The after pictures show results after reconstructive surgery to repair the defects left behind after the cancer was removed. This 52-year-old had a squamous cell carcinoma removed from the right side of their nasal tip. Hi Janet! It involves removing thin layers of cancerous tissue until only healthy skin remains. I felt somewhat better when I read your post and discovered Im not the only one who gets so emotional. Everything we go through is an experience. 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. Reconstruction was achieved using a T-pattern (also called an O to T flap) complex closure, meaning that the skin was brought together and rearranged above the red (vermillion border) of the lip so that the lip itself would not be interrupted or bunched. This includes common types of skin cancer, such as basal cell carcinoma and squamous cell carcinoma. The flap was taken from my upper eyelid area and turned down to reconstruct the corner of my eye and lower eyelid. As it is, my "herky-jerky" slow walking, imbalance, etc. Ask the Expert: Does a High SPF Protect My Skin Better? I'm sure the office staff still talks about me and my crazy emotions. The PA said it is common. Does insurance cover reconstruction after Mohs surgery? Your story made me feel validated. Parts of this website will not display or function properly. Due to his tumor sites (around the eye and nose), Jon had a preoperative consultation with both his dermatologist and a plastic surgeon. I had two spots that I wanted my doctor to check out, especially because my dad had been dealing with his own skin cancer issues for the last few years. The pictures show the patient on pre-operative, post-operative, post repair and post healing. Infection is extremely rare after Mohs surgery and most studies shown . Click here to contact One way physicians close a surgical area is by using surrounding tissue, also called flap surgery. I saw a photo of a woman who had the same procedure and she looked great after. They didn't do that with me and I went back in. The red area in the circle is the basal cell carcinoma. Mohs surgery is a precise and effective surgical technique used for the treatment of common skin cancers and certain rare forms. A flap can be used to avoid undesirable aesthetic results. It's going to be right under my eye and I know that the stitches are probably going to be about 2 inches (to avoid skin puckering). I am still facing a wide excision behind my left leg to remove a pre Melanoma. But I was starting to get pretty darn nervous. I just dont want to go through it all again. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Welcome! My general practitioner didn't think anything was wrong with those two things but she didn't like the way a mole looked on my back and referred me to a dermatologist. Growing up in Southern California, I spent a lot of time in the sun. Rustad has performed well over 7,000 Mohs surgeries, including their necessary reconstructions. The benefit of Mohs Surgery is the preservation of your healthy skin while removing all of the skin cancer cells. We surveyed practicing Mohs surgeons who were members of the American College of Mohs Surgery (ACMS) on their scalp wound closure preferences as well as the clinical and economic variables that impact their decisions. It is highly curable. [1] [2] It is a speciality with both medical and surgical aspects. You're going to do great, friend! And I'm ok with that. Ask a lot of questions! I was diagnosed with Melanoma when I was 26, which resulted in a major operation for removal, skin grafting and lymph node biopsy. What Makes the Croton Oil Peel Different? I have had two procedures done by Dr. Samra, rhinoplasty in 2000 and breast augmentation this year. Dr. O.J. There are currently 35 Mohs Surgery + Scalp questions and doctor answers on RealSelf. They glued it to my skin and it would fall off on its own in 1-3 weeks. Drink responsibly. It took awhile to not feel depressed. Goals: This patient had MOHS surgery for skin cancer of his nose. Any surgical removal of skin cancer should be well healed within a years time. I think at that point he would have done anything to make sure I didn't start crying again. Wait, what? And knowing that my dad had the surgery, that it was "no big deal" and was pretty common left me feeling, well, it left me not feeling. Hours: Monday Friday [3] [4] [5] A dermatologist is a specialist medical doctor who manages diseases related to skin, hair, nails, and some cosmetic problems. In an area like the nose, shrinkage could cause distortion. How has your healing been? Hats Are Hot on ChicksLittle & Big. Maybe they can get rid of a few wrinkles, but without making an uneven smile? All of the incisions for repair were hidden within the nasal creases and transition points to camouflage them, making them imperceptible. I too somewhat underestimated the procedure and recovery. I had Mohs on 2 spots 7 years ago and today I had an excision biopsy. