Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 41-year-old gentleman had an enlarging, occasionally bleeding skin mass on the nasal tip.  Subsequent, in-office removal with binocular microscopy positively identified it as a Basal Cell Carcinoma – with clear surgical margins all around.  Immediate reconstruction by Dr David Hartman at Fine Arts Skin & Laser gave him outstanding cosmetic results using a Bilobed Flap to give perfect skin texture and skin color matching.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

Upon initial examination of this 72-year-old male with a non-healing ulcer and mass of the lower lip, he was found to have a rather advanced and invasive squamous cell skin cancer on a facial location that is important both functionally and aesthetically. A careful and thoughtful skin cancer removal and reconstruction at Ohio’s Fine Arts Skin & Laser was needed to reliably remove this dangerous cancer and still avoid mouth deformity. A  wedge resection and tissue flap was designed to completely remove the cancer while maintaining a normal-looking and functioning mouth. He reported being very pleased with his outcome.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

Upon the initial examination of this 62-year-old male with an enlarging skin mass on the outside corner of his nose, he was found to have an invasive basal cell skin cancer on a facial location that is important both functionally and aesthetically. A careful and thoughtful skin cancer removal and reconstruction at Ohio’s Fine Arts Skin & Laser was needed to avoid nose and lip deformity. A novel tissue flap was designed to completely remove the cancer while maintaining a normal-looking and functioning nose and mouth. He reported being extremely pleased with his outcome.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

Upon the initial examination of this 48-year-old male with a non-healing ulcer on the outside corner of his eye, he was found to have a rather advanced and invasive basal cell skin cancer on facial location that is important both functionally and aesthetically. A careful and thoughtful skin cancer removal and reconstruction at Ohio’s Fine Arts Skin & Laser was needed to avoid eyelid deformity. A novel tissue flap was designed to completely remove the cancer while completey maintaining a normal-looking and functioning eye. He reported being delighted with his outcome.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

A newer flap known as a “crecentic flap” was the perfect choice of reconstruction on this challenging upper lip skin cancer reconstruction.  Facial plastic and reconstructive surgeon, Dr David Hartman of Fine Arts Skin & Laser used binocular microscopy to get 100% cancer removal and used a novel flap to give outstanding functional and cosmetic reconstruction.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 76-year-old woman had an enlarging, suspiciously dark skin cancer of her left mid cheek. Initial biopsy correctly identified it as melanoma.  After binocular-microscopic-assisted removal of the cancer w/ sentinel node biopsy (fortunately found to be without metastases of the melanoma), Dr David Hartman at Fine Arts Skin & Laser used an advanced cheek/neck rotation flap to completely restore the function and aesthetic of her left face.  She is now 5 years cancer free and delighted with her functional and aesthetic results.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 75 year old gentleman, had and enlarging patch of his upper forehead that would occasionally bleed and sting.  Careful examination with binocular microscopy in the office identified it as a large multifocal squamous cell carcinoma.  Comfortable, awake, in-office removal of the skin cancer – again using the binocular microscope – entirely removed the cancer.  Immediate reconstruction with a large, bi-directional rotation flap has restored a normal-looking face with only minimal scar evidence that the cancer was ever there. He is now 4 years cancer-free and very pleased with the cosmetic result.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 75-year-old woman was found to have a large, rapidly developed squamous cell skin cancer on her nose. This cancer was removed in our Ohio Fine Arts Skin & Laser office procedure room, followed immediately by a “bilobed flap” reconstruction to yeild a nose with an ideal skin match in color and texture. Her healing time was 1 to 2 weeks. Subsequent CO2 laser scar treatments left imperceptable scarring. Her entire cancer was removed once and for all, and the reconstruction was completed in the same one-hour office visit. This patient was delighted and relieved that the process was so simple and comfortable.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This is an 81-year-old female had an enlarging, invasive squamous cell carcinoma skin cancer of her nasal tip.  Fortunately for her, a comfortable, in-office procedure using binocular microscopy by Dr David Hartman at Fine Arts Skin & Laser removed the entire skin cancer followed immediately by a “bilobed flap” reconstruction.  This bilobed reconstruction is far superior to skin grafting as the color, thickness and texture matching of the flap skin is perfect – as opposed to skin grafting (not used in our practice) techniques which often have poor thickness and color matching.  This patient’s stitches were out in a week. She has had no cancer recurrence at 3 years, and her incision sites are only barely detectable.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 57 year old had a large skin cancer that had begun to be itchy and occasionally bleed.  Comfortably removed in the office OR, this rather large shoulder defect was closed using a “double M-plasty” reconstruction technique yielding far superior functional and cosmetic results to a more traditional approach of skin grafting (not done in our practice).  He has continued to be cancer free at 6 years and is excision scar is entirely acceptable.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 48-year-old gentleman came in with a rapidly enlarging upper lip mass which was found to be a squamous cell carcinoma skin cancer. He was treated by Facial Plastic and Reconstructive Surgeon, Dr David Hartman at Fine Arts Skin & Laser in Dover, Ohio.  A comfortable, in-office removal using binocular microscopy successfully removed the cancer entirely. The cancer removal was immediately followed by an O-to-T flap reconstruction yielding outstanding functional and cosmetic results.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

