- 2 weeks ago
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00:01The Skin A&E Clinic is back.
00:04Morning.
00:06It's busier than ever.
00:08Hi, I'm here for my appointment.
00:10And everything's bigger.
00:12My God, that's huge.
00:14Wow.
00:15You want to get rid of that.
00:17Whoa.
00:18Our team of top dermatologists
00:20have moved into a new purpose-built clinic.
00:23Doors opening.
00:25The doctor's ready for you now.
00:27They're tackling more conditions.
00:30Gosh, you've got so many.
00:32Helping scores of patients.
00:34That's like toothpaste.
00:36Is it?
00:37It's coming.
00:38Put years of bad skin behind them.
00:41Wow, you are a magic man.
00:44Wow.
00:45It's amazing.
00:46Can't believe that was inside my head.
00:48Restoring confidence.
00:50He's gone.
00:51And transforming lives.
00:53Oh, thank you so much.
00:54Oh, it's nice.
00:55This is Skin A&E.
01:05This week in the clinic.
01:07There's no game without pain.
01:09Sorry.
01:10I really had to grip my teeth.
01:12A surprising injury for Dr Natalia.
01:14I got bit by a pony on my leg.
01:16A pony?
01:17Yeah.
01:18Bit your leg.
01:19I've never heard that before.
01:20And Dr Dev takes on a delicate procedure.
01:23The main concern we had is trying not to damage the nerves.
01:33Good morning.
01:34Good morning.
01:35Another day.
01:36Hello, Skin A&E.
01:38Hugging out.
01:39It's the start of a new week at the clinic.
01:41How was your weekend?
01:42I'm trying to remember it.
01:43How was my weekend?
01:45And more used to booking in than being booked in is first patient Amy.
01:51I'm 32 years old and I'm from Hereford.
01:54And I am a receptionist in a hair salon.
01:57Hello.
01:58Hi.
01:59I'm here for my appointment.
02:00I've got two boys.
02:01My oldest is five and my youngest is two.
02:06Have a seat for me, Amy.
02:07I'll let you know when you're ready for you.
02:08Okay, thank you.
02:10I've just started doing couch to 5K.
02:12I'm nowhere near 5K yet.
02:14Okay, Amy, the doctor's ready for you.
02:16Down the hall on your left.
02:18No problem.
02:19The couch Amy will be seen on today is Dr Emma McMullens.
02:26Hi, is it Amy?
02:27Hi.
02:28Oh, hiya, Donna.
02:29Come on in.
02:31Hi, Amy.
02:32Hi.
02:33Yeah, come have a seat.
02:34Okay.
02:35So, Amy, what can we do for you today?
02:36So, I've got a cyst on the back of my neck.
02:39Oh, gosh, yeah.
02:40Yeah, it's huge.
02:41It's a big one.
02:42I've had it for like 15 years.
02:44It started off tiny, like a pea, and it's just got bigger and bigger and bigger.
02:48Does it interfere with anything for you?
02:50Yeah, it affects how I wear my hair, it affects what I wear.
02:55And my son, so he's five, and he's started to notice it now as well.
02:59He's like, oh, mummy, that lump on your neck, we called it Larry.
03:02Larry the lump.
03:03He's Larry the lump.
03:04And he quite often says, is Larry gone yet?
03:06And I'm like, not yet, he's still there.
03:08It's just very awkward, and it makes me even more aware that, yes, people can see it.
03:15You mentioned about, you know, your hair and things.
03:17Yeah.
03:18Is there anything that's stopped you doing?
03:19So, my sister's getting married next year.
03:21Oh, nice.
03:22So, I'm maid of honour.
03:23I think she's going to want us to wear our hair up.
03:25Instantly, I'm like, oh, no.
03:27Oh, people can see it, and people are probably wondering what's that, and yeah.
03:30And you're going to have lots to be doing if you're maid of honour as well.
03:33Yeah, exactly.
03:34You don't want to be thinking about this, you want to be able to sort of focus on the job.
03:37Yeah.
03:38Don't you?
03:39Exactly.
03:40So, would it be okay if I have a little look at it?
03:41Of course.
03:42Brilliant.
03:43Have a little look at this.
03:45Is it sore at all?
03:46No.
03:47It's quite squishy.
03:49I'm wearing a mask for this one.
03:52Right.
03:53A cyst is basically like a little balloon of skin cells filled with gunk.
