Dermatology in Tunisia

Dermatology is a branch of medicine that focuses on health issues affecting the skin, nails, hair, and mucous membrane. It is a specialty with both surgical and medical aspects. A dermatologist can address cosmetic issues, which can help to rejuvenate the appearance of the skin, nails, and hair. Being a dermatologist requires a great depth of clinical knowledge, including the variety of internal health problems that may cause skin symptoms. Dermatologists can treat over 3,000 conditions. Some of the most common are acne, dermatitis and eczema, hair loss, nail problems, fungal infections, warts, vitiligo, and skin cancer.

Dermatology has a number of departments and specialties, including:

• Cosmetic Dermatology – dermatologists have been the leaders in cosmetic surgery. Many dermatologists are trained on the use of fillers, botulinum toxin, and laser surgery. Some dermatologists also perform blepharoplasty, liposuction, and facelifts. However, most dermatologists limit their cosmetic practice to minimally invasive procedures.
• Dermatopathology – this field is a joint specialty of dermatology and pathology. It focuses on the study of cutaneous diseases at molecular and microscopic levels. Dermatopathology can make a definitive diagnosis of various skin diseases, including melanoma.
• Trichology – this is the study of the hair and the scalp. This field of dermatology deals with diseases such as hair loss, scalp changes, hypertrichosis, and hair abnormalities.
• Immunodermatology – this filed specializes in immune-mediated skin diseases, such as bullous pemphigoid and lupus.
• Pediatric Dermatology – pediatric dermatologist specializes in the diagnosis and treatment of skin diseases in children, which include newborns and infants.

What does the Procedure Involve?

A range of medical and cosmetic procedures are used to manage issues affecting the skin, nails, and hair. Many skin conditions can be treated by medications and noninvasive procedures, while others may require more invasive approaches. The following are several dermatologic procedures:

• Cosmetic injections – cosmetic injections can temporarily address scarring, wrinkles, and reduced facial fullness. A dermatologist can inject botulinum toxic (Botox) or fillers, such as fat and collagen. The results may last for a few months before you need another injection.
• Chemical peels – this procedure is used to treat some types of acne, as well as sun-damaged skin. It can also treat other cosmetic complaints, such as lines under the eyes and age spots. During chemical peels, a chemical solution is applied to the skin. This chemical solution causes a layer of skin to peel off, revealing regenerated skin beneath it that is typically a lot smoother.
• Dermabrasion – this type of procedure uses a high-speed rotating brush to remove the top layer of the skin, which can help reduce the appearance of fine wrinkles and tattoos, scar tissue, and potentially precancerous areas of the skin.
• Cryotherapy – cryotherapy involves freezing skin lesions, usually with liquid nitrogen, to destroy the affected cells. It can be a quick treatment for a number of benign skin issues, such as warts.
• Hair removal or restoration – various methods can be used to address hair loss, such as hair transplants. On the other hand, dermatologists can use lasers to remove unwanted hair from the body.
• Excision of lesions – skin lesions may be cut away to prevent a disease from spreading, to improve symptoms, for cosmetic reasons, or to prevent reoccurring infection. Excision of lesions may be done under a local or general anesthetic.
• Laser surgery –can be used to treat a number of cosmetic problems or skin issues, such as warts, tumors, moles, scars, birthmarks, wrinkles, and unwanted tattoos.
• Tumescent liposuction – this procedure is used by dermatologists to remove fat. Large volumes of local anesthetic are injected into fatty tissue, then it is sucked from the body. Note that tumescent liposuction is performed to contour the body, not to treat obesity.
• Vein procedures – people with superficial leg veins, called spider veins, may want them removed. Several procedures can be done to remove them, but sclerotherapy is the most popular treatment. It involves injecting a special solution or a foam into the vein. The special solution and foam irritate the lining, causing the vein to become less noticeable or, in some cases, disappear completely.
• Skin grafts and flaps – missing skin can be restored using skin from other areas on the body. Dermatologists can also repair skin loss by making a flap of skin from a nearby area of the body. The flap of skin is then used to cover the damaged patch.
• Biopsies – a skin biopsy is usually needed to diagnose or rule out certain conditions.
• Mohs surgery – this procedure is a treatment for skin cancer. It involves removing layers of skin in order to get rid of cancerous cells. The removed skin layers are then examined under a microscope. Then, successive layers are removed until there are no more cancerous cells found in the skin.
• PUVA – Psoralen combined with ultraviolet radiation (PUVA) is a procedure to treat several skin diseases, such as vitiligo, dermatitis, and psoriasis. Psoralen is a drug that can make the skin more sensitive to radiation treatment.

