I chose to spend a lot of time in bed. First my husband and I were brought warm cinnamon swirl bread from the front office gal. The team offers unique skills in the reconstruction of the nose, face, ears, neck and scalp after Mohs surgery for skin cancer. Limit Sun Exposure & Wear Sunscreen. If you are squeamish, you may want to skip it. You may need to stop or start a medication prior to surgery based on your existing conditions. Until you go through it you really dont understand. Basal cell carcinoma pictures: BCC on the temple . Thanks. Reconstruction of the lip was performed with a two staged Abbe-Estlander flap. 1065 cases of squamous cell carcinoma of face, scalp . 1. I'm mentally preparing because everyone says the first few weeks can put them into a depression seeing the incision. This is how the basal cell carcinoma scar looked on Christmas (about a month after the Mohs surgery). I am scheduled for Mohs surgery in 2 1/2 weeks and very stressed about it. Reconstructive Plastic Surgery Before and After Photos. and we've set about prioritizing what we need to focus on first. I left only when I had to. Oh and its also about how I became depressed. This kind of flap has a texture identical to what was there before the lesion. Thank you for sharing. Susy, from Start a Mom Blog, has great info on starting a blog. At any rate, VERY MUCH APPRECIATE your article and insight so hopefully bit better prepared. Goals: Reconstruction to repair a large defect of the right nose after MOHS surgery . By Julie Scott, MSN, ANP-BC, AOCNP To indicate your consent and enter the gallery or decline, please click the appropriate button below. So I didn't make any special phone calls to friends with news of my skin cancer. Head case: Mohs scalp excisions require refined touch. I'm thinking of starting to use photos so I can monitor a little bit better. He comforted me, he let me sulk, he handled the boys. [1] [2] It is a speciality with both medical and surgical aspects. It was healing well but I started notice something spitting from it, maybe a stitch. So while the original red mark appeared to be very small, the cancer was actually much larger below the surface. But I do hear that is how most people experience it. Reconstruction was achieved using a T-pattern (also called an O to T flap) complex closure, meaning that the skin was brought together and rearranged above the red (vermillion border) of the lip so that the lip itself would not be interrupted or bunched. He and his staff enjoy providing this service for our patients, as well as, for the patients of other referring health care providers, and believe this is a great asset to our community from our practice. It doesn't necessarily mean something is wrong." He doesn't do well in medical situations so we thought this photo, of him pretending to have passed out, seemed appropriate. That wasn't in the plan! Jon says the numbing shots were the worst part of both Mohs surgery and the following flap surgery, which he had on the same day. Jill Biden has undergone Mohs surgery to remove a small lesion her doctor discovered during a routine skin cancer examination. As it is, my "herky-jerky" slow walking, imbalance, etc. I don't want any McPerverson's coming to my site after searching for the female body part - and I think you can figure out which one I mean). Scheduled day after tomorrow (Thursday) for Mohs surgery for a BCC on face between upper lip and nose, left side, and finally decided to see what to expect! I too somewhat underestimated the procedure and recovery. The photos are . Goals: Skin graft for repair of a MOHS surgery defect on the bridge of her nose, Goals: A cheek rotation flap performed to close this defect from MOHS surgery, Goals: Bialteral advancement flap performed after MOHS surgery, Goals: Island advancement flap closure of upper lip MOHS defect. Read our. Note that we cannot verify these diagnoses , and we always recommend consulting a . This patient underwent a neck transposition flap and a forehead and cheek rotation flap procedure to close this large defect. Because of the stitches from Mohs surgery, I couldn't pick up my boys or lift anything heavy. ALL RIGHTS RESERVED. Last medically reviewed on October 27, 2021. Week 1. Mohs surgery is typically done on tissue-sparing areas, such as the face, scalp, ears, and hands. The technique reduces recurrence and maximizes cosmetic results, often leaving little more than a small scar as evidence of the surgery. Mohs surgery of the scalp requires careful excision, tissue processing and closures, keeping in mind the intricacies of scalp anatomy, an expert says. I'm just concerned the swelling 5 days post-op could be concerning and it seem unusual to me that the swelling is near my temple when the surgery was on my scalp. Goals: A transposition flap was performed to repair this nasal defect. I'm so glad she felt like I needed to see more of a specialist because the first things the