03:59When I had a feel of Amy's cyst, it was really squishy.
04:03I could tell there was a lot of fluid in the middle of it, and, you know, as the way things
04:07go, I normally pop these ones.
04:10Freely mobile.
04:11Yeah.
04:12It's really well-defined.
04:13That looks entirely like, you know, an epidermoid cyst, and that should be very easy to remove.
04:16Okay.
04:17If you'd like us to do it.
04:18Let's do it.
04:19Yeah, you ready for that, yeah?
04:21When Emma said that she could get rid of him today, I was really excited.
04:26And it's the outcome that I hoped for.
04:32I got Amy to sit up for this procedure because it was on the back of her neck.
04:36And so if I got her to lie on her face, her neck was sort of twisted.
04:41So I'm going to pop your local in now.
04:43Okay.
04:47And also, it just meant both Donna and I could have easy access to it.
04:51So I'm just checking this doesn't feel sharp.
04:56No, I can't feel nothing.
05:07Make sure it's not involving anything underneath and that it's definitely a cyst.
05:10Can't see the cyst yet.
05:16Oh, oh dear.
05:17I've popped it slightly there a bit of it.
05:21I had to go in quite deep to get through the skin in the first instance.
05:25And then, of course, I popped the cyst.
05:30I feel so weird.
05:32There's a little bit of it trying to skip already.
05:34Oh, really?
05:35A little sneak out there.
05:37He's like, I've been in here 15 years.
05:39Yeah.
05:40And you're evicting me.
05:48Yeah, it's just ooze.
05:50Oh, my God.
05:51It's just ooze a night.
06:04Oh, wow.
06:05Wow.
06:06That's like toothpaste.
06:07Is it?
06:08Yeah.
06:10I'm so jealous that you can see it like I am.
06:12I definitely wouldn't be brushing my teeth with that.
06:22Oh, my God.
06:24I've got to take a picture of that after.
06:25I'll leave it on the thing.
06:26I can't believe that.
06:27That's insane.
06:28That's insane.
06:30I love watching like, you know, spot pop.
06:32I love all that.
06:36So, you might just feel a little bit of tugging and pulling.
06:39Okay.
06:40Just make sure they get this.
06:44This is saccite.
06:49Is that a smell coming from it?
06:50Yes.
06:51Oh, my God.
06:52That's another reason it's nice to wear a mask.
06:54Yeah.
06:55It's like smelly feet.
06:57Yeah.
07:00Cysts smell because they're full of keratin,
07:02which is the material on our skin that makes us sort of waterproof.
07:06And it's made of protein.
07:08So, if you think about meat being left out of the fridge,
07:11it gets full of bacteria and you get that horrible cheesy smell.
07:15So, yeah, that's why they smell.
07:18Really stuck down here to your skin.
07:21Is it?
07:22Yeah.
07:25We'll get there in the end.
07:29You can hear it, can't you?
07:30Yeah, literally.
07:31It's so tough.
07:32Sounds like you're cutting a piece of steak.
07:34Yeah.
07:36Larry, because he was so old, I think it was a really thick sack
07:40and also it was really stuck to the skin at the surface.
07:44So, I couldn't get through it with scissors.
07:46So, I actually had to get the scalpel and try and just cut it away
07:49from the skin underneath.
07:51We have to do that.
07:52We have to get all of it out to make sure it doesn't come back.
07:56Oh, that's fat.
07:57That's what we want to see.
07:59Right.
08:00He's gone.
08:01Is he?
08:02Oh, God.
08:03Yeah.
08:04I was so excited to see it.
08:10I can't wait to send a picture to my mum because she won't believe it.
08:11Like, Larry's been a part of my life for 15 years, been a part of her life too.
08:13So, she'll be like, yeah, so excited to see what was in there.
08:17So, you're ready to see what it looks like.
08:18Yeah.
08:19Because you saw the bits come out but not the full thing.
08:20I'm so ready to see it.
08:21My God.
08:22So, that's all the stuff that came out.
08:23And that was so adorable.
08:24I was so excited to see it.
08:25And I was so excited to see it.
08:26I can't wait to send a picture to my mum because she won't believe it.
08:27Like, Larry's been a part of my life for 15 years, been a part of her life too.
08:30So, she'll be like, yeah, so excited to see what was in there.
08:35So, you're ready to see what it looks like.
08:38Yeah.
08:39Because you saw the bits come out but not the full thing.
