Skin flap surgery pictures - Can you tell me tips for dealing with skin flap surgery (to grow skin on a site that needs it) and your experience with.

 
PAIN MEDICINE & PALLIATIVE CARE; Diagnostic Block; RFA (Radio Frequency Ablation) CARDIAC; Coronary Angiography; Coronary Angioplasty; VSD Closure/Device (Adults) (Ventricular Septal Defect) CABG (Coronary Artery Bypass Grafting). . Skin flap surgery pictures

skin flap surgery on nose pictures Bilobe flap reconstruction of nose by Sam Naficy, MD. Mohs surgery is a precise and effective surgical technique used for the treatment of common skin cancers and certain rare forms. ago · Stickied comment. Tenzel flaps must be isolated only by a skilled oculoplastic surgeon who has extensive experience working with tenzel flaps. Patient 2 Before After. The descriptions for each photo are taken directly from member's own comments. Improve your self-esteem and body image; Partially erase the physical reminders of your disease; Require additional surgery to correct reconstructive problems;. During the procedure, they sterilize the location, give you a local anesthetic, then cut your nose open and burn out the cells. 1 The flap has its own blood supply. It may also appear concave initially, but will level out on its own. May 31, 2022 · Why Skin Flap or Graft Surgery is Performed A skin flap is healthy skin and tissue that is partly detached and moved to cover a nearby wound. Parker, III. She underwent Mohs skin cancer surgery but returned a month later for checkup. It may also be done to repair surgical or traumatic scars to improve skin appearance. Pavletic (Editor) ISBN: 9781119267508. I had MOHS laser to remove extensive basal cell carcinoma on my nose, and then a flap surgery to cover the damage? (photo) Had MOHS laser on nose; flap surgery to repair; have big scars and large lump where flap attached; nose is pulled to one side; left nostril much smaller and I can't think of any procedure that could correct it!. This 57-year-old man had removal of a basal cell skin cancer and reconstruction with a skin graft, the colour match will improve with time (case # 11570 ). Free Shipping on All Order. Grant H. A magnifying glass. ASPS members operate only in accredited medical facilities, adhere to a strict code of ethics and fulfill continuing medical education requirements in plastic surgery, including training in patient safety techniques. Most often the surgery can be done in a doctor's office or hospital clinic using a local anesthetic (numbing. You may have stitches until the surgical wound heals. The latissimus dorsi flap is a pedicle flap used for breast reconstruction. ZO Skin Health Line; Purchase a Gift Card; Shop SkinMedica; Procedures. Skin Flaps Procedure Pictures. . Most commonly, skin cancer defects can be closed with a local flap, as was the case with Jon’s surgery. They can be used for bone fractures that break the skin (open fractures), large wounds, or where an area of the skin is surgically removed – for example, due to cancer or burns. My abdominal scar has been a bit wonky. Jackson’s Local Flaps in Head and Neck Reconstruction, 3rd edition Often referred to as the mirror of the soul, the face is indelibly entwined with a person’s appearance and personality.  · A skin flap is one of the most critical surgical techniques for the restoration of cutaneous defects. One end of the skin flap often remains attached to the donor site and to its blood supply. If you have lost an area of skin due to an illness or injury, you may be a candidate for a skin graft or flap surgery to replace to damaged skin. Pavletic (Editor) ISBN: 9781119267508. Serwis Infona wykorzystuje pliki cookies (ciasteczka). Very early post-operative photos are shown. Description Best Cheap Balenciaga 1:1 Mirror Replica Black Speed Trainers Lurex 38 Sneakers fake balenciaga replica triple s for sale New with tags This item has original tags and shows no visible signs of wear. Skin Necrosis After a Facelift. A laterally based bilobed flap was planned to repair the skin defect (1. He presented to my office for cosmetic repair. The series of photos were taken over a period of 4 months. Flap surgery is a type of plastic surgery that uses tissues from another part of the body to close open wounds while having its own blood