Elledge Surgical Limited

Elledge Surgical Limited A private Maxillofacial service in the West Midlands focused on and đź©ş

What does a skin graft look like?This lovely chap is a few months down the line from surgery. He had an unusual growth n...
06/05/2026

What does a skin graft look like?

This lovely chap is a few months down the line from surgery. He had an unusual growth near the corner of his eye and the biopsy was unable to exclude cancer.

For safety, an excision was done with a margin and reconstruction performed with a skin graft taken from the neck.

Fortunately, the result was an unusually sited benign dermatofibroma, for which excision is curative. We had always discussed revising the graft with a flap, which would provide better contour and colour match from neighbouring skin, once the diagnosis was known.

But…..a few months on and he is a happy patient with a definitive diagnosis, clear margins and aesthetics he is satisfied with, the graft blending with the surrounding skin nicely and being appropriately contoured!

If you have skin lesions requiring close attention to detail in key areas of the head and neck then get in touch today!

(images published with patient consent)

Amazing course working on level 3 techniques with an incredible faculty in Amsterdam featuring .cascarini .leica ...
24/04/2026

Amazing course working on level 3 techniques with an incredible faculty in Amsterdam featuring .cascarini .leica Nico van Bakelen and

Highly recommended and excellent opportunity to refine arthroscopic surgery skills in a state of the art environment.

Proud to present the cost effectiveness study for the to the American Society of TMJ Surgeons (ASTMJS) in Ponte Vedra B...
07/03/2026

Proud to present the cost effectiveness study for the to the American Society of TMJ Surgeons (ASTMJS) in Ponte Vedra Beach, FL. We talked about setting the ideal price point for subscription from state healthcare providers as a cost effective alternative to standard conservative management for early stage temporomandibular disorders (TMDs) amenable to conservative (non-surgical) management strategies.

Great to network with colleagues from across the globe in a niche subspecialty and talk about potential research collaborations!

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The mighty banana 🍌 blade…..The intricacies of a level II arthroscopy of the enable a range of interventions above and...
11/12/2025

The mighty banana 🍌 blade…..

The intricacies of a level II arthroscopy of the enable a range of interventions above and beyond simple diagnostic look and lavage (washout). In this case, a prominent adhesion is tethering the disc anteriorly within the joint. Placing a second port enabled division of the adhesion but also coblation of the retrodiscal tissues.

If you have painful, clicky jaw joints with limitation of movement and pain, then let’s see how we can get things moving again with minimally invasive surgery, advanced arthroscopic techniques and limited downtime!

❤️ 👊

Such a special review…..The pressure was on with weeks to a wedding but a time critical excision! But for me the lesson ...
11/12/2025

Such a special review…..

The pressure was on with weeks to a wedding but a time critical excision! But for me the lesson here was that surgery was secondary and for a few weeks I was probably a close second to the wedding dress designer in terms of pecking order for nuptial preparations! Supporting her through recovery was incredibly important!

But now we can all breathe a sigh of relief and this lovely lady will walk down the aisle with confidence! Very happy doctor and patient!

If you’re my patient you’ve heard the phrase “I’m better at surgery than art”……This lovely chap had not one but two basa...
20/11/2025

If you’re my patient you’ve heard the phrase “I’m better at surgery than art”……

This lovely chap had not one but two basal cell carcinomas either side of his scalp. Both were amenable to wide local excision and reconstruction with a rotation flap sometimes called “O-to-S” or “O-to-Z”.

As the name suggests (and the insets illustrate) the circular excision is closed by rotation of two flaps to the centre…..creating a “Z” (or “S”).

Not everyone wants to look like Harry Potter so meticulous closure with minimal tension means that as early as six weeks, the scars are fading fast.

If you have a skin cancer in the head and neck region get in touch today so see how we can make a difference!

No….not branching out into obstetrics!This ultrasound shows a subgaleal a benign tumour of adipose (fatty) tissue that...
23/10/2025

No….not branching out into obstetrics!

This ultrasound shows a subgaleal a benign tumour of adipose (fatty) tissue that was deep the muscle of the forehead and hugging the surface of the skull.

This also means it’s deep to the frontal branch of the facial nerve, providing movement to the forehead and eyebrow.

A little thing, but troublesome for its owner, removed via a direct approach. The result? Complete excision, almost invisible scarring as early at 6 weeks and a happy patient. Oh, and full movement of the forehead and eyebrow preserved.

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Now you see it now you don’t!This lovely lady had a basal cell carcinoma (BCC) on her nose, typically an area with limit...
10/09/2025

Now you see it now you don’t!

This lovely lady had a basal cell carcinoma (BCC) on her nose, typically an area with limited skin laxity. Reconstruction was with a bilobed flap repair which “borrows” laxity from higher up the nose!

Whilst it looks startling to begin with, look at things a few months down the line! A distant memory, clear margins and a happy patient!

If you have any skin cancer concerns then get in touch today!

Lovely review received first thing on a Monday morning.As someone with a special interest in it’s not infrequent to ge...
01/09/2025

Lovely review received first thing on a Monday morning.

As someone with a special interest in it’s not infrequent to get a fair amount of crossover with other causes of

is a debilitating condition and there is no “diagnostic test” so it relies on a combination of the narrative and exclusion of other potential pathologies.

It was incredibly rewarding to see this lady at her first review after starting carbamazepine which even at a low dose lead to a 90% resolution of symptoms.

If you have facial pain issues, don’t suffer in silence. Please get in touch today and I’ll do my very best to help.

Making connections……In times of diagnostic uncertainty, particularly in the context of facial pain, I want my patients t...
02/08/2025

Making connections……

In times of diagnostic uncertainty, particularly in the context of facial pain, I want my patients to feel cared for and looked after. I want them to feel like they have an ally and an anchor. While we navigate the storm and find relief, whether the solution is surgical or not.

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Another lovely skin cancer result.This lady had a cutaneous squamous cell carcinoma (cSCC) of her forehead that was rapi...
09/07/2025

Another lovely skin cancer result.

This lady had a cutaneous squamous cell carcinoma (cSCC) of her forehead that was rapidly growing. It was excised with predetermined margins and reconstructed with lateral advancement flaps, borrowing skin from either side.

The result….clear margins, no complications and more than acceptable scarring even at this early stage which will continue to fade with time.

If you have a skin lesion that is causing concern in the head and neck area, then get in touch today for quick results delivered with care and compassion.

Address

The Lewis Building, 35 Bull Street
Birmingham
B46EQ

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+442033263827

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