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Skin surgery East Kent

by TPMG News | Dec 18, 2025 | Dermatology, Skin Surgery, The Private Medical Group

When you discover a new skin lesion or notice a change in an existing mole, finding a prompt and professional solution is a priority. While many skin issues are harmless, they can cause physical discomfort or emotional distress. The Private Medical Group offers a...

Ear Nose Throat Clinic East Kent

by TPMG News | Sep 10, 2025 | ENT, The Private Medical Group

team An ENT specialist is a doctor who is an expert in conditions affecting the ear, nose, and throat. The full medical name for this specialism is Otolaryngology. If you’re experiencing a persistent issue with your ears, nose, or throat, an ENT specialist can...

Private ENT East Kent

by TPMG News | Aug 18, 2025 | Dermatology, Latest News, Patient Information, The Private Medical Group

When issues with your ears, nose, or throat arise, they can be more than just a nuisance; they can significantly impact your daily life. While many concerns can be managed by a general practitioner, some conditions require a more specialist approach. A private ENT...

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We are a provider of specialist GP-led medical and surgical services in East Kent.

Our clinics offer a comprehensive range of treatments, including:
Dermatology, Skin Surgery, Mole Mapping and ENT.

All services are delivered by experienced specialist GP clinicians.

CQC registration number: 1-21533023951

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0333 210 2146

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info@theprivatemedicalgroup.co.uk

One Ashford Hospital

Kennington Rd
Willesborough
Ashford
TN24 0YS

Spencer Private Hospital

Ramsgate Rd
Margate
CT9 4BG

The Foundry Clinic

Moat Sole
Sandwich
CT13 9AL

Web Design By The Web Surgery

Electrocautery

What to expect after Electrocautery?

During your procedure today to remove your skin lesion electrocautery was used.

What is Electrocautery?

Electrocautery is a method used to remove skin lesions as an alternative to a scalpel or a curette. It is also sometimes used to stop bleeding after a lesion is removed. It uses an electrical current to stimulate heat generation within body tissues. The method can avoid the need for sutures, give a neater scar and be less painful.

How long will it take for my wound to heal?

Healing will occur over the next few weeks. Please keep the wound completely dry for 24-hours following your procedure.

If a dressing is applied when can I remove it?

Leave the dressing on for 24-hours, after which you can wash the area normally. Generally, it is best to leave areas without a dressing as they heal, unless it is at a site which is likely to rub and irritate.

What should I expect after removing the dressing?

Don’t be alarmed if you find a reddened weeping area which will then go on to form a crust. Try not to pick any scabs and allow them to come away naturally. Once the scab has fallen away a bright pink area of skin will remain.

Can I use anything to try and help?

After the initial 24-hours, we encourage you to apply Vaseline to the wound twice daily, at least until the scab falls off.

What are the signs of infection?

Wound infection is rare. However, it might occur despite all our preventative measures. It is more likely
in those who are diabetic, smokers, on oral steroids or people with poor cardiovascular health. Infected wounds tend to be weepy, swollen, hot, increasingly painful and with spreading redness. If you are concerned your wound is infected, contact us at info@theprivatemedicalgroup.co.uk. If you feel it is urgent, you can attend your local urgent treatment centre.

How long will it take for the pink area left to fade and match the surrounding skin?

This will slowly fade over the next 2-years, but as with other scars it might always have a slightly different appearance to the surrounding skin.

When will my results be back?

Every specimen is sent for laboratory examination to establish an exact diagnosis. The results are usually back and reviewed within 4-weeks. You will be contacted by us directly with the results. If you have not heard from us 6-weeks after the procedure or have any queries, please contact:
info@theprivatemedicalgroup.co.uk / 0333 210 2146

Cryotherapy

Why has cryotherapy been advised?

The majority of warts resolve without treatment. In some cases, they
persist and can be symptomatic; they can be treated with over-the-counter products but if they do not resolve, cryotherapy can be considered.

What is Cryotherapy treatment?

Cryotherapy is a treatment which uses low temperature to remove/treat skin lesions.

What will my treatment involve?

Many warts will resolve after a single treatment, but if they do not further treatment may be required. If the lesion has not resolved at 2 weeks a further appointment should be arranged approximately 4 weeks after the initial treatment. Subsequent treatments should be at approximately 4 weekly intervals.

How should I look after the area after treatment?

Immediately following treatment apart from slight discomfort there will be little to see. Gradually over the next few days you may develop swelling and redness and, in some
cases blistering. Following this the healing stage occurs which is usually pain free.

What should I do if I develop a blister?