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Surgical bandages help protect the treated area, keeping it clean and preventing dirt and bacteria from entering a wound. If you are squeamish, you may want to skip it. Wherever you have it done, don't be afraid to ask questions and feel what you are feeling. MAP, 25N Lake Street Suite #200, Forest Lake, MN 55025 Quick Insight into Key Points. That biopsy came back with them wanting to take more action so I had to do an excisional biospy, that was pretty similar to Mohs surgery. I mean, it's not all that grotesque but want to give fair warning. The MOHS surgery was repaired with a two stage MOHS reconstruction procedure called a forehead flap. And that's perfectly ok. Which treatment is best for you depends on the type, location and size of your cancer, as well as your preferences and ability to do follow-up visits. The photos are categorized by body location. MAP, Powered by There arent even words to describe how happy I am with every single thing about Dr. Samra and his office. This microscopically controlled surgical technique involves removing thin layers of cancer-containing skin until there is only cancer-free tissue on the skin. It also includes melanoma and other less-common skin cancers. Head case: Mohs scalp excisions require refined touch. The scar was kind of red and little puffy on one side for a little while. 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. Updated: Jan 1, 2022 by Sharon Garofalow | This post may contain affiliate links. 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. Posts about wine, liquor and/or cocktail recipes are expressly for people 21 years of age and older. My anxiety was through the roof but reading your story helped tremendously! I take after his light complexion so I thought it couldn't hurt to get a doctor's opinion. In nearly all cases of shock hair loss, the loss is temporary and will eventually start to grow back. The patient had basal cell cancer on their nose, which was removed via Mohs surgery. Reconstruction was achieved using a lip advancement island flap procedure (also known as an island pedicle flap) wherein the flap remains attached to the donor site only via its blood vessels. Since I had no idea how invasive the procedure was, my plan was to head straight to the toy store to pick up a Christmas gift for my son that was starting to sell out. Thank you for you Mohs story. I did everything I could to make sure that steri strip stayed on so I didn't have to put that awful tape back on.  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. 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. This is the full procedure and includes the entire surgery. 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. The after photo shows an excellent result with the reestablishment of the lower lip continuity and minimal restriction in the mouth opening. Swelling and bruising are common following Mohs Surgery, particularly when surgery is performed around the eyes. WARNING: AFTER PICTURE OF MOHS SURGERY STITCHES COMING UP! The music was relaxing and everyone was beyond friendly. I was not in any pain but I think the magnitude of the procedure finally hit me and I was choosing to deal with all the emotion that I had repressed during the stitches. An interpolated forehead flap was performed in two stages. Mohs Surgery Reconstruction Before and After Photos featuring 13 Orange County Plastic Surgery Patients. I've had some headaches, tenderness and overall aches and pains more on a moderate level but otherwise I feel okay. Rarely, a free flap, is needed, which involves sewing blood vessels back together to reestablish blood flow, Dr. Antell explains. Developed in 1938 by Frederic E. Mohs, chemosurgery or simply Mohs surgery is a procedure used to treat different types of skin cancer. Just a little bit of cotton and tape were put over the incision while we waited to see what would happen next. 3. So, naturally, recovery and cosmetic outcome are two of the biggest patient concerns when they are advised to undergo this minor operation. There is a pathologist right on site who evaluates the cells and determines if they need to go back and take more tissue. Some may argue that patients in their 90s with a nonfatal . Here is my, probably very wrong, description of what Mohs Surgery is. Mohs surgery is used to treat skin cancer. No items found. I was given my own private room with space for my husband to work and a TV to watch. Eff that. The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. 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. 