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Doctor insights on: Surgeons Melanoma

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Dr. Mike Bowman
950 doctors shared insights

Skin Cancer (Definition)

A condition in which some element of your skin--which is one of the most complex organs in the body--degenerates into cancer. The three most common types of skin cancer are: basal cell, squamous cell, and melanoma which occur in that order and degree of aggressiveness. Although heredity plays a major role, sun exposure and tobacco use and ...Read more


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Had melanoma and large part of cheek excised by plastic surgeon (was a beauty queen once so looks matter). What followup?

Had melanoma and large part of cheek excised by plastic surgeon (was a beauty queen once so looks matter). What followup?

Stage?: Follow up and further treatment recommendations are dependent on stage of tumor. If early stage disease there is no recommended follow up exams other than dermatological surveilance. ...Read more

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How do surgeons deal with facial asymmetries when performing cancer reconstruction surgery? I recently had a surgery for facial melanoma on my left cheek. I will soon undergo facial cancer reconstruction surgery to restore my physical appearance to an acc

How do surgeons deal with facial asymmetries when performing cancer reconstruction surgery? I recently had a surgery for facial melanoma on my left cheek. I will soon undergo facial cancer reconstruction surgery to restore my physical appearance to an acc

Facial recon: There are many options for facial reconstruction. It depends on the defect itself, the location and the surrounding soft tissue. You should see a board certified plastic and reconstructive surgeon to go over your options. ...Read more

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Dermatologist referred me to plastic surgeon for suspicious scalp lesion removal. Was that for cosmetic reasons or because they suspect melanoma?

Dermatologist referred me to plastic surgeon for suspicious scalp lesion removal. Was that for cosmetic reasons or because they suspect melanoma?

Scalp Lesion: No way for me to know that based on sketchy information; be sure to ask the surgeon for the reason for the referral and discuss in depth. If the lesion is to be removed by the surgeon, the definitive diagnosis will be made by the consulting pathologist. No reason for undo alarm until you know more facts. Remember that even melanomas, caught in early stages, are highly curable. ...Read more

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There is a mole on my back..A surgeon told me its not melanoma. Around it there is pain and it causes pain to my right arm too.. Infection?

There is a mole on my back..A surgeon told me its not melanoma. Around it there is pain and it causes pain to my right arm too.. Infection?

Need exam: Now that you know what the mole "isn't", i would ask him/her what it "is". It sounds like you are have enough symptoms to warrant removing the mole and examining it under a microscope to see what it is. An infection should cause the skin to turn red, with swelling, and pus drainage. ...Read more

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Does perlane work to plump up surgical scars? I have a small depression on my cheek, next to my nose from a melanoma removal. I did have a plastic surgeon do the surgery, but apparently he had to go deeper than we thought to make sure he got it all. Would

Does perlane work to plump up surgical scars? I have a small depression on my cheek, next to my nose from a melanoma removal. I did have a plastic surgeon do the surgery, but apparently he had to go deeper than we thought to make sure he got it all. Would

Facial : Facial fillers such as restylane, (dermal fillers) collagen, perlane, sculptra and even your own tissues taken from another part of your body (fat injections) are commonly used to fill out wrinkled or uneven areas of the face. Be sure to discuss your options with a board certified plastic surgeon to determine the best option to help make your cheek depression from the melanoma removal less noticeable. ...Read more

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Can plastic surgeons remove skin from noses for a small are of skin cancer?

Can  plastic surgeons remove skin from noses for a small are of skin cancer?

Yes--: That's the kind of thing I do very frequently. Small skin cancers on the nose can be removed and reconstructed with local tissue giving an excellent cosmetic result. ...Read more

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My pcp found a skin cancer on my nose. Can anyone recommend a good mohs surgeon?

My pcp found a skin cancer on my nose. Can anyone recommend a good mohs surgeon?

Mohs College (ACMS): It is important that you verify that your mohs surgeon is recognized as a fellowship-trained surgeon. Only members of the american college of mohs surgery (acms) are fellowship trained to perform mohs surgery. All members and fellows of the acms are listed on their website directory. The link to the acms website: <a href="http://www.Mohscollege.Org/" rel="nofollow" target="_blank">http://www.Mohsc. ...Read more

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Why should I see a plastic surgeon or mohs surgeon instead of derm doctor for skin cancer removal and repair?

