Skin Cancer

Skin Cancer Before & After Photos – PG 2

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Skin Cancer Patient 11


This patient was referred to Dr. Bhama by a Mohs surgeon for reconstruction of a defect of the right nasal ala and tip. On preoperative photos, noticed that the defect of the right nasal ala, and tip. Options were discussed and the patient elected for auricular cartilage graft to stabilize the nasal valve and alar rim, as well as paramedian forward flap reconstruction. Surgery went well. Intermediate photos are shown. Early postoperative photos are also shown demonstrating an excellent result. The scars will continue to fade with time. The patient was very happy with the cosmetic results and was able to breathe through her nose.


Skin Cancer Patient 12


This patient was referred by a Mohs surgeon to Dr. Bhama for management of an aggressive squamous cell carcinoma (skin cancer) of the right brow and forehead that appeared to be adherent to the underlying deep tissues and possibly bone. Because the tumor was aggressive, surgery was performed in an expeditious manner. Pre-operatively, notice the large scab overlying the brow. There was a extension of the tumor deep to the skin in all directions for several centimeters, and the tumor invaded the muscles of the forehead. Dr. Bhama excised the tumor under local anesthetic in our Mill Creek procedure room. The tumor invaded the frontalis muscle which had to be removed. After removal of the tumor, there was a large defect of the forehead and brow, extending into the upper eyelid. Dr. Bhama performed reconstruction under general anesthesia using an A to T flap technique, recruiting tissue from both the forehead and temple. A 1 month post-operative result is shown demonstrating excellent healing and a good cosmetic result considering the entire lateral brow had to be removed. No revision surgery, injections, or dermabrasion have been performed. The scar will continue to fade, and the notching will be repaired under local anesthetic.


Skin Cancer Patient 13


This patient was referred to Dr. Bhama by Mohs surgeon for a large squamous cell carcinoma of the lower lip. Options were discussed with the patient and he elected for reconstruction and bilateral neck dissection. He underwent Mohs surgery resulting in a large defect of the lower lip, demonstrated in the photos. Karapandzik flap reconstruction was performed by Dr. Bhama. Dr. Bhama and Dr. Shikary also performed bilateral neck dissection to remove lymph nodes in the neck. Early postoperative photos are shown demonstrating excellent cosmetic result. The patient retains function of his mouth and was very happy with the cosmetic result


Skin Cancer Patient 14


This patient was referred to Dr. Bhama for reconstruction of a large lip defect following Mohs surgery. On preoperative photos, noticed the large defect involving the upper lip. Options were discussed and the patient elected for adjacent tissue transfer closure. Surgery went well. Postoperative photos are shown from 8 days after her surgery which demonstrate an excellent aesthetic result. She was very happy with the results from both a functional and cosmetic standpoint. Her scar will continue to fade with time.


Skin Cancer Patient 15


This patient was self-referred to Dr. Bhama. She was scheduled to undergo Mohs surgery for a skin cancer of the nose and desired reconstruction. Dr. Bhama discussed options and the patient elected for paramedian forehead flap reconstruction. On pre-operative photos, notice the large defect of the nasal tip, soft tissue triangle, sidewall, and ala. Dr. Bhama performed paramedian forehead flap reconstruction using auricular (ear) cartilage grafting to reconstruct the nasal valve so the patient’s breathing would not be impaired. Surgery went well and very early post-operative photos are shown, demonstrating an excellent aesthetic result. The scars will continue to fade with time, as will the fullness of the tip. She was very happy with results and was able to breathe well through her nose.


Skin Cancer Patient 16


This patient was referred to Dr. Bhama by Mohs surgeon after partial treatment of an aggressive squamous cell carcinoma of the left cheek. Dr. Bhama evaluated the patient and recommended clearance of the remaining cancer in the operating room. On preoperative photos noticed a large defect of the left cheek and temple down to the level of the facial nerve. The patient was taken to the operating room and the remainder of the skin was cleared of cancer. The facial nerve was dissected and preserved. Intraoperative photos of the defect following additional removal of skin are shown. Reconstruction was performed using a cervicofacial flap. Surgery went well and early postoperative photos are shown. The patient has full function of his facial nerve and was very happy with the cosmetic result.


Skin Cancer Patient 17


This patient was referred to Dr. Bhama for reconstruction of a large Mohs defect on the right side of the nose. She had a history of previous rhinoplasty. Because of her age and her history of previous nasal surgery, the decision was made to avoid local flaps. Options were discussed with the patient and she elected for Integra followed by full-thickness skin graft. Because of the close proximity of the defect to the nostril rim, nasal valve repair was also required. Cartilage was harvested from the patient’s ear. Surgery went well, and the patient underwent dermabrasion and was also referred to one of Dr. Bhama’s colleagues for laser treatment of the scar. Postoperative photos are shown demonstrating a well-healed scar, which should continue to fade with time. The patient was very happy with the results from a cosmetic and nasal breathing standpoint.


Skin Cancer Patient 18


This patient was seen by Dr. Bhama for reconstruction of a large defect of the lower lip following Mohs surgery. On exam, notice the large full-thickness defect of approximately 60% of the lower lip. Options were discussed with the patient, and he elected for Estlander (lip switch) flap. Dr. Bhama performed surgery, which went well. Early post-operative photos are shown, demonstrating an excellent result. The patient was very satisfied, and was able to eat and speak well. The scar will continue to fade with time.


Skin Cancer Patient 19


This patient underwent Mohs surgery for excision of a basal cell carcinoma from the nose and was referred to Dr. Bhama for repair of the resulting defect. Note the defect of the left nasal ala. Because of the importance of this structure in breathing, the patient had to undergo not only reconstruction of the skin defect, but repair of the nasal valve to facilitate breathing. She underwent complex staged reconstruction using an interpolated melolabial flap with auricular (ear) cartilage grafting. Her intermediate photo is also shown, demonstrating the pedicled flap. Also shown in an early post-operative view demonstrating excellent contour of the nose. No revision surgery has been performed, and no steroid injections have been performed.


Skin Cancer Patient 20


This patient was referred to Dr. Bhama for repair of a Mohs defect after removal of a skin cancer. Options were discussed and the patient elected for local flap closure and dermabrasion. Post-operative photos are shown demonstrating an excellent result. 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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