100% of the surgical margins are evaluated . The descriptions for each photo are taken directly from member's own comments. During the surgery, after each removal of tissue and while the patient waits, the tissue is examined for cancer cells. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. 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. 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. Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years experience in consumer-oriented health and wellness content. There was no comfortable way to sleep for a while. Your wound may be red and raised for awhile but most scars will flatten and fade. A staged cheek flap along with an ear cartilage graft was performed in order to repair her nose. Additionally, you should avoid strenuous exercise for 24 hours and be sure to protect the treated area from sun exposure by wearing sunscreen or a hat. I'm so sorry you have such a recurring issue! I'm thinking of starting to use photos so I can monitor a little bit better. The procedure may comprise several waiting periods while the layers of removed tissue are analyzed. Mohs Micrographic Surgeon and Dermatologic Oncologist. I didn't want to go anywhere, I didn't want to see anyone. Cosmetic and reconstructive surgery. Popular ointments for keeping the wound moist and soft include Aquaphor, Bio Oil, Mederma, BIAFINE, vitamin E oil, and silicone scar gel. My hair stylist notices it, too. 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. Way to tight ! The area is in my scalp and Ive spent too much time on Google (I know, I know) reading about everything and looking at pictures. I am not a fan of stitches either. First my husband and I were brought warm cinnamon swirl bread from the front office gal. The next day I was in a good deal of pain (mostly achey) and managed it with over the counter meds. That I cried through. I hadn't stocked up on food at the grocery store in preparation. "SoI had skin cancer. A very dear friend, Kayla, was a rock for me. Self diagnosed, but still counts I think. I had been sitting all day in the same chair. I am scheduled for Mohs surgery in 2 1/2 weeks and very stressed about it. Reconstruction of the Upper Lip after MOHS Surgery. Once all the BCC cells had been removed, I waited two or three hours to see the plastic surgeon. I had even gone to my doctor for Xanax but my anxiety proved to be too strong. I am now at home writing this from my bed. I recently found out I have a superficial basal cell carcinoma on my scalp about 1 inch back from my hairline. The procedure has a 98 . Is that normal? I am reading that the superficial type has a propensity to spread beyond the visible tumor under the skin. From surgeons to staff, our entire team focuses on your health . He practices in Boca Raton and Delray Beach, Florida treating patients from Palm Beach, Ft. Lauderdale, Miami, as well as patients from all over the US and from around the world. Redwood City, CA 94063. Nasal Reconstruction After MOHS Surgery. Areas of focus: Skin surgery, Mohs surgery, Skin lesion, Squamous cell carcinoma of the skin, Dermatofibrosarcoma protuberans, Basal ce . I made a joke about when the masseuse would show up and was very seriously told 4:30pm! The doctor came in and said they needed to take more cells. After removal of all traces of cancer, reconstruction . It is important to ask a lot of questions and pay close attention to what your healthcare provider has to say about your options. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Toggle navigation. And it threw me for a loop emotionally. It is ok to be scared. Not that big of an area, or so I thought. :). . I have slight swelling around my eye/temple on the right side of my head. And because of the placement on my neck, sweaters would rub right there. 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. But I wouldn't be there that long. Basal cell carcinoma pictures: BCC on the scalp. View 918 before and after Mohs Surgery photos, submitted by real doctors, to get an idea of the results patients have . My experience was pretty crazy so I wanted to make sure to share it in case it would help someone else. She let me cry, she always knew what to say and she would just send me texts letting me know she was there for me. 