Plastic surgery clinic online

Specialist assessment of reconstructive and medically indicated plastic surgery — scars, burns, hand surgery problems and post-operative follow-up.

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Appointments in Swedish, English and Arabic
Evidence-based care
Written plan after every visit

About the clinic

Reconstructive plastic surgery is about restoring function and form after injury, illness or surgery — scars that limit movement, burns, skin tumours that have been removed, or nerve problems in the hand. It is a field where timing is often decisive: scar treatment started early gives considerably better results than the same treatment begun after a year.

We keep strictly to medically indicated reconstructive care and are clear about the line between that and cosmetic procedures. We also tell you when an assessment needs a physical examination rather than an image.

Who we help

You with scars that cause problems
You with burns that need assessment
You with skin tumours needing reconstructive assessment after removal
You with hand problems involving nerves or tendons
You who need post-operative follow-up after plastic surgery
You who want a second opinion before a reconstructive procedure
You with questions about wound healing after previous surgery

Symptoms

Conditions

Hypertrophic scars and keloids
Contracture after a burn
Nerve problems in the hand
Wounds that will not heal
Post-operative follow-up after reconstructive surgery
Skin tumours — follow-up and tumour control

Services and investigations

Assessment by image and video
A review of previous operation notes
Advice on scar treatment
Guidance on further reconstructive investigation
Post-operative follow-up
Second opinion before reconstructive procedures

Reconstructive procedures, hand surgery and complex burns require in-person care — we guide you onwards.

How it works

1Book and describe your main problem online.
2Upload previous results if you have them — test results, examinations, medication list.
3Video consultation — review of your history and targeted questions.
4A clear plan — next steps, any treatment, and a timeframe for follow-up.

What to prepare

A timeline of your symptoms (when it started, what triggers or relieves it)
Current medications and doses
Known allergies and previous illnesses
Previous test results and examinations, with dates if possible
Your three most important questions for the visit

Call your local emergency number immediately or go to the nearest emergency department if you have:

Signs of serious wound infection (rapid spread, fever, severe pain)
Impaired circulation in an operated area (pale, cold or discoloured skin)
Sudden, severe swelling after surgery
New, pronounced numbness or paralysis in the hand after injury or surgery

Digital care cannot replace emergency services. If unsure, seek care immediately.

Our doctors

See available doctors and book an appointment

Common questions

Can you assess a scar digitally?

Yes, by image and video, with guidance on further treatment.

Can you follow up after plastic surgery?

Yes.

Do you treat cosmetic surgery?

This clinic focuses on medically indicated and reconstructive assessment.

Can you give a second opinion before a procedure?

Yes.

Can you assess burns?

We make a first assessment; larger or deep burns often require urgent in-person care.

What happens after the appointment?

A written plan and guidance on the next steps.

What do I do about signs of wound infection?

Do you carry out cosmetic procedures?

No. This clinic focuses on reconstructive and medically indicated care.

How early should scar treatment start?

As soon as the wound has healed. Treatment during the first three to six months gives clearly the best result.

Can you assess a scar from a photograph?

Often yes. Photograph it in natural light, ideally with a ruler beside it for scale, and bring images from different points in time if you have them.

Fifteen common conditions

Hypertrophic scar

Typical age: All ages.
Background: A thickened scar that stays within the original borders of the wound.
Symptoms: A raised scar, sometimes itchy or tender.
What the doctor looks for: How the scar looks and how it has developed over time, from images.
Investigations: Clinical assessment from images.
Diagnosis: The clinical picture.
Management: Silicone treatment, pressure treatment, sometimes a further procedure.
Follow-up: Over time.
Prognosis: Often gradual improvement.
What you can do yourself: Silicone gel or sheets daily from the moment the wound has healed, for at least three months.
When should you book?: Within a few months of healing if the scar becomes raised or red.

