Mr Harley will be starting clinics for hand and wrist surgery at the Horder Centre, Crowborough on 6th June. This will be for NHS eRS referred patients and also for private or health insured patients. He also has clinics at the Horder centre outreach centre in Seaford. Arthritis of the hand and wrist including joint replacement surgery, trapeziectomy, treatment of dupuytrens disease, nerve compression (carpal and cubital tunnel syndromes), rheumatoid arthritis of the hand.
treatment of recurrent dupuytrens with skin graft – ‘dermofasciectomy’ this finger was contracted by 35 degrees at the middle knuckle (PIPJ). great function and appearance 2 months after surgery.
cabin crew and many other professions may not be allowed to display tattoos – small tattoos can be easily removed with awake surgery at a single hospital visit. an increasing number of patients are choosing to have surgery because it predictably removes all trace of the tattoo and this is done at a single visit (laser treatment typically requires multiple sessions and leaves a trace of the tattoo). if you can easily gather the whole tattoo in a pinch of skin then it should be possible to remove it surgically.
slightly larger tattoos may require more than one operation to remove. very large tattoos, eg whole of shoulder / deltoid or all the way around the arm are unlikely to be amenable for surgical excision. skin grafting is an option for larger tattoos but this leaves significant scars.
I ran a busy cosmetic surgery / womens health open morning at KIMS Hospital in Maidstone last saturday. abdominoplasty, breast enlargement, breast reduction, eyelid surgery, rhinoplasty and mole removal cases.
look out for further events or book an outpatient appointment. Wednesdays and Fridays available.