FULL MOVIES ENGLISH SUB
Follow our Channel group to get the latest movie updates
#drama #cdrama #romantic
#drama #cdrama #romantic #love #movie #shortdrama
Follow our Channel group to get the latest movie updates
#drama #cdrama #romantic
#drama #cdrama #romantic #love #movie #shortdrama
Category
🎥
Short filmTranscript
00:11I use my hair to kind of like cover my
00:14keloids. It doesn't cover it completely but it's definitely a lot better. It helps
00:23like with the staring. People are like disgusted by it and have told me oh if I looked like
00:34you I wouldn't leave my house. There's certain days I've just cried myself to sleep. You just
00:44keep thinking this is it. I'll have to live with it for the rest of my life.
00:53I just want to have my normal face, yeah.
01:11It's so cold. It is so cold. Look this rain. Wait for me, wait for me.
01:17Get on there. It always takes me so long when it rains.
01:22That is why I check the weather forecast. I never do.
01:31Did you make keloids this morning? Yeah, can you tell when I stood up?
01:35Yeah, it's actually the legs. They're sewer.
01:47Oh my god.
01:50Okay, I think I took too many. I'm gonna put that one back.
02:05Oh, look at that. That photo is nice. Yeah, very nice.
02:13Look. Yeah.
02:18This is at the shop. Yeah.
02:24I'm really in the shop.
02:26You let me put it up in the shop.
02:28Yeah.
02:32Oh, you're smiling.
02:34Your face everywhere is lit up.
02:38When I was younger, I was more, um, like, confident.
02:45And, like, happier in general.
02:48Wow, time flies fast.
02:52Yeah.
02:53Stopped taking photos.
02:54Merely at the start of my early teenage years.
02:59Due to the keloids growing.
03:02It makes me angry because it affects you mentally,
03:05it's socially.
03:07Everything you do, it's there.
03:10Just don't like it.
03:12And just feel ugly.
03:15I have a skin condition called keloids,
03:18where it's a growth of scar tissue.
03:22So, over time, it's slowly keep growing and keep growing.
03:27It feels quite, like, thick and tough.
03:31Sometimes it can give, like, a really, like, sharp pain.
03:37I'm packing to go to London, um, for an appointment to see Dr. Emma.
03:44I'm nervous for the appointment.
03:47Just wondering what Dr. Emma will say,
03:49whether she can treat the keloids.
03:58So, Emma has two surgeries.
04:00One this morning and then one this afternoon.
04:01Okay.
04:01And then, in between, we have Zoe,
04:04and it looks like she's quite an interesting case.
04:07Okay, so I will book a double slot then.
04:09Perfect. Thank you.
04:10See you later.
04:16I'm excited about seeing Dr. Emma.
04:18Sweetie.
04:19Yeah.
04:21Especially now that it's going to this extent.
04:30Well, the train was parked.
04:32Can you get a taxi up there?
04:36It's quite busy.
04:38Yeah.
04:38These are some of the things that make you paranoid, isn't it?
04:41Yeah.
04:41I do get anxious, just because I constantly think people are staring.
04:49Someone told me, oh, it's leprosy.
04:52Just keep your stupid comments to yourself.
04:57Yeah, the tattoo's here.
05:04Emma.
05:04Mm-hmm.
05:05We've got 20 minutes before Zoe comes.
05:07Do you want me to get you anything?
05:08No, no, I am finished, so I'm going to go and make us both a coffee.
05:11Okay.
05:13I mean, there could be a possibility Dr. Emma may not be able to treat her.
05:18Most people who go there, she finds a solution to their problem.
05:21Just keep her positive mind.
05:30Let's get you sorted.
05:35Hello, my name's Zoe.
05:37I'm here to see Dr. Emma.
05:38Fantastic.
05:38If you just take a seat, I'll let her know you're here.
05:45Oh, yeah.
05:46That's when it started.
05:48That's right, when it started.
05:49When I had it like this then, it bothered me.
