Columbus Mohs Surgery doctors
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Larisa Ravitskiy, MD
Columbus Dermatologist
602 Morrison Rd, Gahanna |
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Brian Biernat, MD
Columbus Dermatologist
428 County Line Road West Ste 200, Columbus |
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Stephanie Cotell, MD
Columbus Dermatologist
925 N. Hamilton Rd. Suite 100, Gahanna |
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Alan Parks, MD
Columbus Dermatologist
150 Taylor Station Rd. Suite 250, Columbus |
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Mark Preston, MD
Columbus Plastic Surgeon
765 N. Hamilton Suite 130 , Gahanna |
Recent Answers
On 8/4/11 I received a Pathology Report which stated; SKIN LESION RIGHT MEDIAL MALAR CHEEK: SMALL MODULAR BASAL CELL CARCINOMA. Comments; Nests and cords of basil cell carcinoma cells exhibit peripheral palisading and are at the dermal-epidermal junction with extension into the underlying dermis. The lesion extends just barely up into the deep margin. NOTE: We have been planning a trip for September and October for some time. Would it be feasible to wait until we return to have the Mohs?
Basal cell carcinoma is not an agressive skin cancer; it has a tendency to linger and grow slightly larger and deeper with time. Only very rarely does it spread to organs outside skin, such as lymph nodes. Given a small size and non-aggressive histology (what it looks like under a microscope), you can wait a couple of months to do surgery. Once you identify the time frame that is convinient to you, schedule an appointment right away to avoid further delay.
I had a BCC removed on my nasal ala with Mohs Surgery 6 months ago. A rhomboid flap was used to repair it. The flap has been raised from the beginning and my nose does not look symmetrical. The crease cannot be seen on the right side because of the elevated flap and there is also a bony protrusion just to the right of the tip that shows as a white bump. A shadow and pulled look shows along the bottom edge of the flap. No cartilage was added when repaired. Please offer suggestions. Thanks.
Nasal symmetry can be achieved by undergoing revision so that the missing groove can be sculpted to match the other side. It is a fairly straight forward procedure. It is difficult to appreciate the other changes on the photos provided so it is difficult to say what type of revision would be most appropriate. Importantly, scar remodeling takes place over the course of a year so the final result is likely to be more pleasing that what you are seeing right now. Meanwhile, raise your concerns with your surgeon so that you have a plan of action if you are not satisfied with the final outcome.
I had Mohs surgery by a dermatologist with the repair being done by a Plastic Surgeon 7 months ago. The dermatologist is suggesting the efudex treatment to address pre-cancer issues on my face. However, the Plastic Surgeon has stated that a revision will need to be done on the flap due to trap door deformity. My question is which procedure should be done first - the revision or the efudex?
It may not matter much which one is done first all that much. I typically recommend my patients to begin Efudex in the fall or winter as the skin irritation from Efudex is aggravated by heat and sweat. If you choose to undergo revision before Efudex, the incision from plastic surgery will also have to be completely healed before beginning the treatment.