Skin Cancer

Skin Cancer Before & After Photos – PG 5

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Skin Cancer Patient 41


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 42


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 43


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 44


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 45


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.


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