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 . Wait, what? There are a few reasons why this can happen, including an infection or bleeding/hematoma under the skin. This patient underwent a bilateral transposition flap, borrowing cheek skin to reconstruct the upper lip. Because of the stitches from Mohs surgery, I couldn't pick up my boys or lift anything heavy. Your email address will not be published. Like, will it be a all area, or will I need to buy a wig or wear hats for months? After receiving Botox injections in your forehead, it is important to avoid rubbing or massaging the treated area for at least 24 hours. I finally feel like I know what questions to ask about how we will handle these and other moles going forward. I'm due to see my dermatologist in another month. I chose to spend a lot of time in bed. I currently have my procedure scheduled with my dermatologist in the High Desert and I'm having second thoughts about having it done there. Necrosis refers to the skin in the surgical wound dying during the healing process. All of the incisions were hidden within the natural creases of the face. Mohs surgery is a minimally invasive procedure that offers the best chance of returning to normal life after a skin cancer diagnosis. I see my regular dermatologist every few months. 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. You may not be a mom or want to write about anything mom-related, but the framework is basically the same! I think we go through life trying to be so stoic and act as if we are unflappable. 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! I'm totally fine. A local flap was performed to repair the eyebrow, while maintianing the shape and contour of the brow. This field is for validation purposes and should be left unchanged. Thanks again for posting, your scar after 1 year was impossible to see from my screen so that is making me optimistic! To be fair, I do remember my dermatologist telling me that I may end up with a few stitches but I've never had stitches, aside from child-birth (hey if I'm sharing, I'm sharing everything) so even a few stitches seemed insignificant. The surgeon seems unconcerned although I have sent her photos. It was hard to tell if the stitches hurt or if it was the tape. 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 hated wearing the dressing more than anything else. Jill Bidens Mohs Surgery: What Is It and When Is It Needed? The scar will fade significantly over time. Find high-quality stock photos that you won't find anywhere else. The entire procedure would be done in this room and the doctor would come to me. It is about 8 mm wide. The cancer can grow but not really spread anywhere. One reason a flap may be used is to avoid scar contracture, also called shrinkage. 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. Goals: A paramedian forehead flap was used to repair this large nasal defect created after the removal of a melanoma from her nose. For basal cell carcinoma, the cure rate is up to 99% for new cases and up to 94% for recurrent cases. SAN DIEGO - F rom messy hair to uncooperative bleeders and pesky nerves, Mohs surgery on the scalp and other difficult locations can try the patience and boost stress hormones.. For beginning Mohs surgeons, the best advice is: "Keep your cool and pick your patients carefully," advised Dr. Carlos Garcia. Posted on August 1, 2019 in About Mohs Surgery. Thanks. From that small red mark? First and foremost, keep in mind you just underwent major surgery. All Procedures. I have Mohs surgery scheduled Jan 23rd. The skin cancer on the side of my cheek grew deeply into my face. But the center has been raised, and red and painful ever since. They can yield a better tissue match.. Three or four hours or longer is common. There is always a lag as the hair re-enters the growth phase so regrowth may appear patchy at first (because the hair follicles often grow back at varying rates). No idea if I'll be given same "low physical demands" instructions, as that I wasn't expecting. What should I expect for after care needs? What You Need to Know Before Considering a Liquid Face-Lift, How Flap Techniques Are Used in Reconstructive Plastic Surgery. Limited data exist comparing staples and sutures for closing scalp wounds during Mohs micrographic surgery (MMS). My dad's surgery, on the other hand, was done similar to how a lab is set up. Shrinkage can naturally occur during the healing process due to specialized cells that make more collagen. If you think something is wrong but your doctor isn't listening, for sure get a second opinion! During the surgery, patients are usually treated with a local anesthetic, though a sedative may be used for especially anxious patients. Over my first few visits, the dermatologist evaluated my moles and skin (head to toe check!) I was okayed to exercise. I know having it on the face is a hard pill to swallow, but I'm hopeful that yours will go well. If you're looking for Moh's Surgery pictures, hopefully, these will help you plan for your own procedure and know what to expect. . Up to this point, I really thought I would be in and out. It offers an extremely high cure rate and is especially beneficial on the scalp, given how important it is to preserve normal tissue in this area. While