89-year-old female sent in by relative with an invasive squamous cell carcinoma skin cancer on the side of temporal face.  Easy, and comfortable removal and reconstruction in the office procedure room by Dr David Hartman at Fine Arts Skin & Laser gave her a complete removal with a nice cosmetic result.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 64-year-old male had 2 skin cancers on parts of the nose that are very challerging to reconstruct.  The two cancers were first removed with binocular microscopy then immediately reconstructed in the office procedure room by facial plastic surgeon, Dr David Hartman of Fine Arts Skin & Laser, Dover, Ohio.  The skin cancer of the side wing (ala) of the nose was the more complicated of the 2 reconstructions.  Dr Hartman used a novel “dragon flap” to maintain the delicate curves and creases thus preserving a normal, natural-looking nose.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 88-year-old female was referred by her family physicain for an enlarging and bleeding skin cancer of the interbrow area. The rather aggressive squamous cell carcinoma skin cancer was comfortably removed in the office procedure room by Facial Plastic and Reconstructive Surgeon, Dr. David Hartman at Fine Arts & Laser, Dover Ohio.  Binocular Microscopy was used to get full removal of the cancer.  A “Note Flap” was used to give outstanding cosmetic and functional reconstruction.  The patient has been very pleased with the ease and professionalism of her care.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 67-year-old female had a neglected skin cancer of her chin – found by Dr David Hartman of Dover, Ohio’s Fine Arts Skin & Laser to be an aggressive basal cell carcinoma.  Although Dr Hartman does most skin cancer removal/reconstructions in his private office procedure rooms, this case warranted general anesthesia in a hospital OR.  After the cancer removal using binocular microscopy, a bidirectional advancement flap yielded an excellent functional and cosmetic reconstruction.  Patient was very pleased with her results.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

Upon the initial examination of this 48-year-old male with a non-healing ulcer on the outside corner of his eye, he was found to have a rather advanced and invasive basal cell skin cancer on facial location that is important both functionally and aesthetically. A careful and thoughtful skin cancer removal and reconstruction at Ohio’s Fine Arts Skin & Laser was needed to avoid eyelid deformity. A novel tissue flap was designed to completely remove the cancer while completey maintaining a normal-looking and functioning eye. He reported being delighted with his outcome.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

This 83 -year-old female was referred by her family physician with an enlarging, itchy, crusty skin cancer of the upper half of her nose which was found to be a basal cell carcinoma skin cancer.  At the office of Dr David Hartman of Fine Arts Skin & Laser, the skin cancer was comfortably and completely removed in the office procedure room under local anesthesia,  To maintain excellent cosmetic and functional results a novel “barn doors” flap was used to reconstruct the nose after the cancer removal.  Patient has been delighted with the results
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

86-year-old female with a  large bridge-of-nose skin cancer was referred  by a friend to facial plastic and reconstructive surgeon, Dr David Hartman of Fine Arts Skin & Laser for convenient in-office removal and reconstruction of the cancer – in this case, using a “note flap”.  She had complete cancer removal and excellent functional and cosmetic results.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

The nostril of the nose is one of the most difficult areas on the body to reconstruct after mediaum to large skin cancer removals.  Facial plastic surgeon, Dr David Hartman of Fine Arts Skin & Laser in Dover Ohio removes and reconstructs nearly 2,000 skin cancers each year using binocular microscopy on every case. Nearly all cases are done with the patient comfortably awake – making the cases far more patient-convenient and cost-effective compared to going to the operating room.  On this very challenging nostril cancer case, an “island transposition flap” was used to give a reconstruction with excellent preservation of appearance and function.  Patient was delighted with his results
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

The outer side of the ear is a difficult body area to reconstruct because there is very limited extra skin to pull across the defect left after the skin cancer has been removed.  This problem is solved using the “cat scratch” flap developed by facial plastic surgeon, Dr David Hartman of Fine Arts Skin & Laser in Dover, Ohio.  The cat scratch flaps converts the single wide defect into 3-5 smaller cresent-shaped defects that then heal by “secondary intention” in 1-3 weeks – leaving an ear that usually has an undetectable scar.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

The “wing” of the nose, also known as the “ala” is difficult to reconstruct after skin cancer removal.  Here, facial plastic surgeon, Dr David Hartman of Fine Arts Skin & Laser uses a novel “dragon rotation flap” to give an excellent functional and asthetic result.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

Straight-forward excision and repair – in this case on the nasolabial fold of the upper lip.  Facial plastic and reconstructive surgeon, Dr David Hartman used binocular microscopy to get achieve a single-treatment cure rate on this cancer removal above 99%.
Skin Cancer Reconstruction

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Skin Cancer Reconstruction

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Skin Cancer Reconstruction

Slide Schedule your appointment with Dr. Hartman today. 330.364.5656 Schedule Your Appointment