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A patient with a melanoma of the cheek.   Most cancers in this area are due to sun exposure. Abstract for Melanoma Guidelines of Care
 
Article for Staging of Melanoma

Defect after Excision. 
A one cm margin was used.

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A large scalp rotation advancement flap is created and sewn in position.

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 This picture shows the one week result.

 This picture shows the 2 week result.

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 This picture shows the 6 week result.

 This picture shows the 6 week result.  (Note the large scar on the chin was an old preexisting scar. )

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 This picture shows the3 month result.  (Note the large scar on the chin was an old preexisting scar. ) 

 This picture shows the7 month result.  (Note the large scar on the chin was an old preexisting scar. )