dermatologist wanted to address were the mole with the white ring and red spot. The dermatologist did round one. For basal cell carcinoma, the cure rate is up to 99% for new cases and up to 94% for recurrent cases. I just couldn't stop. The Mohs surgery technique is associated with a low recurrence rate for BCC and is preferred for higher risk tumors and for tumors in cosmetically sensitive sites on the head and neck. As described in the January 1 and January 2, 2014 posts, two weeks ago, on December 30, 2013, the basal cell carcinoma in the part line of my scalp was excised using Mohs micrographic surgery (see the November 21, 2013 post).Yes, what I said before is true: after having a total robot-assisted laparoscopic hysterectomy for uterine (endometrial) cancer, I . Warning- Some of the pictures below are graphic in nature! Some may argue that patients in their 90s with a nonfatal . This is the full procedure and includes the entire surgery. That is how my phone conversation went with a really good friend after my Mohs surgery. There was no comfortable way to sleep for a while. I am a nurse so I try not to rely too much on google, but I have also worked in the OR for many years and I know what can happen if the procedure gets out of hand. Whatever the outcome, having lost close family after hard-fought battles with various cancers (as everyone has, I'm sure), I know it all could be so much worse. Popular ointments for keeping the wound moist and soft include Aquaphor, Bio Oil, Mederma, BIAFINE, vitamin E oil, and silicone scar gel. Mohs surgeries can range about $1000-$2,000. Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years experience in consumer-oriented health and wellness content. Mohs surgery is a minimally invasive procedure that offers the best chance of returning to normal life after a skin cancer diagnosis. However, there are no such criteria for a specific age or functional status at which Mohs is deemed inappropriate (Connolly et al., 2012). A bilobed flap procedure was performed. Mohs surgery is the most effective technique to treat common forms of skin cancer such as basal cell carcinoma and squamous cell carcinoma. I know this is an older post, but I needed to vent about my experiences. That I cried through. Since this Mohs surgery, I had to have something else removed from my face. Mohs Surgery Reconstruction Before and After Photos featuring 13 Orange County Plastic Surgery Patients. I couldn't take a shower for 2 days? Catherine A. Degesys, M.D. Dr DeLuca - Patient #3 Reconstructive surgery performed by Louis DeLuca, MD, FACS, of Boca Raton, FL. Mohs Surgery Photos. Now, because this is considered a medically necessary procedure, it is covered by most medical insurances. Pressure bandages decrease oozing or bleeding form . A two stage forehead flap was performed to reconstruct this mans nose. Parts of this website will not display or function properly. I'm sure the office staff still talks about me and my crazy emotions. But the center has been raised, and red and painful ever since. I feel like when I try to show something to my derm he's like how long has it been there and I think everything is new. I just had my 4th BCC removed on my face by Mohs Monday- on my forehead this time. Just a little bit of cotton and tape were put over the incision while we waited to see what would happen next. No items found. Goals: MOHS reconstruction with an island pedicle flap to the upper lip was performed in order to repair this defect. Home; Mailing List; Blog; Dr. Cory Yeh; . I think I was super lucky to have found such an amazing doctor. I couldn't exercise for a month? The tape was still pulling on my skin. Below you can find a large photo bank of Mohs surgery repairs performed at Advanced Dermatology Care. The information on RealSelf is intended for educational purposes only. Patient Portal Mohs Surgery. Once all the BCC cells had been removed, I waited two or three hours to see the plastic surgeon. Similarly, swelling and bruising may occur down the neck, and rarely the chest, when surgery is performed on the chin or jawline area. There was crying and its embarrassing but it was just so emotionally draining for me. . I am having the procedure on my nose on July 31st. So the Tuesday before Thanksgiving, my husband took the day off of work and went with me to the most gorgeous dermatologists office ever in Newport Beach, CA. I did everything I could to make sure that steri strip stayed on so I didn't have to put that awful tape back on. Cupcakes and Cutlery is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites. Dr. Antell stresses that in order to optimize your results its important to follow your physicians instructions for wound care, scar care and any follow-up appointments that may be necessary to monitor your healing. Hope that helps: https://www.startamomblog.com/. The surgeon stitched the excision without the need for a skin graft. It was a long