08:41ready to see it oh my god that's all the stuff that came out and that was the cyst itself
08:48the other bit there that was quite a whiff off yeah it's quite um yeah it was a very like potent
08:54smell it was just yeah just horrible so i hope that heals really well for you and you won't
09:03be conscious when you get your bridesmaids dress on next year you'll have to send us some photos
09:08yes so if you're feeling all right we'll let you go okay and have a safe journey back thank you very
09:13much so now larry's gone i think it will have a really positive effect on my confidence
09:22i'll be able to express myself more because i'll be able to you know do the hair styles i want and
09:26not have to worry about larry coming up this is quite a big one there all right my friend so
09:38the main concern we had is trying not to damage the nerves
09:53at skin a and e preparation is key to a smooth running clinic you see anything not yet i can see
10:00just checking we're fully stopped seem to be running a bit low on gas we'll go and get some
10:05all right fortunately for 48 year old richard his dermatologist is good to go okay richard the
10:14doctor's ready for you it's down the hall on the left okay he'll be seeing dr adil shiraz
10:21good morning morning hello hello hi there come through take a seat right so we have richard it is
10:31yes lovely to meet you and you what can we do for you richard i'm hopefully you can hopefully remove
10:35some of my tumors i've got on my body for me please so what do you have neurofibromatosis okay how long
10:42have you had the condition i'm assuming since since i was born yeah neurofibromatosis is a common genetic
10:49condition typically you will see lots of benign tumors on the skin which are nerve cell tumors and
10:56they could be hundreds and hundreds of these these lumps that you've developed on your body are they
11:01increasing in number no changing shape changing size some of them are changed size i had two three
11:09removed in the last 10 years yeah but they won't remove anymore okay when my doctor refused to do it
11:17it just felt like i've been kicked in the teeth basically i thought i've got this illness and they
11:21can't do anything the lumps that you have at the moment how do they impact you on some of them get a
11:27bit red and raw and obviously catching catching them at work when i'm lifting stuff as well heavy stuff
11:34sure what do you do for work i work for electrical wholesalers okay um can we have a look at them yeah
11:41of course you can yeah if i was offered the treatment today it'd be an absolute weight off
11:46my mind and i wouldn't have to carry on in life covering myself up i'd have a lot more confidence
11:51in myself let's have a closer look at these then so they are good size aren't they these ones yeah
11:59that big one there smaller one there and this is quite a big one there isn't it okay where else do
12:04you have them so you got one couple two these are big ones are they painful at all these can get quite
12:09red i've also got two just above the uh crack of the bum they catch okay take a seat and then you
12:17got a big scar here on the side there yeah i've got one right down the middle of the spine yeah as well
12:23you've been through quite a bit then haven't you when i was 17 i was diagnosed with scoliosis of the
12:31spine and i had a six inch titanium rod put in my back to straighten my spine i had to wear a body
12:38brace for 18 months and for 23 and a half hours a day to keep my body straight now which ones are
12:49problematic for you i'd like to get the ones off my arm and the ones up there if possible okay so
12:55shall we start marking up some of these richard's been through quite a lot he's had multiple
13:00procedures he has scoliosis which is a curvature of the spine um a lot of this may well be related
13:06to his neurofibromatosis if you can shuffle up as much as you can growing up with it i've just
13:13basically got on with life and lived with it i think but it's come to a point now i just feel embarrassed
13:20okay um so anesthetic i mean you've had it before it does go numb pretty quickly but it does sting as
13:28it goes yeah all right yeah so okay coming up now doing well sorry it stings as it goes in i know
13:39i really had to grip my teeth because it's like a a hot needle touching the skin okay so coming up now
13:47apologies
13:50neofibromas are essentially tumors that arise from the nerve cells so injecting them can be
13:56more painful than most other people
14:02well done wow well done there is a limit to the amount of anesthetic i can administer to any patient
14:11therefore i wanted to make sure that i picked the ones that really really trouble him initially
14:16okay right so we have one two three four five six seven eight eight on your upper half
14:28and then to round it off we'll have two in the bottom so that'll be ten
14:35it's going to place this one so let's start off with this one here a little cut
14:44so sometimes you just make a little cut and you can just see the little tumor there where it is and
14:51just see the base thing that's just sort of let's give it a little bit of scrape see if we can lift it up
14:57you can just see it pop up
15:06there we go okay that's your one tumor out
