Can Excess Skin After Circumcision Be Treated Effectively? - Urology

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Is there a way to address phimosis and skin tags?


Hello Doctor, I had a circumcision when I was a child, and as I grew older, I noticed that the surgical scar is quite severe, and there is a ring of excess skin, particularly more pronounced on the lower left side.
I would like to ask if it is still possible to remove the excess skin through surgery, or what would be the best way to address this issue?

Wei, 30~39 year old female. Ask Date: 2016/09/14

Dr. Sun Hongshun reply Urology


Hello: The foreskin itself is elastic, but if it is cut too short, it may cause pain during erection.
You may want to visit a urology clinic for further evaluation.

Reply Date: 2016/09/14

More Info


Excess skin after circumcision, often referred to as "redundant skin" or "scar tissue," can be a concern for many individuals who have undergone the procedure. The presence of excess skin can result from various factors, including the technique used during the circumcision, the individual's healing process, and the natural elasticity of the skin.
In your case, it seems that you are experiencing significant scarring and an accumulation of excess skin around the circumcision site, particularly on the left lower side. This is not uncommon, and many individuals seek treatment for similar issues.

Treatment Options
1. Surgical Revision: The most effective way to address excess skin and significant scarring is through surgical revision. A qualified urologist or plastic surgeon can assess the area and determine the best approach to remove the redundant skin and improve the appearance of the scar. This procedure typically involves excising the excess skin and may also include techniques to minimize scarring.

2. Laser Therapy: For those who are primarily concerned about the appearance of scars, laser therapy can be an option. Laser treatments can help reduce the visibility of scars by promoting collagen remodeling and improving skin texture. However, this method may not address the excess skin itself.

3. Topical Treatments: While topical treatments such as silicone gel sheets or creams can help improve the appearance of scars, they are generally not effective for reducing excess skin. These treatments can be used in conjunction with other methods to enhance overall results.

4. Dermal Fillers: In some cases, dermal fillers can be used to improve the contour of the area, although this is typically a temporary solution and may not be suitable for everyone.


Considerations
- Consultation: It is crucial to consult with a healthcare professional who specializes in urology or dermatology. They can provide a thorough examination and discuss the most appropriate treatment options based on your specific situation.

- Healing Process: Keep in mind that the healing process can vary significantly from person to person. Factors such as age, skin type, and overall health can influence how well your skin heals after any surgical intervention.

- Post-Operative Care: If you decide to undergo surgical revision, following post-operative care instructions is essential for optimal healing and minimizing the risk of complications.

- Psychological Impact: It's also worth noting that concerns about body image and self-esteem can arise from visible scars or excess skin. Seeking support from a mental health professional or support group may be beneficial if these issues are affecting your quality of life.


Conclusion
In summary, excess skin after circumcision can be effectively treated through surgical revision, which is often the most definitive solution. Other options like laser therapy and topical treatments may help with scarring but will not address the excess skin directly. Consulting with a qualified specialist will provide you with the best course of action tailored to your needs. Remember, every individual's situation is unique, and a personalized approach is essential for achieving the best results.

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