Being told you need surgery on your face to remove cancer can be distressing. It is important to ask a lot of questions and pay close attention to what your healthcare provider has to say about your options. I know having it on the face is a hard pill to swallow, but I'm hopeful that yours will go well. The surgeon seems unconcerned although I have sent her photos. And headed straight to Toys R Us. The entire process usually takes between 4-6 hours but can vary if multiple stages are needed. I'm sharing my Mohs surgery pictures so if you're about to got through the procedure yourself, you'll have a better idea of how it will go. The descriptions for each photo are taken directly from member's own comments. The Mohs procedure involves the surgical removal of the visible tumor/biopsy site combined with real time examination of the deep and peripheral tissue margins until the Mohs surgeon confirms full cancer removal. Goals: A modified V to Y Island flap was performed to repair this upper lip defect. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Welcome! Basal cell carcinoma pictures: BCC on the neck, near to cheek. Photo of scar after mohs surgery. All photos included in this gallery are from surgeries performed by Dr. Friedman or Dr. Perry. I am scheduled for Mohs surgery in 2 1/2 weeks and very stressed about it. It can also be used for more unusual skin cancers. Dehissence means the edges of the stitched surgical wound gets pulled or comes apart. 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. Goals: A local flap to the lower eyelid was performed to repair this defect created after skin cancer removal from MOHS surgery. In the second stage of the procedure, 2 weeks later, the connection was detached to restore the forehead into position. Microneedling Facial Treatment with PRP - Before and After, DIY Papel Picado Inspired Paper Straw Flags, Adult Birthday Party Idea with Desserts and Gin and Tonic Bar, Dried Beef Cheese Ball Recipe For Your Next Party, The Best Quick and Easy Cool Whip Frosting Recipe, Flavorful Fireball Cupcakes Recipe with Cinnamon Whisky, 50 Birthday Dinner Ideas {Delicious Recipes for Celebrating at Home}, Mohs Surgery Pictures, Preparation and Recovery. One way physicians close a surgical area is by using surrounding tissue, also called flap surgery. I had Mohs surgery 6 months ago for infiltrating basal cell cancer on my upper back, over the left scapula. And it is okay to spend lots of time at home in your pajamas watching Bravo if that is what you need to do. Mohs surgery is a type of surgical procedure that can remove skin cancers. Dr. Antell says that typically the site heals well with meticulous closure, but patients should be aware of the risk. Thank you for your question. However I am still totally bald in the place he shaved for the surgery. Reconstruction of the Upper Lip after MOHS Surgery. The skin was brought together and rearranged above the brow so that the brow itself would not be interrupted or unnaturally elevated. That was my neck. I had not prepared for that. ugh! I was a hot and sweaty mess. Should I use some Vaseline on it? I would suggest seeing your surgeon. So when I had to have a basal cell carcinoma removed, I was stunned. Dermatologist. This is especially true if the surgery wasperformed ona prominent and important area like your face. Patient underwent Mohs surgery in two stages resulting in a 4.5 cm x 4.5 cm defect. It is considered the most precise and best tissue-sparing method . The nurse laid me back and began prepping me for stitches. No items found. We evaluate moles and other marks and talk through what we need to do about them. Reconstruction was achieved using a paramedian forehead flap procedure, in which the flap is taken from a section of tissue extending vertically upward from just above the inner corner of the brow. The after photo shows an excellent result with the reestablishment of the lower lip continuity and minimal restriction in the mouth opening. 4. I wish you the best of luck! View 918 before and after Mohs Surgery photos, submitted by real doctors, to get an idea of the results patients have . Wait, what? Seeing the "extent" of your surgery vs. initial photo of your BCC does make me wonder what outcome will be, but it is what it is. 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. I'm 55, have progressive MS (v. likely BCC caused by one of the meds-since discontinued-Thanks Mayzent!) Scalp Reconstruction after Mohs Surgery for Skin Cancer before and after patient photos from Monmouth County Plastic Surgery Specialist . I'm so sorry that you have to have Mohs. The PA said it is common. 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. They glued it to my skin and it would fall off on its own in 1-3 weeks. I want to share my story in case you know anyone who has one of the "better" skin cancers, like basal cell, or you have it yourself. It is still quite red after 6 days. I'm having Mohs surgery tomorrow. Self diagnosed, but still counts I think. I think we go through life trying to be so stoic and act as if we are unflappable. 