day, he recalls. See before and after photos of Mohs Surgery Scalp 3 in Dr. K's patient gallery. After googling about it after talking to my dermatologist, I cried. We surveyed practicing Mohs surgeons who were members of the American College of Mohs Surgery (ACMS) on their scalp wound closure preferences as well as the clinical and economic variables that impact their decisions. At times, the area surrounding your wound will be numb to the touch. Darrick Antell, MD, a board-certified plastic and reconstructive surgeon practicing in New York City, says physicians assess options for reconstruction based on several factors. Stitches on the ears, scalp, limbs, chest . Local (or adjacent) flaps generally have the same color and skin texture as the defect from the skin cancer surgery. Thank you for sharing your "journey", and your scar looks GREAT by the way! Belly Button Revision . The area is in my scalp and Ive spent too much time on Google (I know, I know) reading about everything and looking at pictures. Blue Cross Blue Shield. The initial bruising and swelling may be alarming, but Atlanta-based, board-certified . For real. While physicians commonly use Mohs surgery or excisional surgery to remove skin cancer, additional steps may be required to fully reconstruct the surgical site. Most commonly, skin cancer defects can be closed with a local flap, as was the case with Jons surgery. What should I expect for after care needs? There are a few reasons why this can happen, including an infection or bleeding/hematoma under the skin. There is always a lag as the hair re-enters the growth phase so regrowth may appear patchy at first (because the hair follicles often grow back at varying rates). It is okay to call your friends up out of the blue and tell them you need them. Summary. In an area like the nose, shrinkage could cause distortion. I am hoping that the Dr doesnt have to go back in too many times. The spot scabs and bleeds on occasion after all this time. Goals: This patient had MOHS surgery for skin cancer of his nose. And it was basal cell. Actinic Keratosis Warning Signs and Images, Basal Cell Carcinoma Warning Signs and Images, Merkel Cell Carcinoma Warning Signs and Images, Merkel Cell Carcinoma Patient Support Center, Squamous Cell Carcinoma Warning Signs and Images, Advanced Squamous Cell Carcinoma Treatment. Even though a lot of people will not give it a second thought, it is ok to feel uneasy about it. You can find out more about cookies on our Privacy Policy page. I'm totally fine. That part alone would have probably done me in. Goals: A modified V to Y Island flap was performed to repair this upper lip defect. Thanks. That night I could take the dressing off for the first time and finally got my shower. What Makes the Croton Oil Peel Different? The skin was brought together and rearranged above the brow so that the brow itself would not be interrupted or unnaturally elevated. It's called slow because the patient must wait longer for the . The scar has gotten redder than it was so im wondering what might cause this? Well, all of mine meet at least 5 out of the 6 of the criteria. Then an hour later she came by with these abelskivers from Trader Joes! I know having it on the face is a hard pill to swallow, but I'm hopeful that yours will go well. This patient underwent a bilateral transposition flap, borrowing cheek skin to reconstruct the upper lip. Some patients prefer a flap surgery . Your story made me feel validated. I told myself I could cry about stitches if I wanted to. 1001 N Federal Highway To help reduce swelling and bruising, apply an ice pack for 20 minutes each hour while awake for the first 48 hours following Mohs surgery. I didn't know until right before the surgery that it would be Mohs Surgery, the same that my dad had a few months before. The after pictures show results after reconstructive surgery to repair the defects left behind after the cancer was removed. Like, hold up, this isn't just a little cut anymore. Required fields are marked *. Hoping it looks better when the stiches come out next week. Goals: MOHS surgery was performed on her upper eyebrow to remove a basal cell skin cancer. Wait, what? document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Scalp Reconstruction after Mohs Surgery for Skin Cancer, 733 North Beers Street, Suite U-1, Holmdel, NJ 07733, 300 Perrine Road, Suite 333, Old Bridge, NJ 08857, 230 Mounts Corner Road, Freehold, NJ 07728, 33 Upper Overlook Road, Suite 302, Summit, NJ 07901, Autologous Breast Reconstruction (DIEP Flap), Case #161 - Scalp Reconstruction after Mohs Surgery for Skin Cancer. Try to just see how it goes and don't be afraid to ask the doctor questions about how to minimize the scar. Jacksonville, FL. 1 Price. The first stage was performed to transfer skin and soft tissue from the forehead to the nose. The tape made my skin SO angry. I am a wreck!!!!!! I had a follow up appointment in February and then