05:54So it wasn't even that many.
05:56But now it's obvious.
05:58And because it's on your face, it's the first thing that people see.
06:02Yeah.
06:11Hi, Zoe. Hello.
06:13Hi, nice to meet you.
06:14I'm Dr. Emma. Hello.
06:16Come with me.
06:17Did you have to come from far today?
06:19Yeah, yeah.
06:20From Barnsley.
06:21From Barnsley.
06:22Yeah.
06:23So how long does that take?
06:25Over two hours.
06:27Over two hours.
06:27Yeah.
06:28Sometimes it takes two hours just to get across London.
06:33Come on, have a seat.
06:35This is Mottie.
06:36He's our nurse.
06:37Hello.
06:38Nice to meet you.
06:38This is Zoe.
06:39Nice to meet you too.
06:40And Mum.
06:42So Zoe, I can see why you've come to see me in the clinic today.
06:46Yeah.
06:46Tell me a little bit about these scars on the face.
06:49So I had acne during my early teenage years.
06:52And then Dad developed into keloids.
06:55And does anyone else in the family have problems with developing keloids?
06:59Her dad's side of the family.
07:02OK.
07:02But it's very, like, very, very mild.
07:05I seem to be, like, affected really severely.
07:07Yeah.
07:08Yeah.
07:08OK.
07:09And did these keloids come up just in, like, little bumps initially?
07:13Yeah.
07:14That's when I started to seek treatment.
07:17And what treatment were you given?
07:19So I was given surgery.
07:22I've had three.
07:23And do you have any photographs of these?
07:25Just so I can get an idea of what it was like before each of the surgeries.
07:29Yeah.
07:30The first one was only to remove one.
07:32OK.
07:33So they've removed this one.
07:35That was after the surgery.
07:36And it just got bigger after the surgery.
07:39Yeah, it is.
07:39The second surgery, where was that?
07:41The bottom here.
07:42OK.
07:42They decided to just remove one.
07:44The last one.
07:46They removed all the keloids.
07:48And how long ago did they do that?
07:49Five years.
07:51That's really helpful to see and see, you know, how much they've grown.
07:55A lot.
07:56A lot.
07:56A lot.
07:57So the surgery has actually made things much worse for you.
08:01And did they do any radiotherapy or any steroid injections?
08:05No.
08:08Are these painful?
08:09Yeah.
08:10Like a sharp, like, shooting pain.
08:13It must be difficult to have something that's painful and so visible for everyone to see.
08:18How does it affect you?
08:20Confidence.
08:21When she was more, she's loud, you know, giggly, playful.
08:25And then suddenly, because of things that people say, she started, you know, retreating a bit.
08:32It's hard to see as a mummy, isn't it?
08:34Yeah, it is.
08:35And, OK, do you mind if I come and have a close-up look at all of these?
08:39Is that OK?
08:40Yeah, that's OK.
08:43OK, let's have a wee look at this.
08:46So this is actually really all merged into be one giant keloid, isn't it?
08:53Yeah.
08:54It's got a real overhang of where it's just dangling down.
08:58Yeah.
08:58It's on a stalk.
09:00I can get my fingers right underneath that.
09:03And then it's attached all the way on the cheek area.
09:07And actually, that's one active little spot there.
09:11Yeah.
09:12And if we move round to this side, these are still distinct separate ones.
09:16So you've got one, two, three, four, and then the one underneath the chin, five.
09:26And actually, just noticing the little hairs.
09:31Undoubtedly, these are keloids.
09:33So when we think about what a keloid is, usually there has to be an injury to the skin to
09:38begin with.
09:39So sometimes it's an acne spot.
09:40Sometimes it's a cut.
09:43Sometimes it's even as simple a thing as a hair being trapped.
09:47And normally, whenever we have a wound, our fibroblasts, which are our cells that repair wounds,
09:53kick in, repair it, and then they go, OK, we're done, we're repaired, we can stop.
