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Home >>Services >>Minor Surgery >>Mole Removal >>Local Flaps for skin cancer surgery

Local Flaps for Skin Cancer Surgery

Flaps are commonly used for areas that are too tight to be sutured or if suturing will cause undue pulling effects on other parts of the body for example the eye, ear, nose or around the mouth.

Flaps means taking a flap of skin around the skin cancer where the skin is a bit loose and rotating it or advancing it to close the hole left by taking off the skin cancer.

If you a registered patient at Eastmed Doctors, please contact your own GP. If you are casual patient contact Dr Siva to discuss mole removal.

Rhomboid Flap

Rhomboid Flaps are the most common transposition flaps that we use at Eastmed Doctors. They are very successful and gives good cosmetic results

In the example image on this page, if the skin was pulled together after the skin cancer was taken off, it would have pulled the eyebrow up causing disfigurement and significant facial deformity. By rotating a rhomboid flap this was avoided and this went on to heal very nicely.

Flap Marked: Squamous cell cancer just above eye brow, marked and local anaesthetic infiltarted. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Flap Created: Flap carefully created. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Flap stitched: Note that the eyebrow is not lifted -it would have lifted if the defect was closed by pulling it together. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Day 7 Post Op Rhomboid Flap: Shows that the flap has survived. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Day 14 Post Op Rhomboid Flap: Shows good cosmetic result. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Scalp Rotation Flap

Scalp skin cancers are very common. Since the scalp skin is inflexible and cannot be closed by pulling the skin together, we use a rotation flap which is like making a bigger cut and rotating to fill in the defect left by taking off the original skin cancer. This is a very successful procedure and give excellent cosmetic result once it heals up.This is all done under local anaethetic in our surgical theatre at EastMed Doctors.

The crater above this cancer is skin grafting done in the past for skin cancer at Auckland Hospital.

Pre Op SCC Scalp: Squamous cell cancer scalp head. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Pre Op SCC Scalp: Close Up View. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Pre Op SCC Scalp: Macro View. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Pre Op SCC Scalp: Flap Marked. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Post Op:1 week after procedure. Flap has taken very well and nearly healed with good cosmetic result. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)

Post Op:Side View. Click to enlarge (Photo by Dr. Siva Nachiappan/ Eastmed Doctors.)