Plastic Surgery

Plastic surgery with a medical indication: scars, skin lumps, reconstruction and hand surgery (carpal tunnel, Dupuytren's disease).

Plastic and reconstructive surgery aims to restore the form and function of tissues affected by injuries, burns, previous surgical procedures, tumours or congenital conditions.

This specialty encompasses a wide range of procedures, from the removal of skin lesions and scar correction to the reconstruction of tissue defects using specialised surgical techniques, including local flaps and skin grafts.

At Detalii Med in Baia Mare, plastic and reconstructive surgery consultations and selected surgical procedures are provided by Dr. Marius Pruna and Dr. Valeria Pruna, specialists in Plastic, Reconstructive and Aesthetic Surgery, with professional training in Romania and France and experience in reconstructive, oncological and burn surgery.

Every case requires an individualised approach, aiming to restore function while achieving the most harmonious aesthetic result possible.

During your consultation, we assess the characteristics of the lesion or tissue defect, the condition of the surrounding tissues and the available reconstructive options. Depending on the complexity of the case, treatment may involve a single procedure or several surgical stages.

We openly discuss the available techniques, their expected benefits and limitations, recovery requirements and the results that can realistically be achieved.

At Detalii Med, procedures such as skin lesion excision, selected scar revisions and reconstruction of tissue defects suitable for outpatient surgery can be performed, usually under local anaesthesia.

When a procedure requires more extensive surgical facilities or hospitalisation, treatment is planned in an appropriately equipped and authorised medical facility.

For pigmented lesions and suspicious skin changes, collaboration between our dermatologists and plastic surgeons allows a coordinated approach, from clinical and dermoscopic assessment to surgical removal when indicated.

When diagnostic confirmation is required, excised tissue is submitted for histopathological examination. The surgical approach prioritises appropriate lesion removal while also considering incision placement and the aesthetic appearance of the resulting scar.

We believe that successful reconstruction requires a balance between medical safety, restoration of function and respect for each patient's individual anatomy.

If you have a scar, skin lesion or tissue changes resulting from an injury or previous surgery, a consultation is the first step towards establishing an accurate diagnosis and identifying the most suitable treatment options.

Frequently asked questions

Can a scar be completely removed?

A scar cannot be completely eliminated, but its appearance can often be improved through treatments tailored to its type, location and individual characteristics. Depending on the case, treatment may aim to reduce scar thickness, improve texture and colour, release scar contractures or reposition the scar in a less visible area. Available options may include non-surgical treatments, surgical scar revision or a combination of approaches. During your consultation, we assess the age and characteristics of the scar and discuss realistic treatment outcomes, taking into account that any surgical revision will itself result in a new scar.

How is a skin lesion surgically removed?

Skin lesion excision is usually a minor surgical procedure performed under local anaesthesia. Following a clinical assessment and, when appropriate, dermoscopic examination, the surgeon determines the most suitable excision technique based on the nature, size and location of the lesion. The procedure typically takes approximately 20–40 minutes for straightforward cases, although more complex excisions or reconstructions may require additional time. When indicated, the removed tissue is sent for histopathological examination to establish a definitive diagnosis. The incision and wound closure are carefully planned to ensure appropriate removal of the lesion while aiming to achieve the most discreet scar possible, within the limitations of each individual case. After the procedure, patients receive personalised wound care instructions and a follow-up plan. If non-absorbable sutures are used, their removal is scheduled according to the location of the wound and the healing process.

Do you collaborate with other medical specialists, such as dermatologists or oncologists?

Yes. Reconstructive surgery often benefits from a multidisciplinary approach, particularly in patients with oncological conditions, complex injuries or tissue defects resulting from previous surgical procedures. At Detalii Med, collaboration between dermatologists and plastic surgeons allows coordinated assessment and treatment of skin lesions requiring surgical removal. For more complex cases, we work with specialists from other medical fields when necessary, including oncology, pathology and other surgical disciplines, to establish the most appropriate treatment strategy. Our goal is to integrate reconstructive treatment into a coordinated medical plan tailored to each patient's diagnosis, needs and individual circumstances.

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