09:58But when somebody has a tendency to keloids, those fibroblasts just keep on making more and more scar tissue.
10:07You probably harry one of these genes that have got a tendency to develop keloids from your father's side of
10:14the family.
10:14What's caused the keloids that you have now has really been these surgical interventions.
10:21Because whenever you do surgery on a keloid, you're essentially making an even bigger wound that can result in another
10:29keloid.
10:30Not having anything afterwards has then undoubtedly meant that the recurrence risk was going to be higher.
10:37And here we are now.
10:39Another factor, I think, of what's potentially driving it for you is a hormonal factor.
10:45Has anybody ever looked at your ovaries to see if you've had any cysts on the ovaries?
10:50Something called polycystic ovarian syndrome?
10:52No one's ever, like, tested me for that, or even said you have it all.
10:57OK. Yeah.
10:58Because we know for people, well, women who have keloid scars, they are worse whenever the hormones are a bit
11:07out of balance with something like PCOS, polycystic ovarian syndrome, that drives acne.
11:13And it also is the driver for why people often have hair in areas that they don't necessarily want to
11:20have hair.
11:21So I think with this condition of PCOS, which I think you do have, a really important step will be
11:27to get the hormones exactly in balance.
11:30It's an injection to reduce the acne, to reduce the bits of hair growth.
11:34So that is step one.
11:36And then step two, this is a big job, and this will require quite a bit of planning.
11:43So I would like you to see my colleague, who's a specialist in facial plastic surgery, to see, you know,
11:50how is this possible?
11:52And then there is no way you can have any surgery on your skin unless you have something like post
11:59-operative radiotherapy to try and stop these from coming back.
12:02Yeah.
12:03And that's the thing that's associated with the best cure rate.
12:05Does that make sense to you?
12:08Yeah.
12:08Yeah.
12:08No one has ever thought about all the problems within me.
12:13I feel like before, just get surgery and then that's it.
12:17Yeah.
12:18Surgery alone is absolutely never the answer, ever.
12:24And it just makes things worse.
12:28Zoe is just 20 years old, and she has one of the worst cases of facial keloids I have ever
12:34seen.
12:35The thing is, our face is really our identity.
12:37It's how we think of ourselves, and it's how others view us and interact with us.
12:43And so no wonder this has had such a devastating impact on her.
12:46I really want to be able to help her.
12:49I've got a dream to catch.
12:51But she's already had three failed surgeries, and each time the keloids have come back,
12:57and they've come back bigger than before, and now virtually both of her cheeks are just scar tissue.
13:04OK, I need to get a taxi.
13:05Removing these keloids is going to be a complicated surgery, and the big challenge
13:11is going to be closing up those wounds and leaving as little scarring as possible.
13:18And I think it's going to take a lot out of her emotionally and physically.
13:34Can I take a message?
13:42Can I take a message?
13:50So she needs a very specialised and complicated surgery.
13:54And I'm referring her to the brilliant and very experienced plastic surgeon, Mr Simon Withey.
14:00Dear Simon, I'm most grateful for you seeing my patient, Zoe, who has attended the clinics with keloids on both
14:05aspects of her cheeks.
14:06They're having a significant impact on how she's viewing herself, and I think we need to make a plan
14:11of how to treat these definitively with counterguard your sincerely.
14:18Zoe's really quite reserved, isn't she?
14:21Very, very self-contained.
14:23I think that's quite common after teenagers have experienced that kind of trauma.
14:28Almost like, I don't know, keeping everything inside.
14:31Yeah, I've noticed that, like a protective kind of layer.
14:33Yeah, that's exactly what it's like.
14:48When she came to see me, I diagnosed Zoe with a condition called polycystic ovarian syndrome.
14:53And it's this hormonal imbalance that's causing her to develop acne on her face
14:58and hairs on her face, which are becoming ingrown.
15:01And that is what the trigger is for the keloids.
15:05It's vital to get this under control before her surgery.
