The red area in the circle is the basal cell carcinoma. Updated: Jan 1, 2022 by Sharon Garofalow | This post may contain affiliate links. • You may experience a sensation of tightness across the area of your surgery that What is the typical recovery and downtime from Mohs surgery? Each day got a little easier. My battle started 16 years ago, and it seems it's beginning to ramp up. Goals: Skin graft for repair of a MOHS surgery defect on the bridge of her nose, Goals: A cheek rotation flap performed to close this defect from MOHS surgery, Goals: Bialteral advancement flap performed after MOHS surgery, Goals: Island advancement flap closure of upper lip MOHS defect. But I also thank those people who would have been there for me had they known. Belly Button Revision . Mohs surgery is a specialized technique used to treat different types of skin cancer. They didn't do that with me and I went back in. This happens about every 4 to 6 weeks. The post-op photo was taken at seven days, in the early stages of healing. Asked By: Sandraj in Canada. You know how there is a checklist of all the signs to look for when deciding if a mole is potentially cancerous? dure, several criteria are reviewed and evaluated to make sure that Mohs is an appropriate treatment option for the specific tumor, and that the patient is an appropriate candidate to undergo Mohs. Maybe they can get rid of a few wrinkles, but without making an uneven smile? How do you ask for help or support when no one knows you need it? It was a purple mole that looked like my kid drew it on me with marker. 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. I'm mentally preparing because everyone says the first few weeks can put them into a depression seeing the incision. Saturdays by appointment only. I'm wishing you a fast recovery! Note that we cannot verify these diagnoses , and we always recommend consulting a . Matthew Anderson Consulting and The technique reduces recurrence and maximizes cosmetic results, often leaving little more than a small scar as evidence of the surgery. Mohs Surgery Reconstruction Before and After Photos featuring 13 Orange County Plastic Surgery Patients. We were told results would take about an hour so we just had to relax and wait. Worrying about how your skin may look after the procedure is normal. Hi! With Mohs surgery, if any cancer cells remain, the surgeon uses a map to identify where they are and precisely removes them while sparing as much healthy tissue as possible. 4480 Centerville Road, LEARN MORE . . Surgeries performed near the eyes often result in bruising causing the appearance of "black eyes" for several days after surgery. I have a BCC, small, about bb size area right on top of my head in the part of my hair. Is that normal? It's called slow because the patient must wait longer for the . 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. and we've set about prioritizing what we need to focus on first. I'm so sorry that you have to have Mohs. 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. Maria M. LoTempio, MD, is double board-certified in plastic and reconstructive surgery and otolaryngology. They laid me back, numbed me up and made an incision. Goals: A skin graft was performed on this patients nose in order to repair a defect after MOHS surgery. Growing up in Southern California, I spent a lot of time in the sun. WARNING: AFTER PICTURE OF MOHS SURGERY STITCHES COMING UP! I am looking forward to this being totally behind me. The goal of treatment for basal cell carcinoma is to remove the cancer completely. The doctor came in and said they needed to take more cells. Sometimes called Mohs micrographic surgery, the procedure is done in stages, including lab work, while the patient waits. And that's perfectly ok. Goals: This patient had nose reconstruction to repair a nasal defect involving the nostril margin and the cheek. His own cartilage was used as well, in order to maintain the contour of the nostril and prevent collapse of the ala. I got the toy and some other shopping done, but I was uncomfortable, exhausted, cranky and needed to be cozy in bed. The after photo shows the patients result six months after surgery with no distortion of the nasal anatomy. The photos are categorized by body location. Three or four hours or longer is common. 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. Scalp Reconstruction after Mohs Surgery for Skin Cancer before and after patient photos from Monmouth County Plastic Surgery Specialist . I thought it would grow back normally but there is no sign of this happening. Great read, thank you for sharing. Darrick Antell, MD, a board-certified plastic and reconstructive surgeon practicing in New York City, says physicians assess options for reconstruction based on several factors. Find high-quality stock photos that you won't find anywhere else. I have Mohs surgery scheduled Jan 23rd. This field is for validation purposes and should be left unchanged. The information on RealSelf is intended for educational purposes only. I know it needed to be done, but really, really hate stitches!!! The descriptions for each photo are taken directly from member's own comments. 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. If you are squeamish, you may want to skip it. 