Goals: Reconstruction to repair a large defect of the right nose after MOHS surgery . After receiving Botox injections in your forehead, it is important to avoid rubbing or massaging the treated area for at least 24 hours. This photo contains content that some people may find graphic or disturbing. In the first stage of this facial reconstruction, skin and soft tissue from the cheek . Maybe they can get rid of a few wrinkles, but without making an uneven smile? But I was starting to get pretty darn nervous. The descriptions for each photo are taken directly from member's own comments. Since this Mohs surgery, I had to have something else removed from my face. Most of my visits result in me being quickly numbed up and moles sliced away for biopsy. Could there be a silver lining, perhaps this will negate the need for future Botox :) Either way, this definitely wasnt as easy as I expected. 1. The photos are categorized by body location. Maria M. LoTempio, MD, is double board-certified in plastic and reconstructive surgery and otolaryngology. Can someone tell me how much hair will be shaved normally? So, naturally, recovery and cosmetic outcome are two of the biggest patient concerns when they are advised to undergo this minor operation. Based in Southern California, I am the mom to two amazing boys and married to the raddest man in all the land. 9am5pm EST It was healing well but I started notice something spitting from it, maybe a stitch. . Discussion: Mohs micrographic surgery is a highly effective procedure most commonly used for the removal of basal cell and squamous cell carcinomas of the skin. The American Society for Mohs Surgery is committed to ongoing education and support for clinicians interested in this skin cancer surgical technique. An interpolated forehead flap was performed in two stages. A skin graft, which may be performed when a local flap is not available, is more delicate and involves tissue that does not have a blood supply. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. I just dont want to go through it all again. What Makes the Croton Oil Peel Different? Browse Mohs Surgery before & after photos shared by doctors on RealSelf. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. I currently have my procedure scheduled with my dermatologist in the High Desert and I'm having second thoughts about having it done there. I'm 55, have progressive MS (v. likely BCC caused by one of the meds-since discontinued-Thanks Mayzent!) I don't have a great way to keep track of spots when I find them. Rustad has performed well over 7,000 Mohs surgeries, including their necessary reconstructions. Goals: MOHS surgery was performed on her upper eyebrow to remove a basal cell skin cancer. That way, the contour of the nose itself would not be interrupted or unnaturally distorted. Dr. Antell stresses that all of these surgeries require a good deal of precision. Summary. And then I saw how many stitches I had. If you have any questions about skin cancer removal or how Mohs surgery will affect your hair growth, please feel free to contact Dr. Hung at his Pasadena office at 626-432-5032 or his Newport Beach office at 949-574-8292. MAP, 14130 60th Street North, It is ok to be scared. Bottom line I guess, I'm thankful it's "JUST skin cancer"!?!? The doctor explained that I would be getting two rows of stitches, one inside that would dissolve on their own, and one outside that I would have to get removed a week later. They glued it to my skin and it would fall off on its own in 1-3 weeks. I'm about to go in for my mohs surgery consultation tomorrow. How has your healing been? Reconstructive Plastic Surgery Before and After Photos. BAMsites Web Marketing. Oncology Certified Nurse Practitioner and freelance healthcare writer with over a decade of medical oncology and hematology experience. Then the Mohs surgeon closes the wound (or, in some cases, a plastic surgeon may reconstruct and close the . Mohs surgery is a specialized technique used to treat different types of skin cancer. The skin was brought together and rearranged above the brow so that the brow itself would not be interrupted or unnaturally elevated. Warning- Some of the pictures below are graphic in nature! For me, I HATE stitches, so that part of the process is the hardest. Required fields are marked *. A two stage forehead flap was performed to reconstruct this mans nose. Learn more about what to expect after Mohs Surgery on your arms, legs or trunk with tips for the best care and recovery. . 3. The scar has gotten redder than it was so im wondering what might cause this? I don't want any McPerverson's coming to my site after searching for the female body part - and I think you can figure out which one I mean). I've only done it a few times but I have a feeling, that like you, there will come a day when it starts happening a little bit more regularly. Being told you need surgery on your face to remove cancer can be distressing. With CoVID still around, I can conveniently use face masks to cover the area, whatever that turns out to be, so co-workers and clients aren't made uncomfortable or drawn to ask questions. Show more areas of focus. This usually occurs within five to seven days after surgery and may be decreased by the use of an ice pack during the first 24-48 hours. See real patient results. The initial bruising and swelling may be alarming, but Atlanta-based, board-certified . I just had my 4th BCC removed on my face by Mohs Monday- on my forehead this time. And teased me with treats she would be bringing around later. As walking, getting ready for work presents their own physical challenges, working remotely may prove highly advisable, if not necessary (boss will LOVE that!). See the privacy policy linked in my footer. I haven't been to the office in years but I imagine they are still amazing. It is okay to call your friends up out of the blue and tell them you need them. If you need to remove basal cell carcinomas or squamous cell carcinomas (BCCs and SCCs), the two most common types of skin cancer, the answer is usually