• 425.316.5080

    12800 Bothell-Everett Hwy, Suite 260
    Everett, Washington 98208

Samuel Lien, M.D.
Jeffrey Scott, M.D.
James Edwards, M.D.
Prabhat Bhama, M.D.

Skin Cancer Before & After Photos

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Skin Cancer Patient 11


This patient presented to Dr. Bhama with an abnormal appearing lesion of the upper lip. Biopsy confirmed squamous cell carcinoma in situ. He was referred to dermatology and underwent Mohs surgery. He returned to Dr. Bhama with the defect in the upper lip noted in the pre-op photo. Notice the large defect of the upper central lip extending to the underlying muscle. Dr. Bhama performed a sublabial mucosal advancement flap under local anesthetic in clinic. Post-operatively, the patient has complete function of his lip and is pleased with the result.


Skin Cancer Patient 12


This patient presented to Dr. Bhama with a skin cancer of the lower lip. The cancer was resected by a Mohs surgeon resulting a in wound of the lower lip. Dr. Bhama performed wedge resection and reconstruction of the lower lip. Shown are early post-operative photos. The patient has an excellent cosmetic result and good function of the lower lip. He was very happy with the result.


Skin Cancer Patient 13


This patient underwent Mohs surgery for excision of a lentigo maligna from the nose and was referred to Dr. Bhama for repair of the defect. Note the defect of the nasal tip and dorsum. Options were discussed with the patient, and she elected for bilobe flap repair of the nose. Surgery went well, and shown is a very early post-operative result. No revision surgery, dermabrasion, or steroid injection were performed as the patient was very happy with the results. The scar will continue to heal, improving the result with time.


Skin Cancer Patient 14


This patient underwent Mohs surgery for excision of a basal cell carcinoma from the left side of the nose and was referred to Dr. Bhama for reconstructive options. Pre-operatively, note the defect of the left nasal ala involving the alar rim. This challenging defect requires repair of the nasal valve to prevent long-term nasal obstruction. Options were discussed and he elected for paramedian forehead flap reconstruction. He wished to avoid general anesthesia, so surgery was performed in our surgical procedure room under local anesthetic. He underwent forehead flap reconstruction of the defect using auricular (ear) cartilage graft for reconstruction of the nasal valve. Shown is a very early post-operative photo. Swelling of the nasal reconstruction site will continue to improve. Note the excellent alignment of the brow.


Skin Cancer Patient 15


This patient underwent Mohs surgery for removal of a large squamous cell carcinoma (skin cancer) of the scalp. The deep layers of the scalp were found to be involved with cancer, so she was referred to Dr. Bhama for clearance of the remaining cancer and reconstruction. On the pre-operative view, notice the 4.0 cm in diameter scalp defect nearly down to the skull. The patient underwent removal of the deep layers of the scalp under local anesthetic with Dr. Bhama. Once the final analysis of the specimen confirmed clear margins, Dr. Bhama performed O to Z flap reconstruction, recruiting tissue from adjacent regions of the scalp to reconstruct the defect. She healed beautifully, and her 5 week post-operative photo is shown. The scar will continue to improve with time. No revision surgery, dermabrasion, or steroid injections were performed. The patient was very happy with the outcome.


Skin Cancer Patient 16


This patient was referred to Dr. Bhama by a Mohs surgeon following Mohs surgery to remove a large skin cancer from the nose, cheek, and lip. The resulting defect was substantial, and involved a portion of the nose, lip, and cheek. Options for reconstruction were discussed at length with the patient, including forehead flap, melolabial flap, skin grafting, and more. The patient elected for the least invasive and most expeditious method to reconstruct the wound and provide an adequate nasal airway. He did not wish to undergo general anesthetic. Dr. Bhama performed complex repair in clinic under local anesthetic without any sedation using several techniques. Skin grafting, adjacent tissue transfer, and nasal valve suspension were performed. Shown is a very early post-operative result, demonstrating coverage of the wound and an adequate nasal airway. The patient was very happy with results and was able to breathe well. The appearance of the wound will continue to improve with time.


Skin Cancer Patient 17


This patient was referred to Dr. Bhama by a Mohs surgeon after excision of a basal cell carcinoma resulting in a defect of the right nasal ala, soft tissue triangle, tip and sidewall. On preoperative photography, noticed the defect. Because of the importance of this area and breathing, nasal valve reconstruction was also required. Options were discussed with the patient and she elected for paramedian forehead flap. Dr. Bhama performed paramedian forehead flap reconstruction, and auricular cartilage grafting to augment the nasal valve. The postoperative result is shown. Noticed the excellent contour of the right nasal ala. The patient does not have any difficulty breathing through the nose. No revision surgery has been performed.


Skin Cancer Patient 18

Skin Cancer Patient

This patient was diagnosed with a large melanoma of the right neck. He underwent excision of the melanoma with a surgical oncologist and was referred to Dr. Bhama for reconstruction. A pre-operative photo of the melanoma is demonstrated. Following excision, the defect measured approximately 5 cm X 5 cm. Dr. Bhama performed a rhombic flap reconstruction. An early post-operative result is shown. The patient has excellent neck mobility and is very happy with cosmetic results. The scar will continue to improve with time.


Skin Cancer Patient 19


This patient underwent Mohs surgery for excision of 2 cancers on the upper lip. She was referred to Dr. Bhama for reconstruction. Dr. Bhama performed the reconstructive surgery. The procedure went well and the patient recovered uneventfully. She was very happy with the postoperative result. No revision surgery or dermabrasion was performed. Notice the nearly imperceptible scars.


Skin Cancer Patient 20


This patient was referred to Dr. Bhama by a Mohs surgeon for reconstruction of a nasal defect after Mohs surgery. On pre-operative photos, notice the large defect of the nasal tip, columella, soft tissue triangles and a portion of the nasal dorsum. Options for management were discussed and the patient elected for paramedian forehead flap reconstruction. Surgery went well, and very early (post operative day 7) pictures are shown. He was very happy with the cosmetic result and could breathe well through his nose. His scars will continue to fade with time.


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    Washington Plastic Surgery
    Plastic, Hand, and Reconstructive Surgery

    12800 Bothell-Everett Hwy
    Suite 260
    Everett, WA 98208

    425.316.5080

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