Skin Cancer

Skin Cancer Before & After Photos – PG 6

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Skin Cancer Patient 51


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 52


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.


Skin Cancer Patient 53


This patient was referred to Dr. Bhama by a Mohs surgeon to assist in management of a large lower lip cancer. Pre-op photos are shown demonstrating a large mass of the lower lip. The patient underwent Mohs surgery by a Mohs surgeon. The defect photos are shown demonstrating a near total defect of the lower lip vermillion. Dr. Bhama performed adjacent tissue transfer closure using the patient’s inner lip lining for reconstruction. Neck dissection was also performed with Dr. Shikary to remove lymph nodes in the neck given the risk of spread. Post-operative photos are shown demonstrating an excellent reconstructive result. Notice the contour of the lip is preserved. The patient has excellent oral function and was happy with results of the reconstruction.


Skin Cancer Patient 54


This patient was referred to Dr. Bhama following Mohs surgery for reconstruction of a large scalp defect. On pre-operative photos, notice the large scalp defect. Options were discussed with the patient, and he elected for adjacent tissue transfer closure (local flap) under local anesthesia. Surgery went well, and he was very happy with the results. Early post-operative photos are shown. The scar will continue to fade with time.


Skin Cancer Patient 55


This patient presented to Dr. Bhama with a large defect of the right nasal tip, soft tissue triangle, and ala. Options were discussed and the patient elected for paramedian forehead flap. Dr. Bhama used auricular (ear) cartilage graft to strengthen the nasal valve and prevent alar retraction (notching). Surgery went well, and early post-operative photos are shown. The patient was very happy with the aesthetic result and could breathe well through his nose. The swelling of the flap will continue to improve with time.


Skin Cancer Patient 56


This patient was referred to Dr. Bhama for management of a forehead defect following Mohs surgery. Options were discussed with the patient and she elected for adjacent tissue transfer using O to T flap. Final post-op result in shown. She was happy with the cosmetic appearance of the scar.


Skin Cancer Patient 57


This patient underwent Mohs surgery for a skin cancer on the left ear. On pre-op photos, notice the defect of the auricular (external ear) helical rim. Options were discussed and the patient elected for local flap reconstruction. Dr. Bhama performed surgery under local anesthetic. The patient did well, and was very happy with the results. Early post-operative results are shown.


Skin Cancer Patient 58


This patient was referred to Dr. Bhama for reconstruction of a large nasal defect following Mohs surgery for skin cancer. On pre-op photos, notice the large defect of the nose down to cartilage. Options were discussed with the patient, and she elected for skin grafting. Dr. Bhama performed a full-thickness skin graft of the wound. Post-operative photos are shown demonstrating an excellent result. The patient was very happy and had no difficulty breathing through her nose.


Skin Cancer Patient 59


This patient was referred to Dr. Bhama by a Mohs surgeon following Mohs surgery for a non-healing wound. The wound had become infected after surgery with the outside surgeon, who requested Dr. Bhama’s assistance to close the wound. On pre-operative photos, notice the defect of the frontal scalp. Dr. Bhama discussed options with the patient in clinic, and the patient elected to proceed with surgery. Dr. Bhama performed local flap advancement and removed portions of the skin and skull bone to confirm all the cancer had been removed. Post-operative photos are shown demonstrating a completely healed wound. The patient was very pleased with the results.


Skin Cancer Patient 60


This patient was referred to Dr. Bhama by Mohs surgeon for reconstruction of a large defect of the right medial brow. On preoperative photos, noticed a large defect of the right medial brow involving a portion of the eyelid as well as the forehead. Options were discussed and the patient elected for adjacent tissue transfer closure. Surgery went well. Early postoperative photos are shown demonstrating an excellent aesthetic result. The scar will continue to fade with time. The patient was very happy with results.


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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