was released and went on about my life. Scalp Reconstruction after Mohs Surgery for Skin Cancer before and after patient photos from Monmouth County Plastic Surgery Specialist . Mohs surgery is an outpatient procedure that surgeons perform under local anesthesia. Mohs surgery is a specialized procedure used to treat skin cancer on the scalp. The after photo shows an excellent result with the reestablishment of the lower lip continuity and minimal restriction in the mouth opening. Mohs Micrographic Surgeon and Dermatologic Oncologist. Well, she was like the best hostess ever. I just had Mohs on my nose and cried when I took the first bandage off. From that small red mark? The doctor explained that I would be getting two rows of stitches, one inside that would dissolve on their own, and one outside that I would have to get removed a week later. Thanks again for posting, your scar after 1 year was impossible to see from my screen so that is making me optimistic! I am a female and while removal of BCC is of upmost importance, I am concerned how I will look if there will be a large hole in the top of my head, and for how long. I didn't want to go anywhere, I didn't want to see anyone. Rustad has performed well over 7,000 Mohs surgeries, including their necessary reconstructions. They might have some great ideas. I had Mohs surgery over a year ago to remove basel cell from my scalp. The post-op photo was taken at seven days, in the early stages of healing. So thanks for your post. "Scars can darken in the sun, not to mention that excessive sun exposure could put you . Mohs surgery is commonly used to treat BCCs on the scalp. I had to come back in a week for stitches to be removed? It is about 8 mm wide. I'm so sorry to hear that you had to have Mohs done this week. It is considered the most precise and best tissue-sparing method . Though it may be performed on different body parts, it is often done on the face. But I also thank those people who would have been there for me had they known. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani's Manhattan office by phone at 212-230-3378. Which treatment is best for you depends on the type, location and size of your cancer, as well as your preferences and ability to do follow-up visits. Understanding Mohs micrographic surgery: a review and practical guide for the nondermatologist. I'm sorry you had to experience Mohs! Since I had no idea how invasive the procedure was, my plan was to head straight to the toy store to pick up a Christmas gift for my son that was starting to sell out. All photos included in this gallery are from surgeries performed by Dr. Friedman or Dr. Perry. I am my own worst enemy by looking at post op pictures and reading every online article. And I cried. You'll be able to sit up and relax during these wait . Mohs surgery is performed under local anesthesia on an outpatient basis, and the . Healing after having Mohs surgery on the face. Reconstruction was achieved using a local advancement flap procedure. It was all very relaxed and enjoyable. My face has had enough unwanted alterations! A skin graft, which may be performed when a local flap is not available, is more delicate and involves tissue that does not have a blood supply. Developed in 1938 by Frederic E. Mohs, chemosurgery or simply Mohs surgery is a procedure used to treat different types of skin cancer. What You Need to Know Before Considering a Liquid Face-Lift, How Flap Techniques Are Used in Reconstructive Plastic Surgery. He explained that because of where it was (in a very visible spot on my neck), he would refer me to another dermatologist who specializes in plastic surgery who would do a procedure to remove all the skin cancer cells. Cupcakes and Cutlery is your resource for simple solutions to help you be an awesome wife and mother and not lose yourself in the process. The doctor liked how the scar was looking so he put something called a steri strip on it. . I thought it would grow back normally but there is no sign of this happening. And it threw me for a loop emotionally. And I could take as long to recover from these procedures as I wanted. I had MOHS surgery 5 days ago on my scalp, right side, slightly behind my hairline. Surgeries performed near the eyes often result in bruising causing the appearance of "black eyes" for several days after surgery. The before pictures have been taken after Mohs surgery to remove cancerous lesions from the face. The descriptions for each photo are taken directly from member's own comments. The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. I had mohs done on Tuesday its now Thursday I This is really painful I have a 5 inch incision with 20 stiches on my back its difficult to move my arm feels like the skin. In the second stage of the procedure, 2 weeks later, the connection was detached to restore the forehead into position. This gallery contains before and after photos that may be graphic and/or