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Mohs Surgery: Before & After Photos

Surgeries performed by renowned surgeon Dr. Andrew J. Kaufman, Thousand Oaks, CA

Patient Case #4588

This 49 year-old from Camarillo referred herself for Mohs micrographic surgery of a lentigo maligna (melanoma in situ) on the left nasal ala (wing of the nose). The lesion first appeared seven years earlier and had been treated with liquid nitrogen three times. Approximately 3 years ago the skin cancer was excised and repaired with a full-thickness skin graft. The skin cancer recurred one year ago, and her Los Angeles dermatologist recommended treatment with a topical medication (Aldara). She used the medication for six months without improvement and presented to our office for definitive treatment. On examination the skin cancer extended around the rim of the ala to the lining of the nose. A biopsy showed lentigo maligna (melanoma in situ).

The tumor was removed in a one-stage Mohs procedure with immunostain evaluation of the surgical margins. The surgical defect measured 3.5 x 3.2 cm and involved the full thickness of her nasal ala. To reconstruct the defect, the remaining nasal mucosa was recruited to line the nostril, and a cartilage graft from the left ear was used to provide structural support for her nose. A paramedian forehead flap was used to reconstruct the nasal ala and alar rim. The second stage of this flap entailed division and inset of the pedicle that ran from her eyebrow to her nose. The second stage is performed after good blood flow is developed between the nose and the flap (approximately 3 weeks later). The patient was very satisfied with the final appearance of her nose and followed up with a dermatologist to monitor for new skin cancers.

Before
Mohs Surgery
After
Mohs Surgery
Before
Mohs Surgery
After
Mohs Surgery

Testimonials

TM

Thomas M.

My treatment was several hours in duration. The care was provided by Samantha and Dr. Yasmeen Kabir. Both were professional, personable, and gave excellent care. I was completely satisfied. READ MORE

A.C.

A.C.

Dr. Kaufman was outstanding! So professional and reassuring. The nurses were so kind! I had BCC removed through Mohs surgery. I have seen doctors around the world and this was the best medical experience I have ever had. READ MORE

C

Cengen

Dr. Kaufman and his crew were awesome. I felt comfortable during surgery, and the nurses were amazing. Dr. Kaufman is intelligent, highly skilled, attentive to details, and his dry sense of humor is funny. READ MORE

  • Dr. Andrew Kaufman

    Dr. Andrew Kaufman, MD, FACP

    All California Locations

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  • Yasmeen Kabir, MD

    Yasmeen Kabir, MD

    All California Locations

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