15:08So I'm starting her on some treatment to balance the hormones
15:11and reduce the risk of her developing new keloids.
15:15So it comes in a pen, press my stomach and then inject.
15:21Yeah.
15:27I have an appointment with my dad to go and see Mr. Withoo.
15:36Hello.
15:36My name's Zoe.
15:39I'm really hoping that he's going to agree that further surgery
15:43and the right aftercare is going to be the best option for Zoe.
15:47Nice to see you, Zoe. How was your journey?
15:49It was good.
15:50Good.
15:51Can I ask you to come over to the couch?
15:57The bit which is attaching the scar to the skein is fortunately a little bit smaller,
16:03which is quite helpful when it comes to deciding whether we can take these out.
16:11Thank you so much.
16:12Come and have a seat.
16:17I think surgery is the solution for removing these keloids.
16:21Yeah.
16:22I think there are areas which worry me.
16:24One is the widest bit of the scar on the left side.
16:29The base that it's growing from is really very significant size.
16:34Thank God.
16:34And it is quite possible that we wouldn't be able to close the wounds at the time of your first
16:41operation.
16:42What I propose, having seen you today, is to talk to Dr. Emma.
16:48Yeah.
16:48And then I think we'll meet together where we discuss whether we do the operation as one stage or two
16:56stages.
16:56All right?
16:57Yeah.
16:59All right.
16:59It's a pleasure.
17:01The thought of two different surgeries makes me feel nervous.
17:06You let your mum know about it.
17:08All right.
17:09But just happy now knowing that it is possible to now get surgery.
17:14Um, yeah.
17:18So what did he say?
17:20He said that he can do it, so it's brilliant news.
17:23I'll speak to you soon.
17:25Bye.
17:41Mottie, can I leave you to set up for the meeting with Mr Withey downstairs?
17:45Yeah.
17:45Is that OK?
17:46Perfect.
17:46Thank you. I'll see you down there.
17:47Yeah.
17:52Simon, this is Mottie.
17:53Hi, Mottie.
17:54Mottie, Simon Withey.
17:56So there's no doubt that this is a really complicated case.
17:59And I thought we could just get together so we can get it clear in our heads,
18:03and it's the plan for her treatment.
18:05Part of the problem of why she's been getting these on her face is because of the PCOS.
18:11And any tiny little hair that's getting coiled up and inflamed is leading to an inflammatory
18:15bump that's turning into a keloid.
18:17So she's on an injection to get the hormones under better control to stop new keloids from forming.
18:24So now it comes down to your part.
18:28Can we go to the profile pictures?
18:34Keloids lie along the line of the original scar.
18:38So we have to follow that from top by the lobe of the ear down towards the bottom,
18:43sort of behind the corner of the mouth, which isn't a great position.
18:47But the idea is that if she responds well, then she'll be left with a fine line.
18:52I don't want to promise anything, but, you know, that would be the perfect solution.
18:56Should we have a look at the other cheek?
18:58And this is the big one.
18:59So it's possible that when you take this out, you can sort of get something which might just approximate
19:06and close the wound, but it might not.
19:12If we feel it's not going to a close, we will take the majority of this out,
19:18leaving a little bit of scar tissue behind before a second operation.
19:22And how long do you think it would be between the first and the second one?
19:26Three or four months minimum, maybe extending to six months.
19:32You do feel the responsibility of making sure that it's as good as it can be,
19:36because it's probably the last go surgically.
19:38It's a lot of pressure.
19:40On you.
19:42And you.
19:48I'm so pleased Mr Withey wants to operate on Zoe,
19:51because this is a really complicated case.
19:53Until he removes the keloids,
19:55he's not going to know if there's enough healthy skin underneath to close this over,
20:00in which case Zoe would require another operation in six months' time.
20:05But this would mean delaying one of the radiotherapy treatments,
20:09which would increase the risk of the keloids coming back.
20:12Even with just one surgery,
20:14we know that there's not going to be enough healthy tissue left
20:17for any more attempts after this.
