‘Hand Surgery’ is the specialism which covers the fingers. Surgeons who go through training programmes in ‘Plastic Surgery’ or ‘Orthopaedic Surgery’ gain experience in hand surgery and some will choose to do hand surgery when they are fully qualified as specialists. In the UK, most hand surgeons will be members of the ‘BSSH’ – British Society for Surgery of the Hand…..www.bssh.ac.uk.
Hand surgery, done by plastic or orthopaedic surgeons, includes treatment for injuries, (e.g skiers thumb, trndon lacerations), dealing with lumps or growths (e.g ganglions) on the hand, treating painful conditions like carpal tunnel syndrome (‘trapped nerve’), tennis elbow and arthritis (trapeziectomy for the tumb, joint replacements for the fingers) and also problems with the movement of the fingers e.g (dupuytren’s contracture).
There are also treatments available to address cosmetic concerns with the hands which involve using fillers or fat transfer to make thin or skeletal hands seem more fulsome.
Patients who have lost a lot of weight, typically more than 5 stones, may have so much redindant skin that a standard hip-to-hip tummy tuck is not sufficient to give them a good shape. Fleur-de-lis abdominoplasty removes extra tissue from the upper tummy and it leaves a vertical scar also.
Text and video ‘e-consultations’ are now available with Mr Harley using the Top Doctors platform. This offers greater convenience for busy people. It is especially helpful for patients who are unsure about whether they may need treatment or who have a simple question to ask.
A small heart shaped piece of skin is removed from the corner of the mouth on each side – this lifts the corner of the mouth. The cosmetic effect is immediate and it can also help patients who get soreness or chapping in the corner of the mouth. Stitches are removed after a week.
I just wanted to pass on my sincere thanks for the benefits the carpel tunnel surgery on 1 December has brought me – recovery has been excellent and I can honestly say the time since has been pain-free (other than the moments I actually forgot my injury and shook hands). I was able to drive four days later – helped by the simple £1 cotton scaffolding gloves bought for me from B&Q by my husband – worth perhaps letting your other patients know about those as they aid grip easily. I attach a photo.
Thank you again for your truly excellent work and really motivating manner – all much appreciated.