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. It gets confusing when they say you put too much Aquaphor on or too little or let it dry, but keep it moist. We got out of the doctor's office around 2:30pm. I am so grateful for my family for taking such good care of me. This gallery contains before and after photos that may be graphic and/or unsettling. Popular ointments for keeping the wound moist and soft include Aquaphor, Bio Oil, Mederma, BIAFINE, vitamin E oil, and silicone scar gel. Do You Know Mohs? It is very rare with Mohs to have a recurrence, but it does occasionally happen. Like, hold up, this isn't just a little cut anymore. I am reading that the superficial type has a propensity to spread beyond the visible tumor under the skin. They might have some great ideas. I had mohs done on Tuesday its now Thursday I This is really painful I have a 5 inch incision with 20 stiches on my back its difficult to move my arm feels like the skin. I'm due to see my dermatologist in another month. My father's Mohs Surgery experience was much different from mine. Goals: MOHS surgery was performed on her upper eyebrow to remove a basal cell skin cancer. Surgeries performed near the eyes often result in bruising causing the appearance of "black eyes" for several days after surgery. It left me with a round wound a little larger than a quarter. The after photo shows the patients result six months after surgery with no distortion of the nasal anatomy. Cosmetic and reconstructive surgery. Belly Button Revision . WARNING: I share photos with my stitches. Silicone pads may help prevent hypertrophic (thick) scars although . 1 Price. Consult with a doctor virtually or in person. My husband and I, still in good spirits, took joke pictures to send to his mom. I didn't really know how to feel about the news. I really tried to stay out of the sun for at least a year after my procedure so I could make sure to keep any discoloring from happening! You can find out more about cookies on our Privacy Policy page. But overall, I felt both the dermatologist and plastic surgeon did a good job of explaining the possible outcomes and results.. So lame. I recently found out I have a superficial basal cell carcinoma on my scalp about 1 inch back from my hairline. LEARN MORE . Well that one I was totally on board with but everything else, a total shock. I feel like we have a plan and I have to rely on that. The patient had squamous cell cancer on their forehead, which was removed via Mohs surgery. Reconstruction may be necessary after Mohs. I didn't want to go anywhere, I didn't want to see anyone. He and his staff enjoy providing this service for our patients, as well as, for the patients of other referring health care providers, and believe this is a great asset to our community from our practice. Your story made me feel validated. . The photos are categorized by body location. I rolled into Thanksgiving dinner with no makeup on and 2 day old dirty hair (which I don't do - it is NOT cute on me). Local (or adjacent) flaps generally have the same color and skin texture as the defect from the skin cancer surgery. The American Society for Mohs Surgery is committed to ongoing education and support for clinicians interested in this skin cancer surgical technique. Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. Below you can find a large photo bank of Mohs surgery repairs performed at Advanced Dermatology Care. Squanous Cell Carcinoma and Mohs Surgery View of 65 year old male's scalp with squamous cell carcinoma site (horizontal) at center along hariline. This defect required a two-stage surgery using a pedicled (stays attached to the donor site) paramedian (from above the inner corner of the brow) forehead flap. I will just take each biopsy as it comes. She loves to share ideas to make mom life easier and encourage busy gals to make time for themselves too! Goals: A local transposition flap combined with a Z-plasty was performed in order to repair this gentlemans cheek defect. I didn't know until right before the surgery that it would be Mohs Surgery, the same that my dad had a few months before. Matthew Anderson Consulting and Goals: This patient had nose reconstruction to repair a nasal defect involving the nostril margin and the cheek. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Scalp Reconstruction after Mohs Surgery for Skin Cancer, 733 North Beers Street, Suite U-1, Holmdel, NJ 07733, 300 Perrine Road, Suite 333, Old Bridge, NJ 08857, 230 Mounts Corner Road, Freehold, NJ 07728, 33 Upper Overlook Road, Suite 302, Summit, NJ 07901, Autologous Breast Reconstruction (DIEP Flap), Case #161 - Scalp Reconstruction after Mohs Surgery for Skin Cancer. Toggle navigation. My experience was pretty crazy so I wanted to make sure to share it in case it would help someone else. The day that I got the stitches out I was a wreck. It was a long day, he recalls. Some patients prefer a flap surgery . Having a blog is fun (and a lot of work!). I hadn't planned ahead for anything because in my head it wasn't going to be a big deal (which is also how all the doctors treated it). Named for Dr. Frederic Mohs, a general surgeon who developed the technique in the 1930s, Mohs surgery is used to diagnose and treat certain types of skin cancers like basal cell carcinoma and . We use cookies to provide you with a better browsing experience. My dad's surgery, on the other hand, was done similar to how a lab is set up. The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. The 28-year-old patient had squamous cell cancer above the top lip, which was removed via Mohs surgery. I went by myself, and Im so thankful I was home when the numbing wore off, wow! This patient underwent a bilateral transposition flap, borrowing cheek skin to reconstruct the upper lip. It was hard to tell if the stitches hurt or if it was the tape. 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. His name is Dr. Rotunda and his website is http://www.newportskincancer.com/ . So I was extra cautious and held my head in odd positions to baby my neck. Great read, thank you for sharing. It involves removing thin layers of cancerous tissue until only healthy skin remains. You can see how my basal cell carcinoma scar looked a year after this surgery in this . After that, I have had 4 other wide excisions, and starting tomorrow I will have to go through THREE Mohs procedures over the next few weeks. Even though a lot of people will not give it a second thought, it is ok to feel uneasy about it. The benefit of Mohs Surgery is the preservation of your healthy skin while removing all of the skin cancer cells. There was no comfortable way to sleep for a while. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. I had Mosh surgery on my scalp 3 months ago. achieved through a number of specialized techniques to help patients who have been affected by skin cancer removal by Mohs surgery as a Fellowship Trained Mohs and Reconstructive Surgeon . Mohs surgery is the most effective technique to treat common forms of skin cancer such as basal cell carcinoma and squamous cell carcinoma. I hated wearing the dressing more than anything else. Skin cancer sucks. My skin feels really tight across my forehead. As described in the January 1 and January 2, 2014 posts, two weeks ago, on December 30, 2013, the basal cell carcinoma in the part line of my scalp was excised using Mohs micrographic surgery (see the November 21, 2013 post).Yes, what I said before is true: after having a total robot-assisted laparoscopic hysterectomy for uterine (endometrial) cancer, I . but still work full-time, just getting bit more difficult, as paralegal working with real estate developers, residential real estate clients. Three or four hours or longer is common. Post Surgery Wound Images. The Stanford Skin Cancer Program doctors are leaders in treating both melanoma and non-melanoma cancers. And also SUNSCREEN! You did not specify if he/she closed the wound or left it to heal in on its own (secondary intention). Reconstruction of the lip was performed with a two staged Abbe-Estlander flap. To learn more about our courses and membership, call (800) 616-2767. Though Jon is still slightly self-conscious about the visible scar left from his surgery, he feels lucky that the cancer was diagnosed early, and that he recovered well. In this gallery you'll find photos submitted by community members via Facebook of their post operative surgeries for skin cancer removal, including Mohs. Necrosis refers to the skin in the surgical wound dying during the healing process. My battle started 16 years ago, and it seems it's beginning to ramp up. Recently I have started feeling quite a bit of sensitivity on top of my head beyond the scarline, I had Mohs on my scalp 2 months ago. Posts about wine, liquor and/or cocktail recipes are expressly for people 21 years of age and older. TIA. Nasal Reconstruction After MOHS Surgery. They can yield a better tissue match.. I was pretty ready to go home at this point. Like, will it be a all area, or will I need to buy a wig or wear hats for months? Most patients report initial regrowth at between 3-6 months. The area was swollen, and the skin of the flap turned a very ugly dark purple in the days after surgery. It took awhile to not feel depressed. Hope that helps: https://www.startamomblog.com/. Jill Biden has undergone Mohs surgery to remove a small lesion her doctor discovered during a routine skin cancer examination. Goals: The defect of this mans nose extended deep to the nasal cartilage and bone. Thanks to Mohs surgery's high success rate, most patients require only a single surgery far less costly than other methods, shich can require multiple surgeries and multiple fees. Read our. But then when the call came, he said, "You know if I'm calling, something isn't right" Geez. The red area in the circle is the basal cell carcinoma. Though it may be performed on different body parts, it is often done on the face. Summary. When it fell off, I was to go back to the dressings again. Dermatology is the branch of medicine dealing with the skin. I'm sorry you had to experience Mohs! I was concerned, as theres an element of the unknown going into surgery, Jon says. Tolkachjov SN, Brodland DG, Coldiron BM, et al. Treatment. Due to his tumor sites (around the eye and nose), Jon had a preoperative consultation with both his dermatologist and a plastic surgeon. I too somewhat underestimated the procedure and recovery. You're going to do great, friend! BAMsites Web Marketing. Sharon lives in Southern California with her adorable family. You may not be a mom or want to write about anything mom-related, but the framework is basically the same! I know it needed to be done, but really, really hate stitches!!! I never really thought about it. The goals of this treatment are to remove the cancer, minimize the chance of it returning and preserve as much healthy skin as possible. Mohs is only used to treat an early melanoma, and it must be a type of melanoma called lentigo malignant melanoma. The tape made my skin SO angry. In most cases, insurance covers the cost of reconstruction when it is needed due to either functional or other defects caused by Mohs surgery. A bilobed flap procedure was performed. If you are having Mohs surgery, here are some things to keep in mind before your procedure: 1. The two main concerns for me were a little red mark, that had been on my neck for about two months (effing eczema, I thought) and a mole close to my ripple that had a white ring around it (yes, I said ripple. The entire procedure would be done in this room and the doctor would come to me. [1] [2] It is a speciality with both medical and surgical aspects. Covid-19s Secondary Skin Effects - Maskne Face Skin Breakouts, 5 Key Steps To Provide Safe Medical and Surgical Care During COVID-19 (and beyond), Dr. Steiger One of the First US Physicians to Offer Sofwave Ultrasound, the Latest Non-Invasive Technology in Wrinkle Treatment, Smile & Laugh Lines Be Gone! 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