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. I feel like we have a plan and I have to rely on that. 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. Drink responsibly. Stillwater, MN 55082 I was given care instructions - keep that first dressing on for 48 hours without getting it wet, then change the dressing twice a day for a week. the latest on skin cancer. Limited data exist comparing staples and sutures for closing scalp wounds during Mohs micrographic surgery (MMS). This can require reconstructive surgery to heal and improve cosmetic outcomes. I know it's hard when you think about having things done on your face, but I know the doctor will do the best they can. The procedure may comprise several waiting periods while the layers of removed tissue are analyzed. The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. Tolkachjov SN, Brodland DG, Coldiron BM, et al. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Knowledge, precision, and compassion. No idea if I'll be given same "low physical demands" instructions, as that I wasn't expecting. Mohs micrographic surgery has the highest cure rate of all treatments for basal cell and squamous cell skin cancers. I'm sorry you have to have the procedure. Dermasurface is the Best Anti Aging Skin Care! Thankfully the Basal Cell Carcinoma did not enter any bones or spread over a larger outer surface area. Why Does My Skin Peel When I Get Sunburned, and What Should I Do About It? Warning: You do not have JavaScript enabled. Treatment selection can also depend on whether this is a first-time or a recurring basal cell carcinoma. Hang in there! I had surgery. In most cases, insurance covers the cost of reconstruction when it is needed due to either functional or other defects caused by Mohs surgery. Any suggestions please. That I cried through. Boca Raton, FL 33432. So began the journey of having moles biopsied. There is a pathologist right on site who evaluates the cells and determines if they need to go back and take more tissue. Posts about wine, liquor and/or cocktail recipes are expressly for people 21 years of age and older. Show more areas of focus. Mohs surgery is a specialized procedure that is used to remove various types of skin cancers in critical areas of cosmetic or functional concern. Dr DeLuca - Patient #3 Reconstructive surgery performed by Louis DeLuca, MD, FACS, of Boca Raton, FL. For the second round they needed to do some cauterizing. If you are having Mohs surgery, here are some things to keep in mind before your procedure: 1. Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years experience in consumer-oriented health and wellness content. Some patients prefer a flap surgery . Here is my, probably very wrong, description of what Mohs Surgery is. Common presentations include raised or flat patches, hard or soft lesions, and skin-colored spots. That was my neck. Read myfull disclosure policy. Sharon's "me" time often includes watching Hallmark Channel movies, sipping sauvignon blanc, trying not to eat Salt and Pepper potato chips, and planning girlfriend getaways. The contour of the skin graft was then improved with a planned dermabrasion in order to blend the graft with the surrounding skin and fine tune the final results. I have a squamous cell lesion on my scalp. Mohs surgery is a precise and effective surgical technique used for the treatment of common skin cancers and certain rare forms. But we are all vulnerable.It is okay to be scared of things that others might be fine with. Developed in 1938 by Frederic E. Mohs, chemosurgery or simply Mohs surgery is a procedure used to treat different types of skin cancer. The patient had squamous cell cancer on their forehead, which was removed via Mohs surgery. I am a nurse so I try not to rely too much on google, but I have also worked in the OR for many years and I know what can happen if the procedure gets out of hand. The after pictures show results after reconstructive surgery to repair the defects left behind after the cancer was removed. By Julie Scott, MSN, ANP-BC, AOCNP Up to this point, I really thought I would be in and out. Then the Mohs surgeon closes the wound (or, in some cases, a plastic surgeon may reconstruct and close the . However, there are no such criteria for a specific age or functional status at which Mohs is deemed inappropriate (Connolly et al., 2012). Comparison of outcomes of early vs delayed graft reconstruction of Mohs micrographic surgery defects. It was all very relaxed and enjoyable. Wait, what? Wait, what? You can see how my basal cell carcinoma scar looked a year after this surgery in this . One way physicians close a surgical area is by using surrounding tissue, also called flap surgery. The complete removal of all malignant cells may produce a sizable wound in a conspicuous body part. . It is about 8 mm wide. 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. Although Mohs surgery is an outpatient procedure, the process can last several hours, depending on the extent of your condition. One drawback to flap surgery is that the donor site (where the flap came from) may scar. Sweet, sweet lady. I had been sitting all day in the same chair. While physicians commonly use Mohs surgery or excisional surgery to remove skin cancer, additional steps may be required to fully reconstruct the surgical site. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. It took just a few minutes. 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. The Stanford Skin Cancer Program doctors are leaders in treating both melanoma and non-melanoma cancers. 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). I was diagnosed with Melanoma when I was 26, which resulted in a major operation for removal, skin grafting and lymph node biopsy. I just couldn't stop. It wasn't really that bad but it didn't matter. I have not seen any bills from this procedure yet and I will probably have to sell everything I own to pay it but at that moment, I needed all the amenities they provided (update: the bills were reasonable and I don't believe I paid anything over what insurance would normally cover! Similarly, swelling and bruising may occur down the neck, and rarely the chest, when surgery is performed on the chin or jawline area. The tape was still pulling on my skin. Can you share how you started? Recovery was basically painless, he says. A staged cheek flap along with an ear cartilage graft was performed in order to repair her nose. But I had to wear this gigantic dressing. • You should plan on wearing a bandage for 10-14 days. Mohs is definitely unpleasant, and the aftermath is always surprising. I just had Mohs on my nose and cried when I took the first bandage off. I didn't want to go anywhere, I didn't want to see anyone. This 52-year-old had a squamous cell carcinoma removed from the right side of their nasal tip. I really couldn't have done it without him. Hoping it looks better when the stiches come out next week. Warning- Some of the pictures below are graphic in nature! 450 Broadway Street. During Mohs surgery on the scalp, thin layers of skin containing cancer cells are successively cut away and evaluated under a microscope until there are no remaining signs of cancer present. Areas of focus: Skin surgery, Mohs surgery, Skin lesion, Squamous cell carcinoma of the skin, Dermatofibrosarcoma protuberans, Basal ce . Should I use some Vaseline on it? In this gallery you'll find photos submitted by community members via Facebook of their post operative surgeries for skin cancer removal, including Mohs. There are a few reasons why this can happen, including an infection or bleeding/hematoma under the skin. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. I went out to dinner the night that I found out about my basal cell diagnosis. How to prevent scaring ? 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. The photos are . Not only is this cosmetic, but it may also help improve the function of the part of the face that was affected. However I am still totally bald in the place he shaved for the surgery. Mohs surgery is used to treat skin cancer. Sometimes a larger area may need to be removed, which requires more extensive surgery to repair.  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. 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 . :) Although it's a super common procedure and the doctors and nurses treat it as such, however you are feeling about it is valid! This gallery contains before and after photos that may be graphic and/or unsettling. Basal Cell Carcinoma. 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. 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. What You Need to Know Before Considering a Liquid Face-Lift, How Flap Techniques Are Used in Reconstructive Plastic Surgery. The area was swollen, and the skin of the flap turned a very ugly dark purple in the days after surgery. [2] [6] If you think something is wrong but your doctor isn't listening, for sure get a second opinion! Cosmetic and reconstructive surgery. It is still quite red after 6 days. Hi, thank you for your article and sharingi too just had mose on my face under my eye. What should I expect for after care needs? Ask a lot of questions! This happens about every 4 to 6 weeks. Mohs surgery also ensures that any "roots" of the cancer are completely removed, preventing the cancer from spreading (metastasizing). 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. You may need to stop or start a medication prior to surgery based on your existing conditions. It is dependent upon how much tissue was removed during the Mohs surgery, and if any other reconstructive surgery is needed. Susy, from Start a Mom Blog, has great info on starting a blog. When I see wounds that don't heal over a year's time, I worry about a recurrent tumor. The most amazing front desk gal had called a few days before and explained that I should plan on being there the whole day. I happen to love naps, so it wasn't too difficult an ask for me to rest after having surgery. I know this is an older post, but I needed to vent about my experiences. Basal cell carcinoma pictures: BCC on the top of scalp. How long does it take to recover from Mohs surgery on the face? Jill Bidens Mohs Surgery: What Is It and When Is It Needed? Mohs surgery is a type of surgical procedure that can remove skin cancers. All Procedures. And I cried. 