15:09okay thank you
15:19they use like a electric soldering iron which i thought that's a bit funny i can smell flesh
15:24burning here like a barbecue it's only way to describe it really
15:29so let's just make a little cut there you see you can just oh yeah there we go
15:42there we go two
15:47the initial plan with the first two tumors was to just remove them and allow them to naturally heal
15:51after i had sealed the blood vessels with the hyphricator however later on i felt that it would be
15:57better if i stitch them and i think it would just give them better healing okay now so those two
16:03done this one feels a little bit bigger i think under the surface
16:09yeah yeah so there's a bigger one got two little components to it so a little friend
16:21the tumors sit just underneath the layer of skin
16:24okay okay i'm just gonna give this one bit of a squeeze let's see
16:33the idea is just to release them
16:37and almost shell them out like you would with a fruit or a lychee
16:44you okay yeah fine yeah unfortunately richard will get more tumors
16:50he can't prevent these we just have to deal with them as and when they come along
16:57there we go
17:01right almost there well done
17:04i was expecting probably one two
17:07i've had 10 removed it's just phenomenal a little bit lighter now
17:19it's given me a lot more confident now to go out with short sleeve shirts on
17:23and i won't be able to catch them on things now there we go these are all your lumps wow
17:29just to prove that we did do ted
17:35jelly tots is the best way to describe them
17:39not covered in sugar though
17:42thank you very much for doing that no you're very welcome lovely meeting you and you and good luck
17:47with everything okay thank you very much thank you
17:49i can't thank them both enough it's a great piece of my mind now
17:59in treatment room one
18:02what's the name of our next patient dev he is spelt t-h-y-s
18:08so how do you think we can answer that this this this
18:12they'll soon find out as dr dev's patient is ready to be seen
18:18hello hello come on in thank you i would love to greet you by your name but we don't know how
18:25to pronounce it it's taste it's a very unusual name yes taste taste yeah like t-a-c-e taste
18:32see where does taste come from i believe it's an african name and it was one of the first
18:37slaves that comes of the liverpool albert docks and his name was taste and the british changed his
18:42name to sebastian wow that's pretty good story yeah taste let's take your coat and your hat with
18:48pleasure oh yeah my hat of course come and have a seat taste tell me how we can help today well
18:56basically this has been a problem for around two years now okay it's it's awful i would not go
19:03outside without my heart i'm a learning sport assistant in a college for adults with additional
19:08needs and i don't really look very professional with me hat on all the time it stops me doing so
19:13many things um going into town to nice places can't wear a hat meeting girls you're wearing your hat
19:21all the time and it's gotten to the point where i'm leaning on it now it's a terrible feeling
19:26really quite impactful it's massive honestly okay i've not really had the best self-esteem for a while
19:35now i will say no to going to most places because i don't like the way i look it makes me feel very
19:44self-conscious so let's have a feel okay so it's quite well defined
20:04let's take a picture and can you raise your eyebrows for me that's it
20:10so taste's lump was very soft and it fitted more with a lipoma as opposed to a cyst which would
20:19probably be harder this is a fatty lump it's not cancerous so in terms of taking something like this
20:28out can you see you've got these lines on your forehead that are normal and this line just carries
20:36on perfectly through the middle that's what i'm expecting your scar to look like okay something
20:42like that the problem of operating in this area is that the nerves that supply sensation come from your
20:55eyebrow and go all the way to the back of your scalp if i made a cut where the green line is
21:00that will knock off that nerve and it will give you a funny sensation here
21:08so when you comb your hair you'll feel normal and then it'll feel like it's a bit numb and that can
21:14be permanent okay but the way to mitigate it would be to put a scar going that way the black line now
21:21you can see how that just doesn't look right yeah it's it just wouldn't fit well with your youthful
21:28appearance i can deal with the horizontal you understand yes completely taste was quite
21:34understanding about the risks and he was clear that he wants the horizontal scar as opposed to
21:41the vertical scar because it would look more natural all right my friend so okay so sharp scratch coming up
21:50okay with taste i really wanted to give him the best result possible the main concern we had is trying
22:00not to damage the nerves and as a young lad having a numb scalp for the rest of your life if i can avoid
22:07that as so much the better coming up i got bullied when i was younger and they threatened to chop them off
22:20that's the lipoma okay
22:22it's the middle of the day and dr dev is about to start operating on 28 year old taste who has a
