Skin Cancer

Skin Cancer Before & After Photos

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Skin Cancer Patient 1


This patient was referred to Dr. Bhama by a Mohs surgeon for reconstruction of a nasal defect following Mohs surgery for basal cell carcinoma. On pre-op view notice the defect of the nasal tip. Options were discussed with the patient and she elected for paramedian forehead flap reconstruction. Surgery went well, and shown is an early post-operative photo. The scar will continue to improve with time. She was very happy with the cosmetic result and has no difficulty breathing through her nose.


Skin Cancer Patient 2


This patient was referred to Dr. Bhama by a head and neck cancer surgeon for reconstruction of the right cheek following removal of a large skin cancer. On pre-operative photos, notice the large defect of the right cheek. Options were discussed and the patient elected for rhombic flap reconstruction followed by dermabrasion. Surgery went well, and post-operative photos are shown. He was very happy with results. Facial nerve function was completely intact. His scar will continue to settle with time.


Skin Cancer Patient 3


This patient was referred to Dr. Bhama by a Mohs surgeon following excision of a large melanoma in situ from the right cheek. Pre-operative photos are shown demonstrating a large, deep defect of the right medial cheek. This area can be very challenging to reconstruct given the proximity to the eyelid, and the facial nerve. Options were discussed with the patient and he elected for cervicofacial flap. Dr. Bhama performed a large cervicofacial flap advancement flap with a Z-Plasty in the neck to break up the scar. The patient tolerated the procedure well and went home the same day. Early post-operative photos are shown demonstrating an excellent result. Notice the lack of eyelid distortion, and the excellent contour of the cheek. The scar will continue to fade with time. The patient was very happy with results, and his facial nerve was completely intact.


Skin Cancer Patient 4


This patient was referred to Dr. Bhama by a Mohs surgeon for reconstruction of a right nasal defect following Mohs surgery for skin cancer. On pre-operative photos, notice the large defect of the right nasal ala. Options were discussed and the patient elected for paramedian forehead flap, and stabilization of the alar rim using auricular (ear) cartilage. She also underwent septorhinoplasty at a different date. Post-operative photos are shown demonstrating an excellent nasal contour and preservation of her nasal valve. She was very happy with results.


Skin Cancer Patient 5


This patient was referred to Dr. Bhama by Mohs surgeon for reconstruction of a large anticipated defect of the right side of the nose, cheek, eyelid, and medial canthus region following excision of a melanoma in situ. On preoperative photos, noticed a large defect that encompasses the nasal dorsum, nasal sidewall, medial cheek, and medial canthal region. Options were discussed and the patient elected for a combination of adjacent tissue transfer flap closure as well as delayed skin grafting. Postoperative photos are shown following dermabrasion. The scar will continue to mature with time and improve in appearance. The patient was very happy with the results.


Skin Cancer Patient 6


This patient was referred to Dr. Bhama by a Mohs surgeon for reconstruction after Mohs surgery for skin cancer. On pre-operative photos, notice the defect of the left nasal tip. Options were discussed with the patient and she elected for paramedian forehead flap. Intermediate photos are shown demonstrating the pedicle in place. Early post-operative photos are also demonstrated following division of the pedicle. Notice the excellent reconstruction result. The patient was very happy with both cosmetic and functional results and was able to breathe well through her nose. Her scar will continue to fade with time, and the fullness of the tissues will improve.


Skin Cancer Patient 7


This patient was referred to Dr. Bhama by a surgical oncologist for reconstruction of a large forehead defect following excision of a melanoma. On pre-operative photos, notice the large defect of the right forehead involving over 50% of the brow. Options were discussed and the patient elected for reconstruction using local flaps. Dr. Bhama performed local flap reconstruction. Surgery went well. The patient was very happy with the post-operative result. Reconstruction of the brow hairs was offered but the patient was declined.


Skin Cancer Patient 8


This patient was referred to Dr. Bhama by a Mohs surgeon for reconstruction of a nasal defect following Mohs surgery for basal cell carcinoma of the nose. On pre-operative photos, notice the large defect of he nasal ala extending to the sidewall, and the separate defect of the sip and sidewall extending to the dorsum. Options were discussed, and the patient elected for paramedian forehead flap reconstruction. Dr. Bhama performed paramedian forehead flap reconstruction of both defects using auricular cartilage (ear cartilage) from the patient’s right ear to reconstruct the nasal valve. Intermediary photos are shown, demonstrating the forehead flap in place. Post-operative photos are shown demonstrating an excellent nasal contour. Notice the right ear appears completely normal as well following auricular cartilage harvest. The patient was very happy with the cosmetic result, and was able to breathe through his nose without difficulty.


Skin Cancer Patient 9


This patient was referred to Dr. Bhama for a mass on the right lower eyelid. Dr. Bhama performed biopsy which confirmed skin cancer (basal cell carcinoma). On initial photos, noticed the ulcerated mass of the right lower eyelid margin. Dr. Bhama referred the patient for Mohs surgery. Mohs surgery was performed and the patient returned to Dr. Bhama for reconstruction. On pre-reconstruction photos noticed the massive full-thickness defect of the lower eyelid. Most of the oral eyelid has been removed. The underlying muscle has also been removed as has the tarsal plate and conjunctiva. Options were discussed with the patient. Dr. Bhama performed tarsal conjunctival flap advancement with contralateral upper eyelid skin graft (Hughes procedure). Intermediate stage photos are shown and early postoperative reconstructive photos are shown. The patient has an excellent eyelid contour that will continue to improve with time. The swelling of the eyelid margin will continue to settle down. He has complete eye closure and was very happy with results. Notice the crescent shaped contour of the lower eyelid, appropriate amount of scleral show, and symmetry of the palpebral aperture.


Skin Cancer Patient 10


This patient was referred to Dr. Bhama by a Mohs surgeon for reconstruction of a large facial defect following Mohs surgery for melanoma in situ. On pre-op photos notice the large defect of the medial cheek and eyelid. This defect presents a significant reconstructive challenge since it is in such close proximity to the eyelid, putting the eyelid at risk for distortion. Dr. Bhama and the patient discussed several reconstructive options and the patient elected for cervicofacial advancement flap. A lateral canthoplasty was also performed to suspend the eyelid. Surgery went well and the patient was very happy with results. Very early post-operative photos are shown, demonstrating complete take of the flap, and no distortion of the eyelid. The patient had completely intact facial nerve function. The scar will continue to fade with time.


Photo Disclaimer: Before & After photographs shown on this site are actual patients who have given permission to have their photos published. They are for illustrative purposes only. Individual results vary. Reputable surgeons do not guarantee outcomes and no prediction of outcome is implied. Individual healing characteristics and unexpected complications can affect the outcome of any surgery.

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