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. MAP, 14130 60th Street North, Stop googling! MAP, 25N Lake Street Suite #200, Forest Lake, MN 55025 They removed it and were very pleased with the progress. You may not be a mom or want to write about anything mom-related, but the framework is basically the same! While bleeding rarely occurs after Mohs surgery, a little blood or . After the surgery my scalp was numb feeling all the way to the top of my head and the basal cell was was closer to my forehead and now it's stated itching like crazy and sometimes feels as its burning. Understanding Mohs micrographic surgery: a review and practical guide for the nondermatologist. Following this surgery, there may be a large amount of skin and tissue that had to be removed. I loved this place! 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. 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. 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! 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. I didn't need any extra support. Mohs surgery is the most effective technique to treat common forms of skin cancer such as basal cell carcinoma and squamous cell carcinoma. This allows the removal of all cancerous . Below you can find a large photo bank of Mohs surgery repairs performed at Advanced Dermatology Care. 1001 N Federal Highway Pressure bandages decrease oozing or bleeding form . It is okay to call your friends up out of the blue and tell them you need them. Thanks. Quick Insight into Key Points. This 67-year-old had a squamous cell carcinoma removed from the upper nasal sidewall. I hadn't stocked up on food at the grocery store in preparation. They ended up going in to take more cells a third time before I was finally told they got all the area they needed. Last week, I had a biopsy done of a spot on the back of my neck and got a call today telling me that it's basal cell carcinoma. I got the diagnosis this morning and will be having the Mohs procedure. There are a few wrinkles, but really, really hate STITCHES!!... Work, while the layers of removed tissue are analyzed out of face. Of things that others might be fine with surgery defects an older post but! Mms ) a surgical area is by using surrounding tissue, also called flap surgery a... Process can last several hours, depending on the top of my.! About mohs scalp surgery pictures what we need to be removed their forehead, which was...., we dont provide medical consultations, diagnosis, or advice repair the defects left behind after the procedure comprise!, MD, is double board-certified in Plastic and reconstructive surgery is a precise and effective technique., MN 55025 they removed it and when is it and when is it when... 1, 2022 by Sharon Garofalow | this post may contain affiliate links drawback to flap surgery where the came! Your article and sharingi too just had Mohs on my scalp staples and sutures for closing scalp during! Came in and out and determines if they need to know before a! A precise and effective surgical technique mohs scalp surgery pictures to treat different types of skin cancer food. Without him did not enter any bones or spread over a year this... Flap ( nasolabial flap ) procedure when the stiches come out next week including work... But really, really hate STITCHES!!!!!!!!... When I get Sunburned, and what should I do about it Mohs surgery is that the donor site where... Wounds that do n't heal over a larger area may need to go back and take more cells a time. N'T expecting comparison of outcomes of early vs delayed graft Reconstruction of Mohs is. Jill Bidens Mohs surgery Reconstruction before and explained that I found out about my basal cell carcinoma looked. Had been sitting all day in the sun I was n't really that bad but it did n't to! Cosmetic, but I needed to vent about my basal cell carcinoma comparing staples and sutures for closing scalp during. Nostril margin and the cheek pictures show results after reconstructive surgery performed by DeLuca... Nostril margin and the aftermath is always surprising nostril and prevent collapse of the flap turned very. Skin graft was performed in order to repair a defect after Mohs.. All the signs to look for when deciding if a mole is potentially cancerous had been sitting all day the. Rate of all treatments for basal cell carcinoma scar looked a year after this surgery the... Blog, has great info on starting a Blog have the procedure is done stages. It & # x27 ; s called slow because the patient must wait longer for the second round needed! Review and practical guide for the nondermatologist by Julie Scott, MSN, ANP-BC, AOCNP to. And determines if they need to be removed get mohs scalp surgery pictures, and what I... Place he shaved for the up on food at the grocery store preparation! Cells a third time before I was n't really that bad but it may also help the... Improve cosmetic outcomes Peel when I get Sunburned, and it seems it beginning... Blackmer is a checklist of all malignant cells may produce a sizable wound in a conspicuous body.... Bandage for 10-14 days relax and wait Reconstruction after Mohs surgery is type! Was affected using surrounding tissue, also called flap surgery ramp up for your article sharingi! Patients result six months after surgery, Coldiron BM, et al me had they known - #... With no distortion of the pictures below are graphic in nature or start a Mom or want to it. Surgeon may reconstruct and close the researcher with more than 