Keloid

Typical age: All ages; there is some inherited tendency.
Background: Scar tissue that grows beyond the original borders of the wound.
Symptoms: A raised, often larger scar that keeps growing.
What the doctor looks for: Spread beyond the border of the scar.
Investigations: Clinical assessment from images.
Diagnosis: The clinical picture.
Management: May involve injection treatment or another targeted measure through a specialist.
Follow-up: Regular.
Prognosis: Varies; can be difficult to treat.
What you can do yourself: Sun protection and silicone; avoid piercings or new wounds in at-risk areas if you are prone to keloids.
When should you book?: As early as possible — keloids become harder to treat with time.

Contracture after a burn

Typical age: All ages.
Background: Scar tissue contracts and limits movement.
Symptoms: Reduced movement near the scarred area.
What the doctor looks for: The restriction of movement, and where it is.
Investigations: Clinical assessment from images; a physical assessment is often necessary.
Diagnosis: The clinical picture.
Management: Physiotherapy, sometimes surgical correction.
Follow-up: Regular.
Prognosis: Varies with the extent.
What you can do yourself: Daily movement exercises are decisive in preventing the scar from contracting.
When should you book?: When movement is beginning to be restricted.

A wound that will not heal

Typical age: All ages; more common with impaired circulation or diabetes.
Background: A wound that does not heal within the expected time, usually because of impaired circulation, diabetes or infection. Pressure sores have partly different causes — there, relieving the pressure is the fundamental treatment — and are covered in a section of their own.
Symptoms: A wound that stays open.
What the doctor looks for: Signs of infection, and the underlying cause.
Investigations: Clinical assessment from images, and a review of underlying conditions.
Diagnosis: The clinical picture.
Management: Targeted wound care, and treatment of the underlying cause.
Follow-up: Close.
Prognosis: Varies with the underlying cause.
What you can do yourself: Check your blood sugar and your circulation — both are common underlying causes.
When should you book?: For a wound that has not healed within four weeks.

Nerve problems in the hand (for example nerve compression)

Typical age: Adults.
Background: Pressure on a nerve in the hand, wrist or elbow. This section covers nerve compressions other than carpal tunnel syndrome — mainly the ulnar nerve at the elbow and the radial nerve. Carpal tunnel syndrome has its own section further down.
Symptoms: Numbness, tingling, reduced hand function.
What the doctor looks for: The pattern of symptoms and how far they extend.
Investigations: Clinical assessment, sometimes nerve conduction testing through a specialist.
Diagnosis: The clinical picture, with or without testing.
Management: A splint, sometimes surgery.
Follow-up: According to the course.
Prognosis: Good, particularly with early treatment.
What you can do yourself: A wrist splint at night can work well at an early stage.
When should you book?: For numbness that wakes you, or for muscle weakness.

Post-operative follow-up after reconstructive surgery

Typical age: All ages.
Background: Structured follow-up after a reconstructive procedure.
Symptoms: Varies; may include wound pain or swelling.
What the doctor looks for: How the healing is progressing.
Investigations: A review of the operation notes.
Diagnosis: Already known; this concerns the follow-up.
Management: Wound care, guidance.
Follow-up: According to the surgical plan.
Prognosis: Good where healing is normal.
What you can do yourself: Sun protection on fresh scars for at least a year.
When should you book?: With questions about the healing, or if the scar develops unexpectedly.

Skin tumours — follow-up and tumour control

Typical age: Adults; more common with age.
Background: Follow-up after a skin lesion has been removed, with the emphasis on tumour control — that the lesion has been removed completely and that no new ones have appeared. Reconstruction of the area itself is covered in a section of its own.
Symptoms: Varies; scarring, or questions about healing.
What the doctor looks for: How the healing is progressing, and the cosmetic or functional result.
Investigations: A review of the previous pathology report and the operation notes.
Diagnosis: Already known; this concerns the follow-up.
Management: According to the specialist plan.
Follow-up: According to the pathology report and the specialist's recommendation.
Prognosis: Varies with the underlying diagnosis.
What you can do yourself: Bring the pathology report — it governs the follow-up interval.
When should you book?: After removal, to go through the result and the follow-up.

