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Elliptical Excision

Elliptical (side-side/direct) closures. 
This type of surgery is where a skin lesion is removed in the shape of an ellipse/oval and the two skin edges are stitched together side by side.


This picture was taken immediately after surgery on the left cheek.  In this case a large Basal Cell Carcinoma was removed and the skin edges were sutured under the skin with a synthetic material called monocryl (Poliglecaprone) that is absorbed by the skin usually within four to eight weeks.  Steri-strips are placed on the surface of the skin to line the skin edges up perfectly and a dressing is placed over the top.

 
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Skin Flaps

Skin Flaps shift neighbouring skin to cover the hole filled by removal of a skin cancer.  It is done in such a way that the least tension is created on the skin to produce the best cosmetic result.


To the left is a squamous cell carcinoma. These pictures show the stages of planning, removal of tumor, then closure of the skin with a flap - this type of flap is called a 'bilobe'.

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Skin Grafts

Skin grafts is one of our specialties and an area we are highly skilled in.

Essentially there are two types of skin grafts. Full thickness or partial thickness.  The first and most common is the Full Thickness Skin Graft.  This involves taking a piece of skin from an area of the body that has similar colour and thickness to the area of skin that has been removed with the skin cancer. Below are some pictures of that procedure that we have done.