Advanced Wound & Scar Care

Because Healing Well Matters.

Whether you're recovering from surgery, living with a chronic wound, caring for a stoma, living with lipoedema, or hoping to achieve the best possible scar, expert wound care can make a significant difference to your recovery and quality of life.

Healing is about more than closing a wound. It's about preventing complications, reducing discomfort, protecting your skin, and helping you return to everyday life with confidence.

Our Advanced Tissue Viability Nurse Specialist provides expert assessment and evidence-based wound care for patients of all ages, working closely with our consultants to support healing before, during, and after treatment.

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Is an Advanced Tissue Viability Nurse Specialist the Right Person to See?

You may benefit from an appointment if you have:

• A wound that isn't healing as expected
• A surgical wound that needs specialist follow-up
• A pressure injury (pressure sore)
• A diabetic foot ulcer
• A leg ulcer
• A burn or skin injury
• A new or existing stoma
• Concerns about how a scar is healing
• Skin problems around a wound or stoma
• Chronic swelling like lymphoedema
• Lipoedema
• You have been advised that your wound requires specialist care

If you're unsure, our team will help guide you to the most appropriate healthcare professional.

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Should I See a Plastic Surgeon, Dermatologist, or an Advanced Tissue Viability Nurse Specialist?

These specialists often work together but each has a different role.

A Plastic Surgeon specialises in:

• Surgical reconstruction
• Scar revision surgery
• Complex wound reconstruction
• Cosmetic surgery
• Skin grafts and flap surgery

A Consultant Dermatologist specialises in:

• Skin diseases
• Skin cancer diagnosis
• Medical treatment of skin conditions
• Skin surgery
• Non-surgical scar treatments

An Advanced Tissue Viability Nurse Specialist specialises in:

• Wound healing
• Complex wound assessment
• Surgical wound care
• Pressure injury prevention and treatment
• Stoma care
• Dressing selection
• Scar optimisation
• Patient education and long-term wound management

Together, this multidisciplinary approach helps ensure you receive the right care at every stage of healing.

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When Should I Seek Urgent Medical Attention?

Seek urgent medical care if you experience:

• Rapidly increasing redness spreading around a wound
• Fever or feeling generally unwell with a wound infection
• Heavy bleeding that does not stop
• A wound opening significantly after surgery
• Severe pain that is rapidly worsening
• Black, grey, or rapidly changing skin around a wound
• A diabetic foot wound with increasing redness, swelling, or discharge

Prompt treatment can prevent serious complications.

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Our Areas of Expertise

1. Surgical Wound Care: Supporting healing after surgery through evidence-based wound management, including plastic surgery recovery, skin cancer surgery, general surgical wounds, delayed wound healing, dressing selection, and wound monitoring.
2. Scar Care & Scar Optimisation: Helping every scar heal as well as possible, including scar assessment, silicone therapy, hypertrophic scars, keloid scar management, post-operative scar care, scar massage education, and long-term scar optimisation.
3. Chronic Wound Management: Specialist care for wounds that require ongoing treatment, including diabetic foot ulcers, venous leg ulcers, arterial ulcers, pressure injuries, non-healing wounds, and complex skin wounds.
4. Stoma Care: Supporting patients before and after stoma surgery with compassionate, practical care, including colostomy, ileostomy, and urostomy care, skin problems around a stoma, appliance fitting and troubleshooting, patient education, lifestyle advice, and ongoing support.
5. Pressure Injury Prevention: Helping prevent and manage pressure injuries in patients at increased risk, including pressure sore assessment, prevention strategies, skin protection, seating and positioning advice, and ongoing wound monitoring.

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How Can I Achieve the Best Possible Scar?

The operation is only one part of your journey. How your wound heals afterwards plays an important role in the final appearance of your scar.

At The Spierings Medical Group, we believe scar care should begin from the moment your wound is closed — not months later. Our Advanced Tissue Viability Nurse Specialist works closely with your surgeon and dermatologist to optimise wound healing, reduce the risk of complications, and support the best possible long-term outcome.

Your personalised scar care plan may include:

• Expert wound assessment
• Modern evidence-based dressings
• Silicone therapy where appropriate
• Scar massage education
• Compression therapy where indicated
• Early recognition of wound healing problems
• Regular follow-up throughout recovery

Because excellent surgery deserves excellent healing.

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What Happens During My Appointment?

Every wound is different. During your consultation, your Advanced Tissue Viability Nurse Specialist will:

• Assess your wound or scar
• Review your medical history
• Identify any factors slowing healing
• Recommend the most appropriate dressings or treatments
• Teach you how to care for your wound at home
• Develop a personalised management plan
• Work closely with your wider healthcare team when needed

Our goal is to help your wound heal safely, comfortably, and as quickly as possible while achieving the best functional and cosmetic outcome.

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Your Care Team

Wound healing often involves several specialists working together. Depending on your needs, your care may also involve:

• Consultant Plastic Surgery
• Consultant Dermatology
• Consultant Family Medicine
• Consultant Orthopaedics
• Consultant Endocrinology (for diabetes-related wounds)

By bringing these specialists together, we can provide comprehensive care throughout every stage of healing.

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Book an Advanced Wound & Scar Care Consultation

Whether you're recovering from surgery, living with a chronic wound, managing a stoma, or looking to achieve the best possible scar, we're here to support your recovery every step of the way. Together, we'll help your skin heal with confidence.