Archive for June, 2014

Do ALL skin cancers require ‘clear margins’?

When faced with skin cancer and surgical excision, the ideal is to have ‘clear margins’.  However, you must realize that not all ‘involved margins’ cases require a re-excision.  If you  have a basal cell carcinoma, and the excision site visually appears clear of any obvious cancer, you can CHOOSE to observe this rather than have a re-excision.  Your chances of having residual disease is 1 in 3.  2 in 3 will not have a recurrence.  Those odds are not bad in my opinion and observation is always offered as a choice to my patients.

Shaped implants

There appears to be a groundswell perpetrated by implant companies that shaped implants are better for you.  They cost more, are less natural, and more difficult to work with but they may provide better long term results in terms of appearances (minimal settling).  They have some advantages but the benefits are rather small.  Before choosing an implant style for yourself, you should be provided everything beneficial and not about each type of implant before making your decision.  Avoid letting the doctor choose for you… as you are the one that will be carrying it following the procedure.