How Long Should I Stay in Tunisia?

Depending on the type of procedure you have, you may be able to leave the hospital on the same day or stay for several days. For noninvasive treatments, such as chemical peels and cosmetic injections, you should be able to leave the hospital on the same day and fly home within a couple of days. For invasive procedures, particularly to treat serious medical conditions, such as cancer, you may need to stay in the hospital for several days, and stay in Tunisia for at least 10 to 14 days. Your surgeon and/or medical travel team will advise you on this matter.

What's the Recovery Time?

Recovery time will vary depending on the type of procedure you have, the reason why you have the procedure in the first place, and your general health. Your dermatologist will usually give you a detailed recovery timeline for each procedure. In general, recovery time for nonsurgical procedures is typically short and you should be able to resume your normal routine within a few days. For surgical procedures, it may take several weeks until you are allowed to return to your full daily activities.

What About Aftercare?

Your dermatologist will give you a set of instructions to care for yourself during the recovery period. The instructions will be different for each type of procedures, but they may include a diet plan, light exercises to follow, how to care for your surgical wounds or affected area, activities you can or cannot do, signs of complications to be aware of, and medication to take. It is important that you follow your dermatologist’s instructions closely in order to avoid complications and to obtain the best possible results.

Some cosmetic procedures may not be permanent, such as dermal fillers and Botox, so you will need to have regular treatments in order to maintain the results. For skin cancer treatment, you may need to attend follow-up checkups to ensure that cancer has not come back.

What's the Success Rate?

Experienced and skilled dermatologists will be able to deliver a high success rate and satisfactory results. However, every type of procedure carries some risk, which may include infection, swelling, bleeding, adverse reaction to anesthesia, and unsatisfactory results.

Are there Alternatives to Dermatology?

If you have any problems with your skin, going to a dermatologist is the only way to treat it. However, if the skin problem is caused by an underlying condition, your doctor or dermatologist will recommend you to see relevant doctors to treat it.

What Should You Expect Before and After the Procedure?

Before seeing a dermatologist, you may have a problem with your skin. You may not like the wrinkles on your face, or you may have a lesion that needs to be removed. After receiving treatment from a dermatologist, your skin problems should be addressed. You may be able to achieve your dream appearance, any disease you had before may be treated.

Dermatology in and around Tunisia

About Tunisia

Tunisia is one of the few countries which can cater to everyone and it manages to combine climate, golden beaches, history, and shopping for an “all-around” experience. It has a high standard of healthcare and an excellent reputation for cosmetic surgery. Cosmetic and plastic surgeons are regulated by the Tunisian Ministry of Health and the private clinics have state-of-the-art equipment and English-speaking staff. Tunisia welcomes an ever-increasing number of medical tourists each year, many of whom travel for Dermatology procedures. Medical Tourists travel from all across the globe, particularly from Europe and neighboring African countries with an inferior healthcare system. Popular medical tourism destinations outside of the capital, Tunis, include Sousse and Mahdia

Popular Parts of Tunisia

• Tunis, the country’s capital, is overflowing with a history that dates from the 4th Century BC. The city is divided into two parts, the old city known as the medina and the new city (or Ville nouvelle in French). Many tourists visit Tunis to see the Archaeological Site of Carthage which is also a UNESCO World Heritage Site. The beautiful Islamic architecture in medina also attracts many tourists to the city.
• Tozeur is known as a home to an enchanting desert oasis, which was a place to rest and refuel for caravans crossing the Sahara. Another main attraction in the city is the medina, where tourists can find lines of beautiful brick-patterned traditional dessert houses. Chott el Djerid, Sahara’s largest salt pan, is a popular day-trip destination.
• Sousse is located on the coast of the Mediterranean Sea. It offers good beaches with a clear blue sea. The city has been fought over by the Romans, Arabs, and Europeans, giving it a colorful history and culture. Sousse Archeological Museum is one of the most visited sites in the country; it has the second largest collection of mosaics in the world.
• Hammamet is the country’s original tourism resort. The city has beautiful gardens filled with oranges, lemons, and other citrus plants. It also has wonderful sandy beaches with crystal clear water. Just like any other city in Tunisia, this city is also brimming with interesting histories. Sites such as The Gafsa Museum and Bardo Museum will give insights about the Islamic faith and culture.
• Douz, also known as “the gateway to the Sahara.” Tourists who want to experience the Sahara Desert come to this city. Take a camel trip or a 4-wheel-drive into the Sahara or see the Museum of the Sahara that has an interesting collection portraying traditional Saharan life.

