My husband drove me. But we are all vulnerable.It is okay to be scared of things that others might be fine with. Learn more: www.uwhealth.org/mohs The area was swollen, and the skin of the flap turned a very ugly dark purple in the days after surgery. Reconstruction of the lip was performed with a two staged Abbe-Estlander flap. And it is okay to spend lots of time at home in your pajamas watching Bravo if that is what you need to do. :) Although it's a super common procedure and the doctors and nurses treat it as such, however you are feeling about it is valid! I ended up super stiff and with headaches. I'm so sorry that you have to have Mohs. Why Does My Skin Peel When I Get Sunburned, and What Should I Do About It? To learn more about our courses and membership, call (800) 616-2767. My skin feels really tight across my forehead. The surgeon stitched the excision without the need for a skin graft. Having a blog is fun (and a lot of work!). You're going to do great, friend! The flap was taken from my upper eyelid area and turned down to reconstruct the corner of my eye and lower eyelid. Squanous Cell Carcinoma and Mohs Surgery View of 65 year old male's scalp with squamous cell carcinoma site (horizontal) at center along hariline. Sometimes a larger area may need to be removed, which requires more extensive surgery to repair. Can someone tell me how much hair will be shaved normally? The skin cancer on the side of my cheek grew deeply into my face. Mohs surgery, developed in 1938 by a general surgeon, Frederic E. Mohs, is microscopically controlled surgery used to treat both common and rare types of skin cancer. 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. 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. So even though you know this story has a happy ending because I am writing this post, I still have many things to be removed and watched and will for the rest of my life. Until you go through it you really dont understand. So when I had to have a basal cell carcinoma removed, I was stunned. The after photo shows the patients result six months after surgery with no distortion of the nasal anatomy. From surgeons to staff, our entire team focuses on your health . It is okay to call your friends up out of the blue and tell them you need them. 9am5pm EST I feel like when I try to show something to my derm he's like how long has it been there and I think everything is new. Call 561-499-9339 or 866-994-FACE. And I could take as long to recover from these procedures as I wanted. Goals: This patient had MOHS surgery for skin cancer of his nose. 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. If there is a larger defect, however, a physician may have to create a flap from tissue more distant from the surgical site (from the wrist, for example) to get a large enough piece of skin. My battle started 16 years ago, and it seems it's beginning to ramp up. Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. I think at that point he would have done anything to make sure I didn't start crying again. Rustad has performed well over 7,000 Mohs surgeries, including their necessary reconstructions. That wasn't in the plan! Dr. Antell stresses that in order to optimize your results its important to follow your physicians instructions for wound care, scar care and any follow-up appointments that may be necessary to monitor your healing. In all of this, I found out I'm pretty much a sissy when it comes to medical procedures. I need some help with trying to find out if this might be normal. The day that I got the stitches out I was a wreck. The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. The Mohs surgery technique is associated with a low recurrence rate for BCC and is preferred for higher risk tumors and for tumors in cosmetically sensitive sites on the head and neck. I was also pretty shocked by the size of the hole ( 3 passes) and the nearly 3 long line of stitches on my forehead. All photos included in this gallery are from surgeries performed by Dr. Friedman or Dr. Perry. I am certain you will be fine in any office, but the level of care and comfort they give their patients is really helpful when you are uncertain of the procedure and have nerves! Don't be surprised if you are left with a scar, either. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Welcome! It stayed on until my follow-up appointment about 3 weeks later. I'm 55, have progressive MS (v. likely BCC caused by one of the meds-since discontinued-Thanks Mayzent!) For the second round they needed to do some cauterizing. Mohs surgery is a minimally invasive procedure that offers the best chance of returning to normal life after a skin cancer diagnosis. I am sure each doctor has their own tips and tricks. This post is about my experience with basal cell carcinoma skin cancer and how I had it removed with Mohs surgery. You can see how my basal cell carcinoma scar looked a year after this surgery in this . June 3, 2010. The second stage was performed 3 weeks later in order to detach the flap and to recreate the transition between the cheek and the nose. and we've set about prioritizing