20:19This is her one and only chance, and we have to get this right.
20:39I do love training to be a nurse,
20:42but it's really pushing me out of my comfort zone.
20:51Morning.
20:52Morning.
20:52To the hospital, please.
20:53Yeah, no problem.
20:54I feel like patients expect a nurse to look a certain way.
21:00So, when they see me,
21:02they think that I'm not going to do as good of a job as maybe another student.
21:12Bye.
21:13So, I have one year and then I'll be a qualifying nurse.
21:19I do hope that if the keloids are gone,
21:22I can just be a bit more confident.
21:25I'm just hoping to just live life a bit more,
21:29just be more happier,
21:31wanting to, like, do things that I've been putting off doing.
21:43Thanks, Simon.
21:44That's brilliant.
21:45Yeah.
21:46Bye.
21:47That's what Mr Withy has just called for Zoe,
21:51and we've got a date for surgery.
21:52That's amazing.
21:53Yay!
22:08That's the lift.
22:11It's the morning of surgery.
22:14We're going to floor two.
22:16Yeah.
22:16I haven't really slept that much.
22:19Just hope that after today, the keloids will be gone.
22:25Hello.
22:26Hello.
22:27My name's Zoe.
22:28Nice to meet you, Zoe.
22:29My name's Louise.
22:30I'm going to be your nurse today.
22:31Let me show you to your room.
22:33So make yourself comfortable.
22:36How are you feeling today?
22:38A little nervous.
22:40I'm going to look after you.
22:46How are you?
22:47I'm welcome.
22:48Good.
22:49Any questions?
22:51Um, I'm able to do both sides of my face.
22:54I'm hoping we'll be able to take everything away,
22:57but I really, I can't make any firm promises.
23:00Okay.
23:01Yeah.
23:01How long do you think the operation will take?
23:04Good question.
23:05I don't know.
23:06Um, it's not going to be shorter than three hours.
23:09I mean, it could be as long as sort of five, five hours.
23:13Yeah.
23:13I think, you know, we've got the rest of the day.
23:17All right?
23:18Yeah.
23:23Are you ready to go?
23:24Yeah.
23:24A kiss for good luck.
23:29I'm not the best.
23:32We'll look after that, don't you?
23:34Okay.
23:38This is the largest facial key load I've removed.
23:42If we take it all out but can't close the wound,
23:47we've completely messed up.
24:04So we have one patient, Zoe, who is 20 years old, I think,
24:09who is coming in for excision of facial keloids.
24:14Given that she has already had surgery,
24:18her keloids have come back very aggressively.
24:20There is one attempt at doing this.
24:24So we're just going to do our safety checks, OK?
24:26And then put the drip in, a bit of oxygen, and off to sleep, OK?
24:31So the decision is, can we cut it all out today,
24:34try and minimise the amount of operations for her?
24:38Do we have to leave a bit behind?
24:39How do we get the bits back together?
24:42So you might be starting to feel a little bit sleepy now.
24:49Pleasant dreams and we'll take good care of you. OK.
25:01That's me done.
25:03Good.
25:03I'm going over to another hospital
25:05because Mr Withy is operating on Zoe.
25:08Oh, yeah?
25:09Yeah.
25:10I'm also doing that mixture of excited and nervous for her
25:13because there's no room for anything to go wrong.
25:17Good luck. Thank you.
25:18I will see you tomorrow.
25:19See you tomorrow.
25:28Facial surgery carries especially high stakes
25:31because our face is the most visible and personal part of who we are.
25:36Studies show that when done well, scars that are placed properly
25:40and have healed discreetly have very little impact
25:44on how a person can live their life.
25:46One, two, three.
25:48But poorly placed scars can deeply affect a person's confidence
25:52and wellbeing.
25:53So there really is no room for error.
25:59The plan is to start on the left-hand side.
26:03This is the more challenging one.