Blisters tend to settle after a few days and a scab forms. Some people blister more easily than others and the development of a blister doesn’t necessarily mean the skin has been frozen too much. Occasionally blisters can become filled with blood, this is harmless and should only be punctured if painful and very uncomfortable.

Can the area become infected?

Wound infection is rare. However, this might occur despite all preventative measures. It is more likely in those who are diabetic, smokers, taking oral steroids or people with poor cardiovascular health. Infected wounds tend to be weepy, swollen, hot, increasingly painful and with spreading redness. If you are concerned your wound is infected, contact us at info@theprivatemedicalgroup.co.uk. If you feel it is urgent, you can attend your local urgent treatment centre.

Will I have a scar?

Scars are possible, especially if a deep freeze has been necessary. Scars slowly fade over
up to 2-years, but as with other scars it might always have a slightly different appearance to the surrounding skin. If you find your scar uncomfortable, gently massaging Vaseline into the scar can help.

Will the skin around it change?

The surrounding skin may lighten or darken in colour, especially in patients with darker skin. This usually improves with time but may be permanent.

What if the lesion hasn’t gone?

Allow at least 2-weeks for the treatment to fully work. If follow-up is already arranged please review this at the next planned appointment. If no follow-up has been arranged and you are concerned that the treatment has been unsuccessful, please book a Dermatology review via our website
(www.theprivatemedicalgroup.co.uk), or call us on 0333 210 2146.

About Flexible Nasendoscopy

Some Information About The Procedure

What is a flexible nasal endoscopy?

Flexible nasendoscopy is a procedure that is used to look inside the nose, back of the nose,
voice box and back of the throat and tongue. An endoscope is a type of flexible telescope. It is
a very common procedure that is performed in the Outpatients Clinic, ward or Emergency
Department.

Why do I need the procedure?

Anyone who has a problem with the ear, nose, throat or voice box may need to have this
procedure.
The endoscope is a narrow, flexible telescope with a bright light. In a standard fibreoptic
endoscope the image is transmitted through lots of very fine glass fibres to an eyepiece or
camera. Sometimes a video camera is sited at the end of the endoscope and the picture is
displayed on a screen.
The endoscope is passed through the nostril and allows us to examine the inside and back of
your nose, back of the tongue, throat and/or voice box whilst you are awake. Looking at these
areas helps us make a diagnosis. The person passing the telescope may ask you to swallow or
breathe through your nose.
You can breathe in and out through your nose and mouth during the procedure. You may be
asked to say some words, noises or sentences out loud. You may be asked to puff out your
cheeks.

About the procedure

The procedure usually only lasts a few minutes and can be performed with or without local
anaesthetic. The sensation in the nose and throat can take an hour to return to normal if local
anaesthetic is used. During this time you cannot eat or drink until the sensation returns. Some
people find the loss of sensation very uncomfortable as they feel like they cannot breathe or
swallow saliva.

Alternatives

A rigid telescope can be used to examine the nose and back of the nose.

About the procedure – risks

Flexible endoscopy is a very safe procedure for both children and adults. In children the
procedure may trigger breath-holding attacks so the procedure should be performed in an
environment with nursing staff and equipment to help with breathing.
The nose may be uncomfortable and you may feel the sensation of something in your throat.
The procedure may cause your eyes to water. The procedure may trigger a cough.
Occasionally patients may experience a nose bleed after the procedure.
Flexible nasendoscopy has the potential to produce airborne aerosols and droplets, should you
sneeze or cough during the procedure. You may be asked to wear a mask during the procedure
to catch any aerosols and droplets, should they occur. If local anaesthetic is used it may be put
into your nose 10 minutes before the procedure. The doctor or nurse performing the procedure
will be wearing Personal Protective Equipment.

Am I awake during the procedure?

Yes

Can I drive after the test?

Yes

How long does it take?

Less than one minute is common, though the procedure may take longer (especially during the
COVID-19 pandemic),

Will I need any medication?

The telescope is covered in water-based lubricant, which allows the telescope to slide more
easily past tight areas. A local anaesthetic and/or decongestant spray may be used.

Will I feel the telescope?

You will usually feel the telescope sliding in. You may feel the telescope at some points of the
procedure even if an anaesthetic spray is used.

Will I be able to see what is happening?

Some units may have a screen which you may be able to watch during or afterwards if this
facility is available.

Can I eat and drink before the procedure?

Yes

Can I eat and drink after the procedure?

If a nose or throat spray has been used you should not eat or drink for about 20 minutes to an
hour (or until your nose and throat feel normal again). You will be told if you cannot eat and
drink after the procedure.

Ear Microsuction Guide

Overview of Microsuction

Microsuction is a safe and effective method for ear cleaning. A trained nurse, doctor, or
audiologist uses a microscope to examine the ear, allowing precise assessment and treatment.
A suction device removes earwax, debris, or foreign objects without the use of water.

