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Scars & Burns by Mr Ioannis Goutos

Skin Graft London

Skin Graft London

At a glance

Treatment time:

Inclusive of initial consultation, pre-operative assessment, surgery and post-op care. With good surgical technique and post-op care, grafting should give permanent results.

Duration:

Highly variable, depending on the amount of skin being grafted. Most operations last around 1 hour.

Return to work:

7-14 days to return to light duties or office-based work.

Anaesthetic:

Local or sedation/general anaesthetic.

Skin Graft Cost:

£1500

Mr Ioannis Goutos offers a skin graft from his London clinic, which is a surgical procedure that involves removing healthy skin tissue from one part of the body and using it to repair skin on another part.

This can be used in a number of circumstances, such as burn injuries or for certain wounds that cannot otherwise be closed. This may include wounds that are particularly large, such as following excision of a skin cancer, or those that are very difficult to heal, such as an ulcer.

Mr Ioannis Goutos is a skilled plastic surgeon and is widely respected as a leading expert on the management of burns and scars. He offers a wide range of surgical and non-surgical procedures.

Mr Goutos takes particular pride in ensuring that all aspects of an individual’s care, including physical and psychological factors, are addressed in each tailor-made treatment plan. He will consider your current situation, medical assessment, cosmetic goals and individual preferences to ensure that you receive the optimal care possible, including gold standard aftercare and follow up.

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How does skin graft surgery work?

Skin graft surgery is usually done under a local anaesthetic. Prior to having the surgery, it is important to undergo a thorough pre-operative assessment. During this time, your surgeon will be able to plan your surgery, including where the donor skin will be taken from. You will also have a review of any medications you might take, your past medical history and a physical examination.

Skin grafting is carried out by removing a layer of skin from a ‘donor site’ (a different part of the body with healthy skin) and placing this over the area of burn or wound (known as the ‘recipient site’). The grafted skin is then secured using stitches, staples or surgical glue. Over the next 7-14 days, the grafted skin should heal with the underlying layers of tissue to establish a robust blood supply. The donor skin can be taken as a thin layer, or thicker layer, depending on where it has been taken from and the nature and needs of the graft site. These are known as ‘split-thickness skin grafts’ or ‘full-thickness skin grafts’. Typical areas of the body that are used to source donor skin include the abdomen, thigh and buttock areas.

Sometimes skin grafting is carried out in stages using artificial skin, whereby part of the ‘donor’ skin is not sourced from the same individual but is created out of synthetic materials. Additionally, if a large sized graft is needed, tissue expander surgery may be carried out in advance of the grafting surgery, to help create a sufficient surface area of skin to cover the graft area.

Following the operation, both the donor site and graft site require close monitoring and wound care. Post-operatively, individuals will need to take pain relief medication and have regular dressing changes and assessments for the first 2 weeks. This is to monitor the healing process and ensure that the grafted skin is not rejected.

After this initial healing phase, it can take up to 18 months for the scarring around the graft site to fully mature. Ideally this should leave a flat and soft scar. As the donor tissue is taken from the same person, there should not be a large discrepancy in skin tone, however grafts tend not to appear completely congruent with the surrounding skin.

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Skin Graft Procedure Healing
Goutos London - FAQ

Frequently Asked Questions about Skin Graft Surgery

We know having medical, surgical or cosmetic treatment can seem daunting and it is natural to have questions. We are here to ensure your comfort and safety at all times. If you are unable to find the answer to your questions below, then please do not hesitate to contact us so we can help.

There are general surgical risks to expect, which include oozing, swelling and bruising around the surgical site.  In skin graft surgery, it is important to consider the risks of skin graft rejection, poor healing and infection which may result in the graft having to be removed. All of these risks will be discussed with you in full prior to undergoing any operation, and many measures are put in place to reduce these risks as much as possible.

Following your operation, you may be able to go home the same or next day. It is generally recommended for patients to take 7-14 days off work and to rest at home. It is particularly important to avoid any stretching of the wounds or heavy lifting during this time. The graft dressings will usually be changed at 5-7 days and the donor site dressing at 10-14 days following the operation. Until this time, it is crucial to keep the dressing clean and dry. The wounds will also be assessed at each dressing change. After this period, if all is healing well, individuals may resume regular duties.

The borders of the skin graft will remain noticeable even after it is fully healed, although this does improve over time. However, as the donor skin is taken from the same individual, the colour and tone should be similar to the surrounding skin. With good surgical technique and post-operative care, the scarring around the graft should be soft and flat. Once fully healed, individuals may wish to use foundation or camouflage products to make the graft less prominent; alternatively a number of resurfacing techniques like lasers and needling  may be used to improve the texture and colour in the grafted area.

If you are known to suffer from problematic scarring, such as keloid scarring, you should inform your surgeon. Additional surgical techniques and post-operative adjuncts can be used to improve the long term quality of the scar.

In the initial healing stages, it is important to continue wearing the dressings as directed by your clinician and attend all of your follow up appointments to ensure good healing. It is also recommended to avoid any strenuous activity or stretching of either of the surgical wounds for 6-8 weeks following the operation. Stopping smoking before your operation can help to ensure good graft healing and longer term skin and graft health. Once healed, long term care of the graft will include regular moisturisation with a non-perfumed product and good sun protection.

How much does a skin graft in London cost?

Starting from £1500

At Goutos London, we aim to deliver a premium service with no compromise on quality in order to deliver the best results possible for your needs.

Goutos London

Conditions Skin Graft Surgery can treat

Whatever your condition, and whatever your health goals are, we will ensure you get a holistic, focused and bespoke service that offers you the safest options for treatment aiming for the best possible outcome.

Burns

Wounds

Scarring

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Posted on Google
Louise Steel
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Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.
Posted on Google
Luke Ward
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This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.
Posted on Google
Mauricio Lucas
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Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.
Posted on Google
Kashmala Khan
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Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!
Posted on Google
Javier
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Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.
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Ieva Lihovida-Yarlett
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We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!
Posted on Google
Amy Munson
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We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.

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