26:06Work out how much of the scar I can confidently take
26:09without risking having an open wound
26:12and then fit the bits back together again.
26:16You can see there are a few little smaller scars on the cheek.
26:21Those are going to have to be left, unfortunately.
26:23Taking them just means that I end up really struggling to close things.
26:34Inject some local anesthetic and a bit of fluid
26:38to separate the scar from the layers in the cheek.
26:49Oh, goodness.
26:52The scar seems quite...
26:55Oh, goodness.
26:58This canyon isn't getting in there.
27:03Normally, the tissue plane will open up
27:07based on the sort of pressure of the fluid being injected.
27:10And here, it's just coming out back through the hole
27:14that I made to put the cannula in.
27:20More scarred, deeper down than I thought.
27:24It hasn't lifted.
27:26It hasn't done the job.
27:28I thought that might ease the operation for us a bit.
27:31So we'll have to do that surgically.
27:33Just take a bit longer.
27:36Cut through the skin now.
27:39The fact that the fluid didn't go in
27:41means that the tissues are quite tightly adherent
27:44and scarred to one another.
27:45It's certainly not an easy tissue plane to dissect.
27:50Just trying to make sure we lift this up
27:53without getting too deep, effectively.
27:57There's a little branch of the facial nerve at this level.
28:02If we get that, then it gives her an imbalance of smile.
28:05So very keen to avoid it.
28:14Do I leave a bit behind?
28:16Am I reasonably confident
28:19that we're going to be able to close this?
28:26So we're close to getting this off.
28:30Last little bit.
28:32A little bit here.
28:33There we go.
28:36That's her keloid.
28:43So now I've got to try and close it.
28:49If you can just pull a bit on the cheek.
28:55We have been building up to this day for so many months.
28:59This means so much.
29:01And this is her one shot of this working.
29:04And so that's why I have to be here.
29:07I'm anxious about this because this is so complex.
29:14Hi, Simon.
29:15Hi, Emma.
29:16So how's it all going?
29:19Obviously getting the two edges of this together is difficult.
29:23It's amazing when you take all the scar out, how much it then suddenly just opens itself out, isn't it?
29:28Yeah, exactly.
29:30Do you think you'll be able to remove all of these today?
29:34I'm hoping so, yeah.
29:36I'm hoping so, yeah.
29:36Oh.
29:38Just tacking the edges together to see how it best fits.
29:47It looks like we might close it.
29:49Yeah.
29:51I can breathe now.
29:52Yeah.
29:54It's obviously very tight.
29:55You know, if you took another couple of millimetres each side, you might get a slightly better quality of edge
30:01skin, but I'd rather have this than overdo it and therefore increase the risk of further scar thickening as a
30:10result of the increased tension.
30:11Yeah, I think that's exactly right.
30:13So I think we'll accept what we have.
30:15I mean, Zoe is going to be so pleased that this is not there on her face.
30:21One side almost done.
30:23My last stitch.
30:25It looks so good.
30:28I'm going to go and update Zoe's mum.
30:30Thank you, everyone.
30:32Emma, thank you so much for joining us.
30:34Bye.
30:39Hi, Agnes.
30:40Hello.
30:41Hello.
30:42How are you?
30:43I'm good, thank you.
30:45It's so good to see you.
30:47So I just thought I'd come and update you.
30:49So the side that was the quite complex side and Mr. Withy wasn't sure whether he needed to do two
30:56operations on it.
30:58He's actually able to get all of it gone.
31:02That's exactly what I thought.
31:03Oh, God, yeah.
31:04And he's done a closure of it as the scar and it sits quite neatly just...
31:10Oh, God, that is sort of...
31:12Yeah.
31:13Because as I sat here, all I've been thinking is where would the scar be?
31:18But, oh, thank you.
31:20So what's on the other side?
31:21Okay.
31:22So he's just starting that one now.
31:24Bye.
31:25Right.
31:32So now, obviously starting on the other side.