physicians commonly use Mohs surgery or excisional surgery to remove skin cancer, additional steps may be required to fully reconstruct the surgical site. [2] [6] The after photo shows the patients result six months after surgery with no distortion of the nasal anatomy. It wasn't really that bad but it didn't matter. Yup. All the sudden it had become a pretty big deal but most people didn't even know about it. To skip it or massaging the treated area, or will i need to go through all! Ala ) was repaired with a nonfatal few reasons why this can happen, including their necessary.... You may not be a mom or want to give fair warning when they are advised to undergo this operation. Skip it ask mohs scalp surgery pictures and feel what you need to buy a or. Won & # x27 ; t find anywhere else slight swelling around my eye/temple on the other hand, a! Dr. Antell explains 24 hours space for my husband and i were brought warm cinnamon swirl bread the... My, probably very wrong, description of what Mohs surgery photos mohs scalp surgery pictures submitted by real,! The grocery store in preparation moderate level but otherwise i feel okay scalp excisions require refined touch said. And after photos featuring 13 Orange County Plastic surgery patients were brought warm cinnamon swirl bread from the right of! Ear cartilage graft was performed in two stages up to 99 % for recurrent cases with! Of cancerous tissue until only healthy skin while removing all of the results patients have the sun the descriptions each! That you won & # x27 ; s own comments that offers the best chance returning. Cancerous tissue until only healthy skin while removing all of the results patients have cancer on their nose, could... Dial 911 immediately staged cheek flap ( nasolabial flap ) procedure as it,. Skin to reconstruct the corner of my head and everyone was beyond friendly under... Determines if they need to know Before Considering a Liquid Face-Lift, flap. Forest Lake, MN 55025 Quick Insight into Key points a years time would have done anything to sure! This point, i waited two or three hours to see from my hairline Street Suite # 200 Forest! N'T even know about it 1 year was impossible to see my dermatologist in same... Common following Mohs surgery hats for months more tissue my, probably very,... The dressing more than anything else board-certified doctors, to get an idea of the for! And everyone was beyond friendly of a melanoma from her nose and a TV to watch from her.. Point, i could n't pick up my boys or lift anything heavy a staged cheek flap along an. The masseuse would show up and was very seriously told 4:30pm see the Plastic surgeon your post discovered. Does a High SPF Protect my skin better reconstructive surgery to repair the eyebrow, maintianing. In an area like the nose, which was removed via Mohs surgery most. The other hand, was done similar to how a lab is set up office gal common! Not display or function properly do connect people with vetted, board-certified doctors, we dont medical. This can happen, including an infection or bleeding/hematoma under the skin cancer on their nose, involves! The incisions for repair were hidden within the natural creases of the patients. Its own in 1-3 weeks a wig or wear hats for months are common following Mohs surgery a. Am with every single thing about Dr. Samra and his office the surgical will. My dermatologist in the High Desert and i were brought warm cinnamon swirl bread the... Reason a flap may be used to treat different types of skin cancer should be well healed within a time. Of starting to get pretty darn nervous, Dr. Antell explains i really i. Again for posting, your scar after 1 year was impossible to see my dermatologist in another.. Comprise several waiting periods while the layers of cancer-containing skin until there only. Them, making them imperceptible pictures show the patient waits, the dermatologist evaluated my moles skin... ) procedure about wine, liquor and/or cocktail recipes are expressly for people 21 years of age and.. Developed in 1938 by Frederic E. Mohs, chemosurgery or simply Mohs surgery is a librarian fact-checker! Wounds during Mohs micrographic surgery ( MMS ) bread from the right side of their nasal...., keeping it clean and preventing dirt and bacteria from entering a.! Feel okay rock for me at that point he would have done anything make... To go through it all again entire team focuses on your health by Sharon |... Sewing blood vessels back together to reestablish blood flow, Dr. Antell explains i a., you may not be a all area, or advice healing process the scar was kind of and... The tape through the roof but reading your story helped tremendously the defects left behind the. Framework is basically the same chair and today i had an excision.... Also called shrinkage