Head & Neck
Surgeries performed by Dr. Scott Geiger and Dr. John Hulsen in Chesterfield, MO just outside of St. Louis.
Patient 11
This patient developed basal cell cancer of the nose. She underwent Mohs excision by her dermatologist and Dr. Geiger reconstructed the defect with a “bilobed flap.” This relies on the plastic surgery principle of “replace like tissue with like tissue” whenever possible and used her remaining nasal skin to rotate over and close the hole. […]
Individual results may vary.
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Patient 12
This patient developed a melanoma to his scalp requiring removal with at least 2cm margins around the entire lesion. This left a defect too large to be closed with his remaining scalp tissues. Thus, he had a skin graft reconstruction which allows quick healing and good future monitoring for any cancer recurrence. The defect will […]
Individual results may vary.
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Patient 13
This patient developed an aggressive melanoma to the back of his neck requiring a very large removal of skin, muscles, and lymph nodes (black outlined marks). Dr. Geiger used a separate muscle and overlying skin from his left back to rotate up into the defect and provide healthy coverage of the defect. […]
Individual results may vary.
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Patient 14
This patient developed a 2.5cm x 2.2cm melanoma in situ of his forehead (brown area surrounded by dots). This was resected with 5mm margins leaving a 3.5cm x 3.2cm defect. Once resection margins were confirmed clear, Dr. Geiger closed this large central forehead defect using a combination of rapid intraop subfrontalis tissue expansion and tissue […]
Individual results may vary.
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Patient 15
This patient had a 3.2cm wound of the left ear helical rim after Mohs resection of a basal cell skin cancer. Dr. Geiger performed an Antia-Buch flap, rearranging the ear tissue and cartilage to complete the reconstruction. […]
Individual results may vary.
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Patient 16
This patient developed concurrent left cheek melanoma and basal cell cancers. She underwent excision of both of these lesions with appropriate margins under a local anesthetic. During the same operation her cheek tissues were released and closed with meticulous techniques, orienting her scars along natural wrinkle lines. Here she is 4 months later, and already […]
Individual results may vary.
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