Who Needs Microsuction

Microsuction is recommended for individuals who cannot have water-based ear irrigation,
particularly those with:

Serious complications from previous irrigation
A middle ear infection (otitis media) within the last 2 months
A history of ear surgery (excluding grommets in place for less than 2 years) and no
longer attending ENT appointments
A perforated eardrum or mucous discharge within the last 2 years
A cleft palate (repaired or unrepaired)
An active, painful ear infection (acute otitis externa)

Most people can have earwax or debris removed at their GP practice using water irrigation,
but microsuction is preferred for the above conditions.

Pain During Microsuction

The suction device operates like a vacuum cleaner and may be noisy but is generally quick
and painless. Removing hard objects may cause slight discomfort, and the healthcare
professional will inform you if this is expected. To minimize discomfort:

Use a wax-softening spray (e.g., Earol® olive oil spray) for 3 nights before and on the
morning of the appointment.
Bring the spray to the appointment, as it may be used to soften wax during the
procedure.

Looking After Your Ears

Do:

Clean around and behind your ears with a dry tissue or alcohol-free baby wipes after
showering or bathing.

Do Not:

Use cotton buds, scratch, or poke your ears, as this can lead to wax buildup or
infections.
Use cotton buds, tissues, or materials to soak up moisture; allow ears to dry naturally.
Use over-the-counter ear products if there is a risk of a perforated eardrum.

For Itchy Ears or Infections:

Avoid getting water, soap, or shampoo in the ear canal during bathing or showering.
Use a small piece of cotton wool (about twice the size of your thumbnail) coated with
white soft paraffin, placed at the entrance of the ear canal (not pushed inside).

If You Wear a Hearing Aid

Wash the hearing aid mould daily with warm, soapy water during treatment.
Discuss with your hearing aid provider:
Venting the hearing aid mould to allow air circulation.
Using a hypo-allergenic mould to reduce skin reactions.

If You Have Itchy or Dry Skin

Consult a pharmacist or healthcare professional for suitable treatments.

Swimming

To keep ears dry while swimming:

Wear a tight-fitting swimming cap or headband to protect ears from water.
Use cotton wool or earplugs, kept in place by a headband or cap.
For frequent ear infections, visit an audiologist for custom silicone swimming plugs.

What to expect after surgery

Natural Wound Healing

What to expect after surgery?

Some wounds do not require closure with stitches and in these cases the area will recover by
‘natural wound healing’, where the body gradually grows new skin over the affected area.

What stops it bleeding?

In some cases, we may have applied a liquid or special dressing to stop bleeding after the
procedure. This helps with the surface healing. Bleeding can occasionally occur a few hours after
surgery and if this happens apply pressure to the area, and if needed a new dressing. If the
bleeding does not stop or continues on/off over the next couple of days, please seek review.

How long will it take for my wound to heal?

Healing will occur over the next few weeks. Please keep the wound completely dry for 24hours
following your procedure.

If a dressing is applied when can I remove it?

If possible, leave the dressing on for 24hr after which you can wash the area normally. Generally, it
is best to leave areas without a dressing as they heal, unless in a site which is likely to rub and
irritate.

What should I expect after removing the dressing?

Don’t be alarmed if you find a reddened weeping area which will then go on to form a crust. Try not
to pick scabs and allow them to come away naturally. Once the scab has fallen away a bright pink
area of skin will remain.

Can I use anything to try and help?

After the initial 24hrs we encourage you to apply Vaseline to the wound twice daily, at least until the
scab falls off.

What are the signs of infection?

Wound infection is rare, however it might occur despite all our preventative measures. It is more
likely in those who are diabetic, smokers, on oral steroids or patients with poor general health.
Infected wounds tend to be weepy, swollen, hot, increasingly painful and with spreading redness.
If you are concerned your wound is infected, please email us (address below) with a photo and we
will respond as soon as possible. If you feel unwell, please attend your GP, Urgent Treatment
Centre or A&E immediately.

How long will it take for the pink area left to fade and match the surrounding skin?

This will slowly fade over the next 2 years, but as with other scars it might always have a slightly
different appearance to the surrounding skin.

When will my results be back?

The results are usually back and reviewed within 4 weeks. You will be contacted with the results
directly. If you have not heard 6 weeks after the procedure or have any queries, please contact:
info@theprivatemedicalgroup.co.uk / 0333 210 2146.

0333 210 2146

info@theprivatemedicalgroup.co.uk

Skin surgery East Kent

Ear Nose Throat Clinic East Kent

Private ENT East Kent

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