Scar pain and altered sensation

Typical age: All ages.
Background: Nerve-related problems in or around a scar.
Symptoms: Pain, itching or numbness in the area of the scar.
What the doctor looks for: The pattern of symptoms, and the time since the injury or surgery.
Investigations: Clinical assessment from images.
Diagnosis: The clinical picture.
Management: Measures to relieve symptoms, sometimes onward referral.
Follow-up: As needed.
Prognosis: Often gradual improvement over time.
What you can do yourself: Gentle scar massage can reduce both pain and tightness.
When should you book?: For pain or numbness in the scar that persists after three months.

Burns — assessment support (non-urgent)

Typical age: All ages.
Background: Assessment of healing and further treatment after an earlier burn.
Symptoms: Scarring, and skin changes in the burned area.
What the doctor looks for: How far healing has progressed, and signs of infection or contracture.
Investigations: Clinical assessment from images.
Diagnosis: The clinical picture.
Management: Wound care, scar treatment, sometimes further surgical assessment.
Follow-up: Regular.
Prognosis: Varies with the depth and extent of the burn.
What you can do yourself: Sun protection and moisturiser on the burned area for at least a year.
When should you book?: For scarring that tightens or discolours.

New, acute burns — particularly larger or deep ones — require immediate in-person care, not a digital assessment.

Post-operative wound infection (reconstructive surgery)

Typical age: All ages, after surgery.
Background: Infection in the operated area.
Symptoms: Redness, pain, fever, fluid from the wound.
What the doctor looks for: Signs of spread.
Investigations: Clinical assessment from images.
Diagnosis: The clinical picture.
Management: Wound care, sometimes antibiotics.
Follow-up: Close until it has healed.
Prognosis: Good with early treatment.
What you can do yourself: Draw a line around the redness to track how far it spreads.
When should you book?: For spreading redness or fever — the same day.

Signs of rapidly spreading infection or impaired circulation require urgent assessment — see the safety box.

Carpal tunnel syndrome — surgical assessment

Typical age: Adults; more common in women and after 50.
Background: One of the most common conditions leading to hand surgery. Early treatment with a splint works for many, but where problems persist with wasting of the muscle, surgery is effective — and the longer the nerve has been affected, the poorer the recovery.
Common symptoms: Numbness in the thumb, index and middle finger, often at night; later weakness and dropping things.
What the doctor looks for: How long the symptoms have lasted, whether there is muscle wasting at the base of the thumb, and waking at night.
Investigations: Clinical assessment; nerve conduction testing ahead of a decision about surgery.
How the assessment is made: From how heavy the symptoms are and any signs of nerve damage.
Management: A splint, a corticosteroid injection, or surgery where problems persist.
Follow-up: After treatment.
Risk factors to know: Pregnancy, diabetes, thyroid disorder, repetitive hand work, rheumatoid arthritis.
Common misconception: That you should wait as long as possible before surgery. With muscle wasting or constant numbness, earlier surgery gives a better recovery.
What you can do yourself: A wrist splint at night — a simple measure that works well at an early stage.
When should you book?: For numbness that wakes you at night, or for weakness in the hand.
Prognosis: Very good with treatment before lasting nerve damage has developed.

Ganglions and tendon lumps in the hand

Typical age: All adult ages; most common at 20–40.
Background: A ganglion is a benign, fluid-filled lump arising from a joint or tendon sheath — most commonly on the back of the wrist. They are entirely harmless and disappear on their own in about half of cases, which makes observation often the right strategy.
Common symptoms: A round, firm lump at the wrist or finger, sometimes tender under load.
What the doctor looks for: Whether the lump is soft and mobile, and whether it affects hand function.
Investigations: Clinical assessment; ultrasound where there is doubt.
How the assessment is made: From the typical appearance and where it sits.
Management: Observation; aspiration or surgery if it causes problems.
Follow-up: If it grows or affects function.
Risk factors to know: Repetitive hand work, a previous wrist injury, arthritis in the wrist.
Common misconception: The old method of hitting the lump with a book. It can damage the surrounding tissue and is absolutely not recommended.
What you can do yourself: If the lump does not bother you, usually nothing needs doing at all — many disappear on their own.
When should you book?: For pain, reduced hand function, or if the lump is growing.
Prognosis: Very good; a high rate of spontaneous resolution, but also some risk of recurrence after treatment.