31:37So here, the keloids are a bit smaller and they're not located quite as favourably in terms of being able
31:46to preserve tissue.
31:50But, equally, it's not quite as deep as the other one.
31:54Taking one at a time, really, and seeing how we go.
32:09The scarring is quite wide.
32:12Some of the tissue between them you can't leave because it's very narrow-based and so you won't have a
32:18good blood supply.
32:19So it won't be viable.
32:21We'll just die off and then you're in real trouble.
32:24If she gets another keloid scar because she gets an area of tissue loss, that's it.
32:34There is no way back.
32:36You get a keloid you couldn't really deal with.
32:41This is why we've said all along, this is her chance.
32:50OK.
33:00The base was probably a bit wider than I had anticipated.
33:06The difficulty is to be working out, you're going to put this back together again.
33:15Anyway, we're committed now. We've got to do it.
33:19We have no choice.
33:26The surgery on the left side, the surrounding tissues moved together in a reasonable fashion.
33:34You can see it's quite complicated.
33:37It's a little, sort of, bit more of a jigsaw puzzle, this side.
33:40Which is why I'm, sort of, going to be tacking a little bit back before I fully close anything, just
33:47to make sure it does work.
33:55It's full length?
33:56It's full length, yes.
33:57Day 1.
33:58Day 2.
34:00Day 11.
34:02Day 11.
34:04Day 11.
34:07Day 11.
34:09Day 17.
34:10Do you like the crucifixus?
34:17Tamboring out a store, let me see the leaves.
34:19Let's ask them the bulders new ones.
34:19To your properties are goodwill.
34:23Do you like our basic picture?
34:27It's too tight.
34:38Quite tight in the middle.
34:42I'm trying to see how else I might address that.
34:46May I have a marker pen, please?
34:48I'm just not convinced that's the healthiest bit of tissue,
34:52so I'm just taking out the corneus, please.
35:05I'm going to advance this flat across this bit of tissue,
35:11which will take the tension off.
35:14A bit of dead tissue would be catastrophic for her.
35:22So I'm happy with the tension now.
35:25This is the best alignment we can get of these tissues,
35:31and so I'm going to formally close this wound.
35:39It's been a very long surgery.
35:43I'm so desperate to see her.
35:46I'm anxious.
35:50Putting the last layer of sutures in now.
35:54It's been a bit fiddly, particularly this side.
35:57So I'm quite relieved it has come together.
36:01I had a moment of doubt.
36:03I had a moment of doubt.
36:05Full stop.
36:11Hello, the operation's over, okay?
36:14You're just going to go to the recovery area.
36:39I was with Zoe last night having her operation.
36:42How did it go?
36:43It went so well.
36:45And in fact, she's probably...
36:47Yeah, she's on her way to radiotherapy right now.
36:49That's really good news.
36:50She'll be so thrilled.
36:51So good.
36:57It's good to see you.
36:59Oh, Zoe, you look so good.
37:01Have you seen your face?
37:03Not yet.
37:04Yeah, I have a mirror here.
37:06Look.
37:11Oh, wow.
37:12So nice.
37:13You look amazing.
37:15Yeah, it looks so different.
37:17It's like it's not my own face.
37:21It's so beautiful.
37:24It's like it wasn't bad.
37:30Really happy.
37:32And it's gone.
37:33Yeah.
37:34Really happy.
37:41If we just did this surgery with no radiotherapy, there's about a 95% chance that this would
37:49just all come back.
37:50However, with the radiotherapy, it lowers that risk to about 13%.
37:58Radiotherapy is a very superficial form of X-ray radiation.
38:02Now, she didn't have this after any of her other previous surgeries.
38:06Take a seat on our couch and we'll get you into position.
38:10This works by penetrating into the skin and targets those cells that are responsible for
38:16making the keloid.
38:17And it kind of stops them in their tracks.
38:21Got the lead shielding positioned on her jaw.
38:27Cut out blocks are made from lead to protect the rest of the skin so that it's only the scar
38:33tissue that's being targeted.