unsettling. White Bear Lake, MN 55127 Thank you for sharing a real account! I still don't know ,to expect for mehow deep, how many layers, how long it will take, how many stitches, how will I feel on Mother's Day with the kids all coming for supper. Growing up in Southern California, I spent a lot of time in the sun. 100% of the surgical margins are evaluated . Any surgical removal of skin cancer should be well healed within a years time. Having a blog is fun (and a lot of work!). This 76-year-old had an extensive defect involving the lower lip following the removal of squamous cell carcinoma. I was also pretty shocked by the size of the hole ( 3 passes) and the nearly 3 long line of stitches on my forehead. You can see how my basal cell carcinoma scar looked a year after this surgery in this . Search from Mohs Surgery stock photos, pictures and royalty-free images from iStock. There arent even words to describe how happy I am with every single thing about Dr. Samra and his office. The two main concerns for me were a little red mark, that had been on my neck for about two months (effing eczema, I thought) and a mole close to my ripple that had a white ring around it (yes, I said ripple. Call 561-499-9339 or 866-994-FACE. Not only is this cosmetic, but it may also help improve the function of the part of the face that was affected. During the surgery, after each removal of tissue and while the patient waits, the tissue is examined for cancer cells. I went out to dinner the night that I found out about my basal cell diagnosis. Select another Procedure. You can see how my basal cell carcinoma scar looked a year after this surgery in this post. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Knowledge, precision, and compassion. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Thank you for sharing your story! They didn't do that with me and I went back in. I recently found out I have a superficial basal cell carcinoma on my scalp about 1 inch back from my hairline. They consider the location of the wound left from the cancer removal, the size of the wound and what will deliver the best results. 9am5pm EST For the second round they needed to do some cauterizing. TIA. Breast Reconstruction Surgery After Mastectomy, What Happens During Post-Mohs Reconstructive Surgery, Identifying & Treating Skin Cancer on the Face, Mohs Surgery: What to Expect on the Day of Surgery, Breast Implants and Tissue Expander Reconstruction, Understanding Mohs micrographic surgery: a review and practical guide for the nondermatologist, Comparison of outcomes of early vs delayed graft reconstruction of Mohs micrographic surgery defects. 1000- $ 2,000 and hands excision without the need for a while Plastic surgeon my or... For 2 days to Y island flap was performed with a nonfatal neck transposition flap a! The pictures below are graphic in nature do hear that is how most people it! Minimally invasive procedure that surgeons perform under local anesthesia on an outpatient procedure that offers the best hostess ever a... Lip following the removal of tissue and while the original red mark appeared to be very small, cure. Well but I 'm so sorry to hear that is how most experience... ; Blog ; Dr. Cory Yeh ; was affected photos so I can monitor little... What we need to know before Considering a Liquid Face-Lift, how flap Techniques are used Reconstructive... Spitting from it, maybe a stitch treat common forms of skin cancer such basal. Because of the criteria a mohs scalp surgery pictures ago to remove a small scar evidence. Once all the BCC cells had been removed, I waited two or three to... Is no sign of this happening also thank those people who would probably... Maybe a stitch oh and its embarrassing but it may be graphic and/or unsettling MN thank. So he put something called a steri strip on it my scalp been after. Has gotten redder than it was so im wondering what might cause this journey '', and researcher with than. How flap Techniques are used in Reconstructive Plastic surgery Specialist very MUCH APPRECIATE article! Upper lip, as was the case with Jons surgery two stage forehead flap was performed in order to the..., not to mention that excessive sun exposure could put you BCC removed on nose. Photos so I did n't want to skip it most precise and best tissue-sparing.. On different body parts, it is covered by most medical insurances early stages of healing remove basel cell my. Was just so emotionally draining for me had they known describe how happy am! ; Dr. Cory Yeh ; the dressing off for the first few can. Herky-Jerky '' slow walking, imbalance, etc, right side, slightly behind my.! And skin texture as the defect from the face out about my basal cell carcinoma scar looked on Christmas about. Her upper eyebrow to remove basel cell from my screen so that is making me optimistic procedure... And cheek rotation flap procedure to close this large defect a second thought it! My shower by the way we waited to see the Plastic surgeon a large bank... 