Nail fold infection and nail injuries

Typical age: All ages.
Background: Infections around the nail are very common and usually uncomplicated — but because the fingers have narrow tissue compartments, an infection can spread to the tendon sheaths, which is an emergency requiring surgery. Knowing the line between simple and serious therefore matters.
Common symptoms: Redness, swelling and pain around the nail fold, sometimes with pus.
What the doctor looks for: Whether the finger is swollen along its whole length, whether it hurts to straighten it, and whether the patient is holding it bent — signs of a tendon sheath infection.
Investigations: Clinical assessment from images.
How the assessment is made: From how far the infection has spread.
Management: Topical treatment and antibiotics for a simple infection; emergency surgery for a tendon sheath infection.
Follow-up: If it does not improve.
Risk factors to know: Nail biting, puncture injuries, diabetes, wet work.
Common misconception: That all finger infections can be treated at home. A finger that is evenly swollen and hurts when straightened is an emergency.
What you can do yourself: Keep the finger clean and raised; do not squeeze it.
When should you book?: For redness and swelling that is spreading. For an evenly swollen finger with pain on straightening — emergency care the same day.
Prognosis: Good for a simple infection; critically dependent on speed with a tendon sheath infection.

Reconstruction after skin cancer surgery

Typical age: Adults; most common in older people.
Background: After a skin tumour has been removed — particularly on the face — the task of plastic surgery is to restore both function and appearance. Many patients do not know that reconstructive options exist, and that the result is often considerably better than they had imagined.
Common symptoms: Scarring, sometimes affecting function around the eye, nose or mouth.
What the doctor looks for: The size and location of the defect, and whether function is affected.
Investigations: A review of the pathology report and the operation notes.
How the assessment is made: From the defect, its location, and the patient's own wishes.
Management: Reconstructive techniques adapted to the area; scar treatment.
Follow-up: Both for how the scar develops and for tumour control.
Risk factors to know: Previous skin cancer (which raises the risk of new ones), extensive sun exposure, fair skin, a weakened immune system.
Common misconception: That the result after facial surgery is always cosmetically poor. With the right technique and follow-up, the result is often considerably better than the patient feared.
What you can do yourself: Sun protection on the area for at least a year, and regular skin checks — new skin tumours are common after a first one.
When should you book?: After a skin tumour has been removed, to go through reconstruction and scar treatment.
Prognosis: Good both functionally and cosmetically with planned reconstruction.

Pressure injuries and bed sores

Typical age: Most common in older people and people with reduced mobility.
Background: Pressure sores develop faster than most people think — tissue damage can begin within hours under uninterrupted pressure — but heal very slowly. That makes prevention disproportionately more effective than treatment, and makes the early signs valuable to recognise.
Common symptoms: Redness that does not blanch under pressure, later an open wound, usually over a bony prominence such as the tailbone, heel or hip.
What the doctor looks for: The depth of the wound, signs of infection, and the underlying reason for the pressure.
Investigations: Clinical assessment from images; blood tests where infection is suspected.
How the assessment is made: From the depth of the wound and the conditions for healing.
Management: Relieving the pressure is the fundamental treatment — without it the wound will not heal whatever the wound care. Alongside that, optimising nutrition and targeted wound care.
Follow-up: Close.
Risk factors to know: Reduced mobility, malnutrition, incontinence, diabetes, reduced sensation, older age.
Common misconception: That the right dressing is what matters most. Without relieving the pressure the wound will not heal, however good the dressing is.
What you can do yourself: Change position every two hours when bedbound; check the skin over bony prominences daily.
When should you book?: For redness that does not blanch under pressure — that is the stage at which the damage is still reversible.
Prognosis: Good with early detection; deep pressure sores heal very slowly.

Contact

Book appointment info@medix7.com

The information on this page is general patient information and does not replace an individual medical assessment. Digital care has limitations and cannot handle emergencies — see the emergency box above. If you are unsure, contact healthcare services or your local emergency number.

About this content

This information draws on established Swedish clinical sources, primarily 1177 Vårdguiden, Internetmedicin and Läkemedelsboken. It is general patient information and does not replace individual medical assessment.