Surgical Portfolio

Before and After Photos

The following are before and after photos of real Clarus Dermatology patients.

Surgical Procedures

Keloid Tumor Excision

This gentleman was referred to our clinic for a keloid growth that had worsened after prior plastic surgery excision. The tumor was excised under local anesthesia, repaired with low-inflammation monofilament sutures, and treated with adjuvant intralesional steroid injections into the area of scar. The postoperative photograph shows a satisfactory cosmetic result without recurrence of the keloid scar 6 months post-surgery.

Final picture is 4 months post surgery

MICROGRAPHIC SURGERY

57 YR OLD MALE WITH SQUAMOUS CELL CARCINOMA
LOCATION: Left Lateral Canthus
ASSISTANT SURGEON: Neil A. Shah, MD, FAAD

Final picture is 1 year post surgery

MICROGRAPHIC SURGERY

73 YR OLD MALE WITH SQUAMOUS CELL CARCINOMA IN SITU.
MOHS MICROGRAPHIC SURGERY
LOCATION: Left Lateral Canthus
ASSISTANT SURGEON: Neil A. Shah, MD, FAAD

An elliptical incision was made to remove Burow’s triangles x 2 around the surgical defect.

Final photo 7 months post surgery

RE-EXCISION LEFT DISTAL ARM

66 YR OLD FEMALE
PREOPERATIVE DIAGNOSIS: Melanoma T1A 0.4mm
LOCATION: Left Upper Distal Arm
ASSISTANT SURGEON: Neil A. Shah, MD, FAAD

A lesion measuring 1.0 x 0.6 was excised to the level of the subcutaneous tissue with 10mm margins for a total excision diameter of 3.0cm.

Mohs Surgery

This patient was treated for a squamous cell carcinoma in situ of the cheek. The surgical defect was closed with a linear repair. Unique to our surgical technique is the use of fractional ablative laser starting at the time of surgery and continuing as needed every 30 days. The patient shown here is 30 days out from his procedure with minimal visible scar. The subtle ‘ridge-like’ projection of the repair is by design. It will completely flatten out over the coming months. While there is no way to perform surgery without leaving a scar, our patients typically enjoy a very rapid recovery with excellent cosmetic outcomes.

Mohs Surgery

This patient was treated for a squamous cell carcinoma of the temple. The surgical defect was closed with a linear repair. Unique to our surgical technique is the use of fractional ablative laser starting at the time of surgery and continuing for 90 days. The patient shown here is 60 days out from her procedure with minimal visible scar. While there is no way to perform surgery without leaving a scar, our patients typically enjoy a very rapid recovery with excellent cosmetic outcomes.

Mohs Surgery

This patient was treated for a squamous cell carcinoma of the finger with Mohs surgery. A rhombic flap was used to repair the resulting defect. The final photograph shows a well healed surgical wound at post-operative day 90.

Mohs Surgery

This patient was treated for a basal cell carcinoma of the forehead with Mohs surgery. Primary closure leaves minimal visible scar at post-operative day 90. All of our surgical patients receive laser resurfacing at no additional charge to minimize the appearance of the surgical scar.

Mohs Surgery

After clearance of a basal cell carcinoma with Mohs surgery the resulting defect was reconstructed using a flap. The postoperative result shows no distortion of the ala, cheek/lip junction or lip border at day 90.

Mohs Surgery

Our patient had two separate but closely spaced basal cell carcinomas on her nose. The tumors were cleared with Mohs surgery. The resulting defect was closed with a single-stage cheek advancement flap. The patient enjoys normal breathing through the right nostril, excellent postoperative nasal symmetry, minimal distortion of the cheek/nose/lip junction and a very fine scar-line.

Mohs Surgery

In this case, a basal cell carcinoma of the nose is cleared with Mohs surgery and subsequently repaired with an advancement flap. At day 90 minimal scar is visible; there is no distortion of the ala or reduced nasal valve function.