirus (wart virus)
At your consultation our Nurse will assess your areas of concern using a dermatoscope and advise if there is a need to send off for histology. If histology is required this can be arranged by us. A full medical history will be taken to rule out any contraindications. If deemed suitable arrangements will be made for an appointment.
The areas to be treated will be thoroughly cleansed with an antiseptic solution and marked out. If we are using the Ellman Radiowave technique local anaesthetic will be injected just under the skin. The method will depend on the size and number of lesions to be removed. The areas treated are quick and comfortable. There is no requirement to cover the lesions up.
You may leave the clinic once the treatment is complete. The areas that have been treated area may be red, scabby and darker that the rest of the skin. . The whole procedure can take 14 days to heal and there may be a light mark that will fade over time. This is called PIH (post inflammatory hyperpigmentation.
When using the Ellman radio wave technique or cryotherapy there is no stitches required. This method is the safest and best allowing a quicker healing time and unsightly scars.
There are very few risks associated with the removal of skin tags such as infection or scarring however with every procedure there is a risk. Scarring such as post inflammatory hyperpiguentaion is common. We will advise you how to care of your skin post procedure and we always offer a follow up appointment. If you were to experience any adverse reactions we would ask that you contact us immediately on the number we provide. There may be some redness, tenderness and discolouration at the treated area which is usually transient in nature. There is a risk the the lesion can appear again once removed.
We use local anaesthetic around the lesion which makes the procedure vey comfortable and you will not feel this.
Our Nurse will carry out the procedure in a HIS clinical room that is set up specifically for minor surgical procedures. Our Nurse has years of Dermatology experience in removing lesions and sending off for histology. Our Nurse is a member of the NMC and is a prescriber with a BSc and PGd in Clinical Dermatology.
Skin Tag Removal with Radiowave Surgery
Price estimate on
1.The type of lesion
2. Where the lesion is situated
3. The lesion being less that 2mm which is a pin head size
4. Lesion removal with Radiowave Surgery or cryosurgery