Skin tumors
Naturally, we employ the oncologically correct approach to malignant tumors. We also take aesthetic questions into consideration. The laboratory work on the specimen will be completed within just one day. Even benign tissues like warts or naevi profit from correct excision and aesthetically influenced preparation techniques.

Soft tissue tumors

Nerve tumors
Unique tumors will be observed under an operation microscope and are excised carefully. Multiple tumors, for example in neurofibromatosis, are removed with careful attention to the original nerve structure. Scar minimizing techniques and the aesthetic approach to small subcutaneous nodules are used whenever possible. Techniques like the kind used for facelifting allow removal of tumors in the face via concealed approaches (e.g. the hairline).

Flap plasties

Pedicled flap plasties
Defects in skin and soft tissue, originating either from a necessary radical tumor operation or from an accident, need to be covered.
This is important not only for aesthetic reasons but also to prevent bacterial overgrowth, sepsis or the destruction of deeper layers.
Parts of muscles, subcutaneous tissue or skin can be mobilized directly from the environment of the defect – the so-called local flap plasty- and can thus close the defect forever.

Free flap plasties
Bigger defects in areas with little soft tissue cover need more sophisticated approaches. If necessary, it is possible to also incorporate missing functional structures of the recipient area in the flap (e.g. nerves, vessels, muscles, tendons).
Thus, we can accomplish not only the coverage of a difficult defect but also regain missing functionality. Different areas of the body can be used as donor regions for these types of flaps. Preferred regions are in the back (lattissimus-dorsi flap, scapular flap). The flaps are connected by means of microsurgery in the recipient area.

Microsurgery
 
Nerve injury and reconstruction
Nerve injuries with a consequent loss of muscular function of the recipient muscular group mean a profound decrease in quality of life for our patients. In fresh injuries, a mere microsurgical nerve suture is often sufficient, whereas nerve defects need a free transplanted nerve graft to regain functionality. They are incorporated in the nerve defect through an operation microscope.

Skin transplantation
Skin defects mean a dangerous loss of a barrier towards bacterial infection. Chronic skin ulcers dry out deeper layers of tissue and thus tend to grow. A skin transplantation is performed after a profound investigation for possible causes and a preconditioning of the ground of the wound. Skin is harvested from areas were the cosmetic aspect is not that important. In a short time, they grow in the defect and achieve closure.