22:37lipoma on his forehead critically close to nerves that if nipped could leave him with a numb scalp
22:46so okay ready
22:52funny sounds now taste okay just do what you need to do i'm fine
23:18sniffing you want the lipoma out but to get the lipoma out easily you make a bigger cut which risks
23:28damaging nerves
23:41that's that bit
23:48that's the lipoma okay sorry about the pressure yeah see what you need to do one time
24:02so once i saw the lipoma i was hoping it would just pop out but it actually
24:07was a bit more tricky
24:14it was a slightly tethered underneath the muscle and the nerves that you can damage lie over the muscle
24:24you okay yeah yeah i had to cut the muscle without cutting the nerves
24:30and that was you know was fiddly okay so if you could press it that way yeah
24:49that's the nerve that we're just trying to save
24:51i've never seen it so clearly
25:00chase's lipoma was just under the nerves
25:10there it is
25:10it's out my darling well done guys well well done you well well done you still as you were
25:23you want the lipoma out without damage that's the ideal scenario and i was really happy that i hadn't
25:29given him a numb scalp you've done more for me today than you could ever understand what a lovely young man
25:39he had so much to look forward to in the future and i'm just glad that we were able to make him take
25:46those next few steps
25:50there we go lovely thank you so much guys you've a pair of superheroes
25:57i call them superheroes because they're going to go home like it's another day but in my life
26:03they've made a massive difference i think i can't thank them enough
26:09come and have a seat so you can see here that you've got your
26:12little bit more still got the bump there that's the swelling yeah yeah
26:19but it will go down this is all just where the anaesthetic is oh brilliant okay good job guys
26:25honestly good job i feel better already i feel like i can just take the world by storm i cannot wait
26:33just to move on with my life would you like to have a look at what we got out from your forehead yes
26:38right ready and if you take that off oh that's it you have been a nightmare in my life
26:47taste was young dynamic wants to help people and um it was great that we were able to help him
26:55today oh thank you so much thank you thank you my pleasure our pleasure look after yourself
27:01yeah take care i'm gonna keep the cap if it's a sunny day i can wear me hat if it's not then i
27:08don't have to and that's perfect a lovely man oh cheers you you you you you you're very much about
27:16him i think what a lovely person what a lovely person a lovely person
27:20day in day out our scrub crusaders come to the rescue of scores of patients suffering with their
27:31skin and for one the title of doctor isn't enough if you could have a superhero name what would it be
27:41something techie like superderm i'd be cheery cherry merciful angel or something because i'd like to
27:48have big wings and i'd like to be able to fly i would be one of the skinvincibles
27:54do you know what my superhero name would be probably blade
28:01as our superderms prepare for the pm session are we on time are we on time the clinic's next patient
28:09is more familiar with delivering help than receiving it my name's steph i'm 34 and i'm a deputy manager of
28:17a care home i am here for my appointment my favorite part of the job is making our residents
28:25very happy listening to their stories it's just yeah every day is rewarding okay steph the doctor's
28:32ready for you down the hall on your left thank you no problem today steph's hoping to get the care she
28:39needs from face specialist dr magnus lynch hello hello hello come in hi is it stephanie it is lovely
28:50to meet you take a seat for me how i can help you today hopefully see about my moles getting removed
28:55on my face okay i first noticed them when i was about six and there was just little dots yeah um and
29:02then the older i've got they've just got bigger does it have an impact on the work that you do yeah um
29:07i'm a deputy manager at a care home so as you can imagine the elderly pick things up straight
29:12away and they're quite outspoken has anybody else ever said anything about that yeah i got bullied
29:17when i was younger in school um and they threatened to chop them off before kids can be very cool they
29:26used to just make fun of the lumps on my face just nasty words um and it just kept getting into my head
29:34and it's just stuck there now so yeah so show me the moles which are concerning you so these two here
29:42okay let me start by looking at those two
29:50okay that's fine and which other one and this one here this one here as well
29:54and then this one on the top of my head this one here a mole is a growth of the pigment cells in the
30:07skin i was looking at the pattern of pigmentation to be confident that they were not cancerous moles
30:14so all of your moles look like harmless moles so they're not dangerous to your health so would you
30:21like me to remove some of the moles yes please if that's a possibility yeah generally the best way
30:26to do it under local anaesthetic is to shave them off flat with the skin surface yeah so that what that