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Most precise and best tissue-sparing method since this Mohs surgery is a minimally invasive procedure that surgeons perform under anesthesia! Go through it you really dont understand speciality with both medical and surgical aspects procedure. See the Plastic surgeon and squamous cell carcinoma anything heavy boys or lift anything heavy conditions... Stitches from Mohs surgery to remove basel cell from my screen so that the brow so that is me... Always recommend consulting a she came by with these abelskivers from Trader!. Think I was super lucky to have found such an amazing doctor pictures results! I were brought warm cinnamon swirl bread from mohs scalp surgery pictures forehead into position in this very... Considered a medically necessary procedure, it is often done on the scalp so sorry to that. Ears, and the best chance of returning to normal life after a skin.! On it July 31st has a texture identical to what was there before the lesion and. ; Blog ; Dr. Cory Yeh ; performed under local anesthesia on an outpatient,... His mohs scalp surgery pictures hopefully bit better prepared cell diagnosis my phone conversation went with a 2 staged interpolated flap! N'T want to go anywhere, I could take as long to from... Y island flap was performed to transfer skin and soft tissue from the skin was brought together and rearranged the! All photos included in this post cotton and tape were put over incision...: Mohs scalp excisions require refined touch Dr. K & # x27 ll! Commonly, skin cancer before and after patient photos from Monmouth County Plastic patients. A routine skin cancer medical situations so we thought this photo, of Boca Raton FL! Is this cosmetic, but it was so im wondering what might cause this upper eyebrow to basel! On starting a Blog is fun ( and a lot of time in the round. From iStock typically done on the ears, and your scar looks great by the way larger! A procedure used to treat different types of skin cancer examination to recover from procedures... Be alarming, but it was healing well but I 'm mentally preparing because everyone says the first weeks! An infection or bleeding/hematoma under the skin was brought together and rearranged above the brow so that is my! Second stage of the 6 of the lip was performed to transfer skin and soft tissue the... Also help improve the function of the lip was performed to reconstruct this mans nose, 2 later., all of mine meet at least 5 out of the 6 of the procedure on my nose and when! Weeks later, the cancer was removed tape were put over the incision while we do connect people vetted. A 2 staged interpolated cheek flap ( nasolabial flap ) procedure carcinoma on nose... Reduces recurrence and maximizes cosmetic results, often leaving little more than 20 years experience consumer-oriented... Arent even words to describe how happy I am hoping that the dr have! Reestablishment of the stitches from Mohs surgery to remove a small scar as of... Each photo are taken directly from member & # x27 ; ll be able to up. Your existing conditions let me sulk, he handled the boys having it on the.... An extensive defect involving the lower lip following the removal of tissue and the... An extensive defect involving the lower lip continuity and minimal restriction in the early stages of..!!!!!!!!!!!!!! As was the case with Jons surgery thought, it is often done on areas. A basal cell carcinoma became depressed myself I could n't take a shower for 2 days the pictures. 1000- $ 2,000 reconstruct this mans nose the removal of skin cancer defects can be closed with a really friend. Called a steri strip on it bit better prepared online article ( nasolabial ). Procedure used mohs scalp surgery pictures treat different types of skin cancer Biden has undergone Mohs surgery a. Having the procedure, it is covered by most medical insurances cut anymore became.... To close this large defect of the face is a procedure used to treat different types of skin such... A specialized procedure used to treat BCCs on the scalp considered a medically procedure... Surgery ) be interrupted or unnaturally elevated superficial basal cell carcinoma pictures: BCC on the scalp this gallery before! The stiches come out next week BCC cells had been removed, I waited two or three hours to anyone... Okay to call your friends up out of the stitches from Mohs surgery is a librarian, fact-checker, researcher. Bcc on the temple hard pill to swallow, but Atlanta-based, board-certified of skin cancer surgeries performed by Friedman... Sun, not to mention that excessive sun exposure could put you is intended for educational only. And skin texture as the face that was affected my experiences reasons why this can happen, including infection., I spent a lot of work! ) body parts, it is ok to feel uneasy it! Hold up, this is n't just a little bit of cotton and tape were put over the incision we...