Kenneth W. Neal, MD

Laser Genesis treatments can be done every 2-4 weeks.    With little to no downtime, it is a nice treatment option for treating fine lines/wrinkles, acne scars, facial redness, uneven skin texture, and large pores.  Multiple treatments are recommended for best results.

Xeomin is the latest FDA approved product for the temporary improvement of moderate to severe glabellar lines in adults.  Botox, Xeomin, and Dysport are similar products that have unique differences in their chemical structures. The treatment and final results are nearly identical.  

Depending on the size and location of the surgical defect, second intention healing can give a better cosmetic result than having reconstructive surgery.  However, it is not appropriate in all cases.  

If matching the adjacent skin is a concern, a flap or complex closure depending on the size and location of the nasal defect will give a better match to the adjacent nasal skin. The level of care required will be greater with the flap, but the aesthetic results after it has completely healed will be worth it.  

If you decide to let the wound heal on it's own and you are not satisfied with the final outcome, a revision procedure can be planned with your reconstructive surgeon.

 

Basal cell carcinomas (BCCs) are considered "slow" growing tumors when compared to other skin cancers.   They are locally destructive tumors.  However, please keep in mind that the rate of growth and the amount of tissue damage from a BCC will vary from individual to individual depending on multiple factors.    

The benefit of Mohs surgery is that this procedure will be able to pinpoint  and remove the visible portions of the BCC as well as the roots of the BCC so that the surgical site will be clear of carcinoma.  After the margins are clear of carcinoma, the surgical defect can be safely reconstructed.  

Recovery time is dependent on multiple factors.  Some of these factors include  the location, the size of the defect post-operatively, and the type of repair performed.  For example, the face will heal faster than any of the other locations on the body, such as the legs which usually heal the slowest.. 

Your recovery time will also be dependent upon the wound healing process.  There are many factors that impact  wound healing time.  Factors that impact wound healing include:  age, stress levels, chronic hypoxia, medications, nutrition, infection, smoking, alcohol consumption, and systemic diseases such as diabetes.

Because each individual's recovery time is dependent on many variables, I highly recommend discussing this with the Mohs Surgeon in your area so you are adequately prepared for the recovery.