30:32will leave you is a small scar about the same size as the mole yeah you're happy with that yeah it's
30:38better than yeah definitely it's made me very secluded not wanting to meet new people or trying new
30:47things it would change my life getting my moles removed massively puts butterflies in my stomach even the
30:55thought of it okay you're all right like that yep well i'm gonna pop some nomming in jokes so be as
31:03gentle as i can so first little injection just coming now slow deep breaths be a relief to get rid of
31:11these won't it absolutely if i'm going out and meeting people instantly the first thing i think
31:19about is how am i going to cover them up just let me pop a little bit of damp cloth over your eyes to
31:25keep it nice and covered there we're ready to go great
31:30good so i'm being started now
31:46there's different ways that you can remove a mole you can either cut them and stitch them which will
31:52usually leave a straight line skull which is about three times as long as the mole
31:56for these moles which were lumpy and harmless moles um i knew that she would get a better
32:04cosmetic result if i was to shave them off flat with the skin surface
32:09the children will be so happy to see me yes and asking loads of questions
32:17how are your children nine and eleven yeah both girls oh nice i've got a nine-year-old as well
32:23actually it's good age isn't it it is but they're good girls so one down three to go
32:39just about getting them nice and smooth for some reason
32:44hair grows out of that one but so that's a good point that you make because actually
32:49usually almost always it's the harmless moles that have hair growing in them wow and the reason
32:55for that is because if you think about skin cancer yeah it's obviously a very so it's a disorganized
33:03structure okay so cancer is not very well organized it's very chaotic and a hair follicle is actually a
33:09very carefully organized um structure so that's why when we see a mole with a hair in it it's not an
33:17absolute guarantee but but we definitely are less worried
33:25all right three done last one that one gets caught the hairdressers oh yeah it would do this right in
33:31the way there isn't it it's just weird that they've been on for so long that it's literally like
33:4510 minutes and they're off yeah yes isn't it
33:51what steph needs to do for the best cosmetic outcome is firstly to keep the area clean and also
33:57to apply vaseline regularly to the area several times a day to stop it from scabbing so i'll just
34:02give you the mirror there we go have a have a little look oh yeah oh god yeah brilliant now i've
34:11had my moles removed the first thing i'm going to do with with my girls is book a photo shoot because
34:17i've wanted to do one with me for a long time and we're just going to enjoy it thank you anything you
34:22wanted to ask me and now just i'm still can't believe they've come off thank you for having me
34:28any problems let us know thank you lovely to see you thank you thank you great thank you thank you
34:35see you bye bye you're very welcome it's going to be a whole different ball game it's going to be a new
34:40me i think i think it's going to make a big difference for her actually definitely you've got any
34:48moles you want removed i've loaded the mold but they're not raised and i have a hair grown out
34:53one so that's reassuring yeah i've never seen a skin cancer with a hair in it i'll tell you that
35:03coming up is it a difficult one there's just bits everywhere i had to keep digging to find it
35:18with a rare bit of downtime between patients all talk has turned to pets have you got any plans for
35:29next weekend probably bathing tortoises you'll be bathing tortoises you don't pump them in a bath of
35:35hot water though take it do you like oh no they're going to wash it up bowl
35:43the final patient also loves a four-legged friend i'm tiana i'm 21 i live in wiltshire
35:50i have two dogs and two leopard geckos hi i'm here for my appointment i love working with horses i've
35:57worked with horses for most of my life to be honest i just love being around animals i'm such an animal
36:02person tiana's appointment is with dr natalia spearing's hello welcome hi come in have a seat
36:14nice to meet you how can i help you today i have a lipomer on my leg okay it's pretty big pretty big
36:21which leg is it on my right that one on your thigh yes okay and how long have you had it for eight years
36:27how old are you 21 only 21 so you were 14 when it happened i got bit by a pony on my leg a pony
36:35bit your leg yeah oh were there teeth marks and stuff too was it like proper trauma to the skin or
36:42the day after it was like black and blue the whole way around and that was like scratches in the middle
36:48where the lump now is okay it is definitely unusual for a lipoma to be caused by a horse bite
36:54i've never heard that before does it affect you like when you walk or like where on or your clothing
36:59um it does rub but like between my legs because it is on like my inner thigh it's on the inner thigh
37:04okay okay but yeah it's more mental i think i think to examine this i'll probably examine you lying