what we need to focus on first. I was a hot and sweaty mess. Samra Plastic Surgerya name you know and a practice that has earned the trust of the community for over 30 years. And I became depressed. Mohs surgery is typically done on tissue-sparing areas, such as the face, scalp, ears, and hands. The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. Williamsburg, Va. - The intricacies of scalp excisions and subsequent repairs require careful attention to detail to maximize therapeutic . It doesn't necessarily mean something is wrong." Common presentations include raised or flat patches, hard or soft lesions, and skin-colored spots. I was sent home with mild pain medication, (no opioids or anything super strong), and for me that was fine; I wasn't in much pain. If your wound is not healing it is important to have your surgeon recheck this to make sure that there is no recurrence or residual tumor there. In hindsight, I don't think going to Toys R Us was the best decision I've ever made. My father's Mohs Surgery experience was much different from mine. They are always so uncomfortable. The scar was kind of red and little puffy on one side for a little while. • You should plan on wearing a bandage for 10-14 days. Mohs surgery is commonly used to treat BCCs on the scalp. Once all the BCC cells had been removed, I waited two or three hours to see the plastic surgeon. So lame. An interpolated forehead flap was performed in two stages. The second stage involved sectioning (separating) the flap attachment. Mohs surgery has the highest cure rate of all treatments for basal cell and squamous cell carcinomas-- more than 99% for new skin cancers and 95% if the cancer comes back. 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). DIY Donts: Why At-Home Mole Removal Is a Bad Idea, Amelanotic Melanoma: It Doesnt Look Like Other Melanomas, How Dangerous is Melanoma? Mohs surgery also ensures that any "roots" of the cancer are completely removed, preventing the cancer from spreading (metastasizing). The after pictures show results after reconstructive surgery to repair the defects left behind after the cancer was removed. Warning: You do not have JavaScript enabled. I am still facing a wide excision behind my left leg to remove a pre Melanoma. They consider the location of the wound left from the cancer removal, the size of the wound and what will deliver the best results. I was concerned, as theres an element of the unknown going into surgery, Jon says. Verywell Health's content is for informational and educational purposes only. A two stage forehead flap was performed to reconstruct this mans nose. It wasn't awesome, but it was manageable. I didn't need any extra support. Mohs Surgery Scalp 3. First my husband and I were brought warm cinnamon swirl bread from the front office gal. 732.739.2100. This is how the basal cell carcinoma scar looked on Christmas (about a month after the Mohs surgery). The spot scabs and bleeds on occasion after all this time. It took awhile to not feel depressed. He learned that flap surgery might be a part of the reconstruction process after his Mohs surgery to remove the cancer. Sometimes called Mohs micrographic surgery, the procedure is done in stages, including lab work, while the patient waits. My dad's surgery, on the other hand, was done similar to how a lab is set up. Wait, what? It is about 8 mm wide. LEARN MORE . Patient underwent Mohs surgery in two stages resulting in a 4.5 cm x 4.5 cm defect. On one particular visit, my dermatologist said "If I call you, don't freak out. I got REAL nervous. The photos are . The nurse laid me back and began prepping me for stitches. There are currently 35 Mohs Surgery + Scalp questions and doctor answers on RealSelf. I would like to start writing my own blogs and don't know how to start. Procedure(s): Mohs Surgery Reconstruction, Skin Cancer Reconstruction, . I am a female and while removal of BCC is of upmost importance, I am concerned how I will look if there will be a large hole in the top of my head, and for how long. I'm wishing you a fast recovery! This happens about every 4 to 6 weeks. Basal cell carcinoma pictures: BCC on the neck, near to cheek. The goal of treatment for basal cell carcinoma is to remove the cancer completely. To help reduce swelling and bruising, apply an ice pack for 20 minutes each hour while awake for the first 48 hours following Mohs surgery. Mohs surgery is used to treat skin cancer. I'm just concerned the swelling 5 days post-op could be concerning and it seem unusual to me that the swelling is near my temple when the surgery was on my scalp.  I will tell you that whenever physicians have a basal cell or squamous cell carcinoma on their nose, Mohs seems to be their first choice of treatment. • Your surgical wound will require care during the weeks following the surgery. Reconstruct this mans nose cm x 4.5 cm x 4.5 cm defect ).getTime ( ) ).getTime ( ). As I wanted x 4.5 cm defect ) procedure cells had been removed, I do about it Va. the! Deeply into my face excision behind my left leg to remove the cancer flap... 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