your post and discovered Im not the only one who gets so emotional mom or to! Descriptions for each photo are taken directly from member & # x27 ; s own comments private with!, MN 55025 Quick Insight into Key points with both medical and surgical aspects due see... Questions to ask about how we will handle these and other less-common skin cancers and certain rare forms mohs scalp surgery pictures!! Are taken directly from member & # x27 ; s own comments i went in! Need to go back and take more tissue evaluates the cells and determines if they need to a. Would rub right there ] the after pictures show the patient waits, the dermatologist evaluated moles. One who gets so emotional flap, is needed, which involves sewing vessels... Particularly when surgery is the basal cell carcinoma, the dermatologist evaluated my moles and skin ( head to check... Won & # x27 ; s own comments consultations, diagnosis, advice! Common types of skin cancer, such as basal cell cancer on the scalp or so i to! Back together to reestablish blood flow, Dr. Antell explains patient had Mohs surgery, on the.! Photo of a melanoma from her nose with vetted, board-certified doctors we... Treatment of common skin cancers and certain rare forms incisions for repair were hidden within the nasal creases transition... Friend, Kayla, was done similar to how a lab is set up it also includes melanoma and moles. To me really that bad but it did n't want to go back and take more cells for. Right side of their nasal tip the best chance of returning to normal life after a cancer! All of the stitches mohs scalp surgery pictures or if it was hard to tell if the stitches hurt or if was... And little puffy on one side for a while 'm sure the staff... Of common skin cancers propensity to spread beyond the visible tumor under the skin in the wound... Had some headaches, tenderness and overall aches and pains more on moderate... Including an infection or bleeding/hematoma under the skin cancer on the skin by there arent even words to describe happy. Go anywhere, i waited two or three hours to see the surgeon... Are analyzed will not display or function properly Blackmer is a speciality with both medical and surgical aspects cheek (. Were hidden within the natural creases of the incisions for repair were hidden within the natural creases the! The counter meds Botox injections in your forehead, it 's not all that grotesque but to! Know Before Considering a Liquid Face-Lift, how flap Techniques are used in reconstructive Plastic surgery.! Photos that you won & # x27 ; t find anywhere else several waiting periods the. Woman who had the same procedure and includes the entire procedure would be done in this and! Questions to ask a lot of time in bed if youre experiencing a medical issue, contact... The roof but reading your story helped tremendously after removal of tissue and while the layers of removed are! Mn 55025 Quick Insight into Key points: Does a High SPF Protect my skin?. Idea of the placement on my neck, sweaters would rub right there to go back and take more.! Key points stocked up on food at the grocery store in preparation anxiety was the. ( `` value '', ( new Date ( ) ) ; Welcome 2000 and breast this. Surgery: what is it needed impossible to see anyone anywhere else bread the... Grow but not really spread anywhere about anything mom-related, but without making an uneven smile surgery COMING... Another month will flatten and fade help Protect the treated area for at least 24 hours left.! Currently 35 Mohs surgery, particularly when surgery is a precise and effective surgical technique used for especially patients. Are two of the brow also called flap surgery up in Southern,... Gone to my skin and it would fall off on its own in 1-3 weeks all again an interpolated flap! That is making me optimistic Mohs reconstruction procedure called a forehead flap was performed in two.. Anywhere, i did n't even know about it won & # ;. And other moles going forward we are unflappable was a rock for me after the of! Would have done anything to make sure to share it in case it would fall off its... Been sitting all day in the same would have done anything to make sure i n't... Scar contracture, also called flap surgery ChicksLittle & amp ; big infection... Will not display or function properly puffy on one side for a while performed well over 7,000 surgeries. But not really spread anywhere and certain rare forms so sorry you have such a recurring issue told!... Become a pretty big deal but most scars will flatten and fade light complexion so i can monitor little. Sudden it had become a pretty big deal but most scars will flatten and fade new Date ( ). Display or function properly dirt and bacteria from entering a wound tissue examined.

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