37:10on the couch as opposed to standing pop your bag now having the lump i guess makes me really
37:16self-conscious when i met my current boyfriend i was really scared for him to see it because
37:22it's so visible yes it does take a massive toll really okay so let's have a look
37:36because the scan you had showed it was not encapsulated yes which means that there can be a
37:42bit of diffuse it can make it more difficult to remove a lipoma that doesn't have a capsule around
37:48it because then it'll be more bitty and i won't know where it starts and stops we can still do it
37:54but you are going to have a scar that you will see so you're swapping do you not mind as long as you
38:01know it's gonna be a scar yeah so i'll try to keep it nice and small okay so the anesthetic you're
38:10gonna feel but after that you shouldn't feel anything okay all right and sharp scratch coming
38:14now you ready and sharp that wasn't that bad no okay very good sharp anything sharp no i was really
38:29nervous because i think i was obviously i'd felt the anesthetic injections i knew what they were for but
38:34i was really nervous that i was going to feel some of her cut in my leg all right we're ready
38:47so i'm gonna have to do a little digging to find
39:04where your lipoma is bear with me
39:17what i saw when i first cut into tiana's skin was just normal fat so i didn't see the kind of
39:22yellow shininess of lipoma so i had to keep digging to find it
39:29have you given it a name no but my mum decided to name it oh god
39:34she was like oh i need to say goodbye to mr lumpy mr lumpy
39:38lumpy that's creative i know very we don't have that name yet
39:50such a weird feeling is it like big so far i'm interested i'm i'm trying to get to where i think
39:55your lipoma is because lipoma fat is different looking than regular fat so it's like a matter of
40:03finding it basically i think i found it because it's a bit of digging yeah during the procedure i
40:10could feel like a lot of pulling on my leg like the tugging sensation was crazy i could just feel like
40:16it felt like someone was really pulling the skin which oh i've never felt anything like it it's so strange
40:22there's lots of pulling sorry it's okay oh my god
40:36you're doing well is it a difficult one yeah it's i think because it wasn't it's not encapsulated so
40:52there's just bits everywhere sorry it's squishy sloshing around in there i could hear like a lot
41:01of squelching noises the best way to describe it is if you're making like pasta and you've just put
41:07the sauce in and you're mixing it around that's what it sounded like it was really gross
41:18have we reached the end i think we've reached the end it's a bit of a funny one because there's no
41:22nice little lipoma ball it's all just bitty i mean there was this one yeah it's so small that's
41:28the only real like lipoma ball you had in there yeah all the rest of it's just small pieces now you
41:36will have a space there all the tissue around there should move back into kind of fill that gap
41:49all right so you can sit up and have a look looks a bit gnarly i don't want to like move it too much
41:55oh you're trying to be careful it's literally gone that's so cool great oh you're gonna cry that
42:05this is the right place to cry as i stood up and then looked in the mirror it was just nearly
42:10completely flat and it just shocked me because like it looks the same as my other leg so i was
42:16like oh my god i don't even remember when my legs used to look like this so i think it just hit me and
42:21i was like whoa thanks don't ruin your lashes thank you you're welcome i think the difference to my
42:34life now is just gonna be i honestly can't even imagine because there's so many things that i
42:40will want to do now yeah it's just gonna have a huge impact and really change my life
42:46how are you feeling good good all right fabulous safe journey home enjoy the new leg thank you so
42:54much you're welcome bye bye thank you take care thanks there's so many clothes at home that i've
43:00bought that i've never worn because i know that my legs gonna be on show and i just can't wait to
43:04wear them all i've got so many that i can now try on which is gonna be amazing hey i think she was
43:10another happy happy customer customer
43:24able to have my hair up all the time now without feeling self-conscious so yeah really good
43:34i'm able to wear short sleeve shirts as you can see now just below the necklace line healing up well
43:39going really well thank you we've been on a family holiday into spain and we took loads of photos made
43:51really good memories
44:04i've been doing great been feeling a lot more confident i don't feel like i have to wear my hat
44:09anymore so it's been brilliant and i can't thank anyone enough next time on skin a and e
44:16i thought it could be cancer i think we'll have to take it out and see
44:21oh i think you've just lost some weight there there we go oh that's killing me
44:32get stuck into plenty of fantastic crime drama on five including high stakes operations on the west
44:38coast chris o'donnell stars in ncis los angeles stream now on five next right here car pound cops
44:47so
44:56you
44:58you
45:00you
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