38:35We know that this is tough.
38:37Yeah, do you want to sit up for a minute?
38:39There's quite a lot to go through after you've just been, you know, through a seven-hour operation.
38:45So we're going to do this cheek now.
38:54OK, so we are all finished, OK?
38:58Well done.
39:00How was it?
39:02It was a bit painful, but I'm happy I've got it done.
39:06So tomorrow I'm going to come back to do the last radiotherapy.
39:12I'm looking forward to seeing my face without the bondages.
39:16Yeah, it would be nice to see.
39:34Good morning, Dr. Creighton's office.
39:58I'm very pleased at how it looks now.
40:02Hello, I'm here to see you, Dr. Emmett.
40:04It's been three months since Zoe's surgery.
40:07I can't wait to see how she's getting on.
40:12Hi, Zoe.
40:13Hello.
40:13Hi.
40:15Nice to see you.
40:16My gosh, you look so different.
40:18Come this way.
40:22Look at you.
40:23I mean, what a difference.
40:27I think the smile kind of says it all.
40:30Yeah.
40:31How have things been for you since the operation?
40:34I'm not used to how it looks like, but I am happy how it looks.
40:38I don't feel any, like, pain or anything.
40:41It's a big difference.
40:43So this is only three months since the operation.
40:47Yeah.
40:48Gosh, it's no wonder you haven't got used to it.
40:50Yeah.
40:50Is it okay if I have a look?
40:52Yeah.
40:53Wow.
40:55Wow, wow, wow.
41:01It's quite hard to believe that is such a big area,
41:05to have it all excised and just so neat.
41:12And you've got these areas where it's a lot paler in colour.
41:17That will all just pigment back up and will match in with the rest of the skin.
41:21And that darkness is from the radiotherapy.
41:23That will fade down.
41:26But this looks absolutely fantastic.
41:30There's no sign of any recurrence at all.
41:33The skin quality itself is much better now, isn't it?
41:36Whereas before you had the little bits of acne bubbling that had me worried that any of those could become
41:40a keloid.
41:41We know now that you have this diagnosis of polycystic ovarian syndrome.
41:46And the medicines that we have you on to control the hormones is also controlling these.
41:53It's absolutely perfect.
42:00Well, this has all gone really well.
42:03It is so different to what it was before.
42:07I keep looking at her all the time.
42:09And I say, oh, you look different.
42:11You look beautiful, Zoe.
42:13You really do look beautiful, Zoe.
42:16What are the kind of goals you've set for yourself?
42:19What kind of nursing would you like to do?
42:21I would like to do dermatology nursing, yeah.
42:24Brilliant.
42:24Yeah.
42:25I think you would be amazing at that.
42:27I do have a lot of confidence that these are hopefully not going to come back.
42:33I can't say 100%.
42:34But it's certainly much more likely to stay away than to come back.
42:40You don't know how much it's mean what you've done for us.
42:44Just walking in here the first time when we didn't have any hope.
42:49And you putting a smile on Zoe's face.
42:56I want to say thank you.
42:58You're going to let me cry.
43:00Oh, thank you, Mum.
43:02Can I give you a hug?
43:07I am so glad you got in touch.
43:09And I'm just looking forward to seeing what's going to happen to you now
43:14over the rest of your life, really.
43:16Yeah.
43:17And the difference that's going to make.
43:19Thank you so much.
43:25She has actually missed out on a lot of what we would think of
43:29as normal teenage experiences.
43:31And so she's got all of those things to do now.
43:35She would take us off.
43:38And that feels excited for her to do those things.
43:41I wouldn't forget that.
43:43Those, yeah.
43:44It's all our last appointments.
43:46Now that I don't have the keloids, life will be better.
43:49Let's get into a taxi.
43:51Sure.
43:56Sure.
44:02Okay.
44:20You get as I am as a pastor.
44:21You l have had сама born.
44:21You
Comments