• 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 21


This patient was referred to Dr. Bhama for reconstruction after resection of a large melanoma from the nose. Options were discussed and he elected for paramedian forehead flap reconstruction. He underwent surgery and recovered well. Postoperatively, he was happy with the cosmetic result and was able to breathe well through his nose.


Skin Cancer Patient 22


This patient underwent Mohs surgery for removal of a basal cell carcinoma of the left nasal sidewall. On the preoperative photo, a large defect of the nasal sidewall is demonstrated. Options were discussed and she elected for transposition flap closure. Dr. Bhama performed transposition flap surgery under local anesthesia in our procedure room at Mill Creek. Postoperative photos were shown. No revision surgery was performed. The patient was very happy with results.


Skin Cancer Patient 23


This patient was referred to Dr. Bhama by a Mohs surgeon to discuss reconstructive options following nasal surgery for skin cancer. Pre-op views demonstrate a defect of the right nasal ala. Dr. Bhama discussed options with the patient, and the patient elected for paramedian forehead flap reconstruction. Dr. Bhama also used auricular cartilage to stabilize the nasal valve and preserve the patient’s ability to breathe through the right nostril. Intermediate photos demonstrating the forehead flap in place are shown. Early post-op photos are shown demonstrating an excellent cosmetic result. The patient is very happy and is able to breathe well through the nose.


Skin Cancer Patient 24


This young woman underwent Mohs surgery for a skin cancer located very close to the eye and was referred to Dr. Bhama for reconstruction. On pre-treatment photos, notice the large, deep defect of the right medial canthal region. Because of the patient’s young age, and close proximity to the eye, this presented a reconstructive challenge. Options for reconstruction were discussed and Dr. Bhama and the patient elected for healing by secondary intention followed by dermabrasion. Early post-treatment photos are shown. The scar will continue to fade with time and the color will become less pronounced. The patient was very happy with the result. There was no distortion of her eyelid.


Skin Cancer Patient 25


This patient underwent Mohs surgery for removal of a skin cancer (basal cell carcinoma) from the nose and was referred to Dr. Bhama for reconstruction. On pre-reconstruction photos, notice the defect of the left nasal sidewall. Dr. Bhama discussed options with the patient, and she elected for bilobe flap reconstruction. Dermabrasion was also performed post-operatively. Early post-operative photos are shown demonstrating an excellent cosmetic result. The patient was very happy and the scar will continue to fade with time.


Skin Cancer Patient 26


This patient underwent Mohs surgery for basal cell carcinoma (skin cancer) of the left nasal ala and sidewall and was referred to Dr. Bhama for reconstruction. Options were discussed at length with the patient. She elected for staged melolabial interpolated island pedicle flap reconstruction. Because the defect was so close to the nostril, Dr. Bhama utilized auricular (ear) cartilage to support the nostril. On pre-op photos, notice the large defect of the nasal ala and sidewall. Staged photos are shown demonstrating inset of the flap. Also notice how well the ear donor site has healed. Early post-operative photos following dermabrasion are shown demonstrating excellent camouflage of the flap. Her nostril is well supported and she can breathe well through the nose. She was very happy with results of surgery. Swelling will continue to improve with time.


Skin Cancer Patient 27


This patient was referred to Dr. Bhama by a Mohs surgeon for treatment of a large, aggressive squamous cell carcinoma of the scalp. On preoperative photos, noticed the large lesion of the left scalp. Options were discussed and the patient elected for excision in the operating room followed by reconstruction once definitive analysis of the margins were found to be negative for cancer. Dr. Bhama clear the cancer in the operating room. Because of the aggressive nature of the cancer, this resulted in a large defect of the scalp measuring over 5 cm in diameter. Reconstruction was performed using a combination of adjacent tissue transfer with flaps as well as Integra, and skin grafting. An early postoperative result is shown demonstrating excellent camouflage of the scars. No revision surgery was performed. The patient was happy with the result. Notice preservation of frontalis muscle function as well as symmetry of the brow.


Skin Cancer Patient 28


This patient presented to Dr. Bhama with a chief complaint of a scaly lesion of the right brow. Dr. Bhama performed biopsy in clinic, which demonstrated basal call carcinoma (skin cancer). Dr. Bhama arranged for the patient to have Mohs surgery for removal of the cancer. The defect photos are shown here, demonstrating a defect of the right lateral forehead. Dr. Bhama performed transposition flap reconstruction. Very early post-operative photos are shown. Notice the preservation of the brow position and brow symmetry. The patient was very happy with results, and the scar will continue to improve with time. No revision surgery or dermabrasion were performed.


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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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