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Ectropion Repair and Direct Brow Lift in Treatment of Squamous Cell Carcinoma

by Joseph Walrath | Nov 8, 2017 | Brow lifting, Ectropion, Eyelid Malposition, Reconstruction, Tumor

This 81 year old gentleman came to see me because he had poor vision from a drooping brow, and discomfort from a folded out lower lid.  He had a significant history of sun exposure throughout his life and developed an extensive squamous cell carcinoma on the...
Recent results after reconstruction for basal cell carcinoma

Recent results after reconstruction for basal cell carcinoma

by Joseph Walrath | Oct 15, 2017 | Reconstruction, Tumor

This patient is seen 5 months after reconstruction of a left lower lid defect.  The tumor was removed with the Mohs technique, performed by a specially trained dermatologist.  The reconstruction was performed by Dr. Walrath.  

Reconstructing cancer defects of the cheek

by Joseph Walrath | Jul 1, 2016 | Reconstruction, Tumor

Cheek reconstruction differs from eyelid reconstruction in a few important ways.  One the them is the presence of a large “named” vessel, the infraorbital artery.  The use of this vessel allows for a type of reconstruction that is not available in eyelid...

Sometimes it makes sense to do a cosmetic procedure at the same time as a reconstructive procedure

by Joseph Walrath | Nov 30, 2015 | Cosmetic, Reconstruction, Tumor

Combined cosmetic and reconstructive procedures Often times, during a reconstruction, it makes good sense to perform a cosmetic procedure at the same time.  For example, I recently lifted the left upper lid on a forty-ish year old woman who was born with a...

Reconstructing large eyelid defects after skin cancer removal

by Joseph Walrath | Oct 11, 2015 | Reconstruction, Tumor

One year after cancer removal and reconstruction, a patient with basal cell carcinoma (now disease-free) returned for followup evaluation.  Happily, there was no visible recurrence of carcinoma. Her story started with a non-healing ulcer of the right lower lid.  This...

Two stage lid reconstruction: when the whole eyelid is lost from cancer

by Joseph Walrath | Mar 5, 2015 | Reconstruction, Tumor

Occasionally, a skin cancer turns out to be significantly larger than is thought at first glance. As a matter of course, for eyelid tumors, a dermatologist trained in the “Mohs technique” (in which tumors are removed layer by layer and evaluated to ensure...
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