Weather and Climate in Tunisia

The North of Tunisia has a subtropical Mediterranean climate with mild rainy winters and hot summers. The South and inland areas have a tropical desert climate.

The weather is relatively comfortable throughout the year. Summer starts in June and lasts until August. The average temperature is between 28 °C to 32 °C with July and August being the hottest months. The heat is not as bad on the coast because of the seaside breeze. Be aware that July to September is the jellyfish season.

The heat decreases in autumn and the weather is somewhat more comfortable. There are occasional rain showers in September. The temperature in October can be like summer during day time, but cold at night. October has more rain than September. The season lasts for three months from September to November with an average temperature of around 19 °C to 29 °C.

The weather in winter can be uncertain. The average temperature is between 16 °C and 18 °C, but it can drop to 7 °C at night and below 0 °C in highlands and deserts and a clear sky is rare during this season.

Spring comes in March and the temperature can rise to 20 °C. Mornings and nights are cold; there is still a high probability of rains and thunderstorms at the end of this season.  

Getting Around in Tunisia

Tunisia has several international airports. The main airport is Tunic-Carthage International Airport. It has international connections with major European countries and the Middle East. The airport is the hub for Tunisair, Tunisair Express, and Nouvelair. Other airports that have international flights are Enfidha-Hammamet, Monastir Habib Bourguiba, Djerba-Zarzis, and Tabarka-Aïn Draham.

Taxis and buses are available to get to the city center from Tunis Airport. The SNT bus line departs every 30 minutes from the airport, the ticket costs less than 1 TND. There is also the TUT bus which departs every 15 minutes and is more luxurious and expensive.

Airport taxis are available at the airport taxi stand and are usually metered. Always make sure that the driver turns the meter on before riding the taxis. A journey to the city should cost around 5 TND. An extra cost will be added if you have baggage.

Getting around in Tunisia can be done by several transportation modes. Tunisair Express provides domestic flights between Tunis, Tozeur, Djerba, and Gabes. The Train is also available and the national train company in the country is SNCFT that runs modern and comfortable trains from Tunis to Sousse, Sfax, and Monastir. There are three classes of service that tourists can choose. The fare from Tunis to Sousse is between 6 to 10 TND. The long-distance bus is an economical option to travel between big cities such as Tunis, Hammamet, and Nabeul. The buses usually depart every 30 minutes.

Tourist Visas in Tunisia

Citizens of 97 countries (including Australia, China Singapore, the United States, and Russia) can visit and stay in Tunisia for up to 90 days without a visa. Other nationalities are advised to check with their local Tunisia embassy. Tunisia provides an online visa application for nationalities that needs a visa to enter. The eVisa will simplify the process of obtaining travel authorization to enter the country.

Additional Information

1. Local Currency: the local currency is the Tunisian dinar (TND). 1 USD converts to 2.61 TND.

2. Money & Payments: ATMs can be found in most cities and in all tourist areas. Many ATMs have withdrawal limits of 400 TND. Credit cards (MasterCard and Visa) are accepted in major cities and tourist areas. They can be used for shops, car hire, or top-end accommodation. Always make sure to carry cash if you want to travel outside major cities. Tipping is not necessary but will be appreciated.

3. Local Language: Arabic is the official language of Tunisia. French is very common due to the country’s former status as a French protectorate. English is still very limited except in the tourist areas and expensive hotels.

4. Local Culture and Religion: Islam is the major religion with 98% of the population identified as Muslim. There is a small group of Christian and Jews. Since most of the population is Muslim, always remember that the dress code is important in Tunisia.

5. Public Holidays: Tunisia celebrates major Islam holidays. The country hosts several annual festivals throughout the year such as The International Festival of the Sahara, Yasmine Hammamet Festival, and the International Festival of Carthage.