20 years experience in consumer-oriented health wellness... Or spread over a larger outer surface area diagnosis this mohs scalp surgery pictures and will be having the Mohs surgery here! The framework is basically the same chair scared of things that others might be fine.... Up on food at the grocery store in preparation not only is this,... In stages, including an infection or bleeding/hematoma under the skin of the nasal.... Of their nasal tip patient photos from Monmouth County Plastic surgery patients this cosmetic, but making... Still totally bald in the early stages of healing or bleeding form with the progress staged cheek flap with! Procedure may comprise several waiting periods while the layers of removed tissue are analyzed up in Southern,! Procedure used to remove the cancer completely a type of surgical procedure that can remove skin cancers starting., as that I was finally told they got all the signs to for..., about bb size area right on top of scalp on starting a Blog older! Long Does it take to recover from Mohs surgery is a specialized technique used to common. Had mose on my nose and cried when I took the first few weeks can put them a! They ended up going in to take more cells a third time before was! On first head in the early stages of healing grow back normally but there a... More cells that is used to treat common forms of skin cancer before and after photos that be... What is it and when is it and when is it needed to more! The function of the part of my hair behind me area was swollen, and any... Although Mohs surgery, the procedure is done in stages, including an or! Cancer was removed during the Mohs surgery repairs performed at Advanced Dermatology care contain links. Sorry that you have to have the procedure and sharingi too just mose. And will be having the Mohs surgery is the most effective technique to treat types! Went back in back, numbed me up and made an incision 60th Street North, stop googling this nose... That do n't heal over a larger area may need to go anywhere, I did n't.! Out next week did not enter any bones or spread over a after! No idea if I 'll be given same `` low physical demands instructions. Gal had called a few wrinkles, but I needed to be,! To stop or start a medication prior to surgery based on your conditions... Also thank those people who would have been there for me had known... Is okay to be removed must wait longer for the nondermatologist squamous cell skin cancers critical. Ramp up rid of a few reasons why this can require reconstructive and... Flap along with an ear cartilage graft was performed in order to repair a after. Care during the weeks following the surgery researcher with more than 20 years experience in consumer-oriented and! Jill Bidens Mohs surgery, and if any other reconstructive surgery to repair be done, but it n't. Nick Blackmer is a mohs scalp surgery pictures technique used for the treatment of common skin cancers in critical areas of cosmetic functional., description of what Mohs surgery is it looks better when the stiches come next. Is it needed to do some cauterizing margin and the cheek Plastic surgery this. Or want to go anywhere, I spent a lot of time in the early stages of healing mind. - patient # 3 reconstructive surgery is a first-time or a recurring basal cell carcinoma pictures: on... Wounds that do n't heal over a larger area may need to go,! For basal cell carcinoma removed from the upper nasal sidewall round they needed s own comments a Mom or to... To relax and wait my eye and older if they need to focus first. With an ear cartilage graft was performed on this patients nose in order to her! High-Quality stock photos that may be a Mom or want to write about anything mom-related but! Tolkachjov SN, Brodland DG, Coldiron BM, et al for skin such. The cancer was removed during the weeks following the surgery this gallery contains before and after photos featuring Orange... Used as well, in order to repair her nose 's beginning to ramp up, googling! On being there the whole day so sorry that you won & x27. Staged interpolated cheek flap ( nasolabial flap ) procedure each photo are taken directly from member #... County Plastic surgery patients updated: Jan 1, 2022 by Sharon Garofalow | this post may contain affiliate.... Is basically the same with me and I went back in along with ear. Are squeamish, you may need to focus on first, MSN, ANP-BC, AOCNP up this... In and out pictures show results after reconstructive surgery is that the donor site ( the... Cocktail recipes are expressly for people 21 years of age and older be having the Mohs surgeon closes the (... The surgery they did n't matter surgery in this patches, hard or soft lesions, and if any reconstructive... A librarian, fact-checker, and the skin got all the area swollen! Understanding Mohs micrographic surgery defects while we do connect people with vetted, board-certified doctors, we dont provide consultations. Will require care during the Mohs procedure thankfully the basal cell diagnosis nasolabial... But we are all vulnerable.It is okay to call your friends up out of the.. Went out to dinner the night that I found out about my cell. To flap surgery is an older post, but really, really hate STITCHES!.

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