Mohs surgery. This happens about every 4 to 6 weeks. Actinic Keratosis Warning Signs and Images, Basal Cell Carcinoma Warning Signs and Images, Merkel Cell Carcinoma Warning Signs and Images, Merkel Cell Carcinoma Patient Support Center, Squamous Cell Carcinoma Warning Signs and Images, Advanced Squamous Cell Carcinoma Treatment. My anxiety was through the roof but reading your story helped tremendously! Mohs surgery is a type of surgical procedure that can remove skin cancers. He learned that flap surgery might be a part of the reconstruction process after his Mohs surgery to remove the cancer. The area near it is getting a little pink and it hurst when I touched it. By Julie Scott, MSN, ANP-BC, AOCNP If you are having Mohs surgery, here are some things to keep in mind before your procedure: 1. The after photos show the patient immediately following surgery and again six months postoperative with no distortion of the nasal anatomy. I was also pretty shocked by the size of the hole ( 3 passes) and the nearly 3 long line of stitches on my forehead. Call (925) 837-6000 for your private consultation at Gladstone Clinic. I'm so sorry you have such a recurring issue! I have a squamous cell lesion on my scalp. Your story made me feel validated. Hoping it looks better when the stiches come out next week. Dr. Mamelak understands the anxiety that often surrounds his treatments, but is quick to remind patients how crucial bandaging after Mohs surgery is for the healing process. At times, the area surrounding your wound will be numb to the touch. The doctor who performs your Mohs surgery, also called Mohs micrographic surgery, to treat skin cancer may be able to complete your reconstruction when your lesion is removed, or you may be referred to a plastic surgeon for reconstructive surgery. They laid me back, numbed me up and made an incision. Do You Know Mohs? WARNING: AFTER PICTURE OF MOHS SURGERY STITCHES COMING UP! Mohs Micrographic Surgeon and Dermatologic Oncologist. Dr. Jacob D Steiger MD is board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology- Head & Neck Surgery. Sometimes a larger area may need to be removed, which requires more extensive surgery to repair. My husband was a trooper and was so strong. My father's Mohs Surgery experience was much different from mine. 4480 Centerville Road, It's typically performed under local anesthesia, meaning only the area being treated is numbed. I got the toy and some other shopping done, but I was uncomfortable, exhausted, cranky and needed to be cozy in bed. 100% of the surgical margins are evaluated . Thankfully the Basal Cell Carcinoma did not enter any bones or spread over a larger outer surface area. Boca Raton, FL 33432. Not only is this cosmetic, but it may also help improve the function of the part of the face that was affected. The patient is called back in to a room, cuts are made, and then they are sent back out to the waiting room with everyone else. No items found. I know it needed to be done, but really, really hate stitches!!! I made a joke about when the masseuse would show up and was very seriously told 4:30pm! But overall, I felt both the dermatologist and plastic surgeon did a good job of explaining the possible outcomes and results.. One drawback to flap surgery is that the donor site (where the flap came from) may scar. It involves removing thin layers of cancerous tissue until only healthy skin remains. I put clothes on but I would have much rather stayed in my pajamas. Should I use some Vaseline on it? There was no comfortable way to sleep for a while. The day that I got the stitches out I was a wreck. I have had two procedures done by Dr. Samra, rhinoplasty in 2000 and breast augmentation this year. Like, hold up, this isn't just a little cut anymore. Home; Mailing List; Blog; Dr. Cory Yeh; . The Mohs and Dermatologic Surgery Clinic at Stanford is a nationally recognized leader in skin cancer management, Mohs micrographic surgery and other dermatologic procedures. Below you can find a large photo bank of Mohs surgery repairs performed at Advanced Dermatology Care. Verywell Health's content is for informational and educational purposes only. I had MOHS surgery 5 days ago on my scalp, right side, slightly behind my hairline. He explained that because of where it was (in a very visible spot on my neck), he would refer me to another dermatologist who specializes in plastic surgery who would do a procedure to remove all the skin cancer cells. Worrying about how your skin may look after the procedure is normal. WARNING: I share photos with my stitches. The flap incisions are all hidden within the natural creases of the face. I asked my mom, who would watch the kids during the procedure, if she would just keep them overnight since I had no idea when I would get home. Jacksonville, FL. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Knowledge, precision, and compassion. This type of melanoma stays close to the surface of the skin for a while. The surgeon seems unconcerned although I have sent her photos. Basal cell carcinoma pictures: BCC on the scalp. All Procedures. Which meant more stitches. The nurse laid me back and began prepping me for stitches. So leading up to it, I just thought it would be pretty similar to the mole removals Ihaddone so far, which required a small bandage for about a week. It was a purple mole that looked like my kid drew it on me with marker. I didn't want them to freak out or worry so I put on a happy face. The doctor who performs your Mohs surgery, also called Mohs micrographic surgery, to treat skin cancer may be able to complete your reconstruction when your lesion is removed, or you may be referred to a plastic surgeon for reconstructive surgery. To start, they marked and measured me. I really couldn't have done it without him. Some patients prefer a flap surgery since it offers an alternative to letting an open wound heal on its own, which can take four to six weeks. My battle started 16 years ago, and it seems it's beginning to ramp up. 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