Blog Layout
Case of the month January 2020
Jan 15, 2020
A 81-year-old male presented to our office for the treatment of several recurrent nodular and infiltrative basal cell carcinomas of his left temple, left cheek and left preauricular area (Figure 1).
According to the patient, cryo-surgery was the only treatment that had been attempted. They were becoming larger, more irritated and bleeding. He was confused as to why repeated cryosurgery was used to treat these lesions despite the lack of improvement. He sought our opinion on other options for treatment. We recommended the Mohs procedure and he asked that all three lesions be treated at the same time as he had numerous other lesions that were bothering him.
Four stages of Mohs micrographic surgery were required to clear the largest tumor, while three and two stages were required for the temple and preauricular areas, respectively. The final defects involved a substantial portion of the patient’s face (Figure 2).
As you can see, there wasa large difference between what appeared to be the size of the lesions before surgery, and the actual clear margins following Mohs.
Several closure options were reviewed with the patient. Ultimately, we decided upon a combination advancement/rotation flap. This flap had the advantage of being performed in a single stage while yielding a relatively pleasing cosmetic result. Tissue from the lower cheek and jaw was elevated and moved (advanced and rotated) upward. The skin of the patient’s left temple was also mobilized and a small O to T flap was performed. This allowed for complete closure of the wound while keeping the patient’s original anatomy true (Figure 3).
The sutures were removed after one week of healing and at three weeks the cheek has completely healed with acceptable cosmesis (Figure 4).
The patient was extremely happy with the results and reported no complications.
Yeast infections on the skin can be uncomfortable and persistent if not properly managed. Medically known as cutaneous candidiasis, a yeast infection on the skin arises when a fungus called Candida albicans overstays its welcome.
As the spring season unfolds, many individuals eagerly anticipate spending more time outdoors, reveling in the beauty of blooming flowers and vibrant landscapes. However, for some, spring brings about a different experience—one characterized by itchy, irritated skin and uncomfortable allergic reactions. Skin conditions associated with allergies or heightened exposure to outdoor elements can significantly impact individuals' quality of life during this time.
Skin cancer is one of the most common types of cancer worldwide, affecting millions of people every year. The good news is that, with early detection, the majority of skin cancers are highly treatable. Regular skin cancer screenings play a crucial role in identifying potential issues before they escalate.
As winter blankets the world in a serene layer of snow and chilly temperatures, many of us tend to believe that the need for sunscreen diminishes along with the intensity of the sun's rays. The misconception that sunscreen isn’t essential during the winter can lead to unintended consequences for our skin.
We all love that golden glow from a day spent basking in the sun, but what about those days when the sun decides to take a break? That's where indoor tanning comes into play, right? Well, hold on to your tanning goggles because there’s more to this seemingly harmless activity than meets the eye.
Your skin is a window into the health and happiness of your whole body. As the body's largest organ, it plays a pivotal role in physical protection and shaping your identity and self-esteem. Seeking the guidance of a dermatologist is a wise decision when faced with skin issues, be it medical or cosmetic. However, the challenge lies in how to find the perfect dermatologist who can address your unique concerns and requirements.
The key to soft and radiant skin often lies in our daily routines. Home-based skincare goes beyond mere daily practice; it signifies a dedication to the well-being of your skin and a much-desired glow.
If you're like most people, you desire flawless skin that radiates confidence and natural beauty. We understand that achieving and maintaining healthy skin can be challenging, especially with the countless cosmetic skin treatments available and the staggering number of product reviews.
In the world of skincare, there are many myths and misconceptions that can make it difficult to tell what is true and what is not. From extravagant claims about miracle ingredients to misguided beliefs about skincare practices, these myths can hinder our journey towards healthy, glowing skin.
The warm embrace of the sun holds a hidden danger called skin cancer. This pervasive disease affects millions in the United States, with over 5.4 million cases diagnosed annually. As the numbers continue to rise, it's crucial to shed light on this menacing threat. Fortunately, with early detection and the right treatment, you can safeguard the well-being of your or a loved one’s skin.
Phone:
Address:
Hours of Operation:
Mon-Fri: 8:00am to 4:30pm
Phone:
Address:
Hours of Operation:
Mon-Fri: 8:00am to 4:30pm