Skin Cancer

Skin Cancer Before & After Photos – PG 4

Click Thumbnail to view larger images

Skin Cancer Patient 31


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.


Skin Cancer Patient 32


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 33


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 34


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 35


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 36


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 37


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 38


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.


Skin Cancer Patient 39


This patient was referred to Dr. Bhama for reconstruction of a large nasal defect after Mohs surgery for basal cell carcinoma. She requested that her entire face not be included in the photos. Pre-op photos demonstrate a large defect of the nasal ala extending to the cheek. Options were discussed with the patient for reconstruction, and she elected for paramedian forehead flap. Dr. Bhama performed paramedian forehead flap reconstruction using auricular (ear) cartilage grafts to reconstruct the nasal valve. An advancement flap was used to reconstruct the cheek defect. Surgery went well, and early post-op pics are shown. Notice the excellent nasal contour. She was very happy with cosmetic and breathing results.


Skin Cancer Patient 40


This patient was referred to Dr. Bhama for reconstruction of a large nasal defect following Mohs surgery. On pre-op photos, notice the large, full thickness defect of the right nasal ala and soft tissue triangle. This presented a reconstructive challenge because of the involvement of the alar rim. Options were discussed, including skin grafts, paramedian forehead flaps, melolabial flaps and more. She did not wish to undergo forehead flap or melolabial flap. The patient elected for composite grafting. A large composite graft was taken from the patient’s right ear, consisting of a layer of cartilage and skin. The inner lining was recreated with a vestibular lining advancement flap. Post-operatively, the patient recovered uneventfully. Post-operative photos are shown demonstrating take of the graft. There is some alar notching, but the patient was very happy with results and did not desire revision. Her nasal breathing was normal.


Previous

Schedule a Consultation

Contact us below or call 425.316.5080
We're here to help answer your questions or get you started with a constultation.

contact us today