Why should I see a plastic surgeon or mohs surgeon instead of derm doctor for skin cancer removal and repair?

Location: Skin cancers in difficult places(eyes, nose, ears) should always be removed by mohs surgery. It is the only procedure that will assure you have had your skin cancer removed completely. Mohs surgeons are excellent at repairing defects and if they are not confident in their skill they will let a plastic surgeon repair the defect. ...Read more

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What is a melanoma?

What is a melanoma?

A type of skin cance: Melanoma is a type of skin cancer that arises from the pigmented cells (melanocytes) in the skin. In general, it is more malignant than the other two common skin cancer types (basal cell and squamous cell), but early melanoma has a good prognosis. Look online for the abcde for diagnosing melanoma. If you have a suspicious mole - have it checked out by a deramatologist. It could save your life! ...Read more

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How is melanoma diagnosed?

How is melanoma diagnosed?

Learn your ABCD's: Definitive diagnosis is made by biopsy. Melanomas are screened by the abcd's: a-asymmetry; b-irregular borders; c-different colors; d-diameber >6mm (size of pencil eraser). If you notice a mole with these characteristics, get it checked out asap. If you have a skin lesion which is growing, ulcerating, bleeding, or otherwise changing, get it seen as well for evaluation and possible biopsy. ...Read more

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What exactly is a melanoma?

Cancer of melanocyte: Melanoma is cancer of melanocytes. Melanocytes are cells that produce the dark pigment, melanin, which is responsible for the color of skin. These cells predominantly occur in skin, but are also found in other parts of the body, including the bowel and the eye (see uveal melanoma). Melanoma can originate in any part of the body that contains melanocytes. ...Read more

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Is melanoma hereditary? How?

Is melanoma hereditary? How?

IN A SENSE: A positive family history of melanoma is a risk factor. So is hair-blonde or red-color and eye-blue or green-color, which of course you inherit. The biggest risk factor, though, is sun exposure. ...Read more

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How often is melanoma 1-2 mm?

Quite common: Most melanomas in the US are diagnosed when they have thickness of 1mm to 3mm) are diagnosed in about 30% of patients and carry an intermediate prognosis with a risk of recurrence between 15-30%. ...Read more

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Which symptom did you have of melanoma?

Which symptom did you have of melanoma?

Use ABCDE RULE: It's best to see a dermatologist but a good rule of thumb is the abcd guidelines a=asymmetry of lesion b=border is irregular c=colors are multiple and not consistent d=diameter is greater than 6mm e=evolution of lesion with changes and enlargement. ...Read more

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How should you know if you have melanoma?

How should you know if you have melanoma?

Skin cancer : Most skin cancers are the result of excessive sun exposure/tanning. Genetics play a strong role too. Any skin lesion that is changing size, color, shape or an area that does not heal is suspicious for skin cancer and should be evaluated by a dermatologist. ...Read more

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Is there any therepies available for melanoma ?

Is there any therepies available for melanoma ?

Yes: In addition to the surgery mentioned, there are new drugs for melanoma. One, called ipilumimab, is not chemotherapy. It is an immunologic therapy that was approved for use in 2011. It is the first drug to improve survival in stage IV melanoma, and some patients are alive 5-6 years after diagnosis with stage IV melanoma while on the drug. Have hope! ...Read more

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How effective is Dabrafenib for treating melanoma?

Hopeful but not cure: Patients with a V600 BRAF mutation, approximately 40-60% of melanoma patients! and with metastatic/advanced disease may benefit from Debrafenib. However it is not a cure and it tend to prolong disease free survival rather and is typically used in combination with other treatments for optimal outcomes ...Read more

Dr. Travis Kidner
2,627 doctors shared insights

Melanoma (Definition)

Cancer of the melanocyte cells. Melanocyte cells determine the color of your skin. Although these cells are primarily found in your skin, they can also be found in the bowel ...Read more