supply. Patient 6* Procedure(s): Mohs Surgery Reconstruction, Skin Cancer Reconstruction, Nose Reconstruction Description: This woman developed a basal cell carcinoma skin cancer on her nose and. Flap Surgery There are as many types of flap surgeries as there are many types of injuries that may require the use of a flap. You need to see a Mohs surgeon to evaluate the scar and inject medication into the scar to flatten the flap and stop the formation of scar tissue. skip to Cookie Notice Skip to contents Your health and safety remain our top priority: Learn. Care of the flap during surgery should include, not grasping the skin with forceps but instead using skin hooks attached to the underlying fibrous. Reconstructive Surgery. In contrast, axial flaps are supplied by a specific arteriovenous system. She underwent Mohs skin cancer surgery but returned a month later for checkup. Providers may recommend a skin graft after surgery to remove skin cancer. During surgery, the remaining breast tissue is rearranged to restore fullness and symmetry to the breast. During the procedure, they sterilize the location, give you a local anesthetic, then cut your nose open and burn out the cells. Scalp Flap Surgery. At Marietta Dermatology we have extensive experience in Mohs and reconstructive surgery. They may make another cut from the breast bone to the pelvic bone to remove the fat and extra skin. He tunneled the flap under the skin of the thumb to reach the area of the defect on the thumb, where it was sewn in place. Compare and Check Best Clinics for Flap Operation in Chiang Mai, Thailand. 3 Location Subtypes4 Key Points Introduction Skin grafts and skin flaps are two surgical techniques that are commonly utilised by plastic surgeons when a defect cannot be. There are two basic repair procedures: skin flap or skin graft for skin cancer. Mar 19, 2019. It’s important to tell your doctor in advance if you’re taking any of those and get advice on whether you should stop them before or after surgery. Patients who develop stage 3 and 4 pressure injuries with prolonged wound chronicity and complexity may require surgical intervention. Metastatic melanoma removal and skin flap surgery, 5 days post op after drains and wound vac were removed. Atlas of Small Animal Wound Management and Reconstructive Surgery, 4th Edition. Department of Surgery. Log In My Account tm. Metoidioplasty is a relatively minimally invasive type of phalloplasty utilizing only local tissue flaps to create a neophallus and a urethra suitable for upright voiding (Chap. Case 11570 Skin Graft to the Nose. Skin Cancer Reconstruction Before and After Photos, Orange County Plastic Surgery Pictures - 13 Patients Home » Before and After Photos Before and After Photos Gallery » Skin Cancer Reconstruction Page: 1 2 Before After Patient 1* Procedure (s): Mohs Surgery Reconstruction, Skin Cancer Reconstruction. Following skin graft surgery, the graft will have to go through several stages of healing. First and foremost, keep in mind you just underwent major surgery. Flaps play a major role in the healing of wounds with exposed structure. Mohs surgery is a precise and effective surgical technique used for the treatment of common skin cancers and certain rare forms. skin flap surgery on nose pictures Bilobe flap reconstruction of nose by Sam Naficy, MD. The contraction of the skin from scar tissue can make a skin flap puff up and look like a pin cushion. I had MOHS laser to remove extensive basal cell carcinoma on my nose, and then a flap surgery to cover the damage? (photo) Had MOHS laser on nose; flap surgery to repair; have big scars and large lump where flap attached; nose is pulled to one side; left nostril much smaller and I can't think of any procedure that could correct it!. He has been recognized as a Fellow by multiple academies, named one of America's Top Facial Plastic Surgeons continually since 2003 and is featured in multiple. Skin loss or damage can result from burns, injuries, disease or infection. Very early post-operative photos are shown. At the time of consultation, the procedure is explained verbally and with the aid of diagrams. Basal Cell Cancer Reconstruction Surgery Photos * most recent photos are added at the end Previous 1 2 Next Patient 1 Before After Click to Enlarge View More Photos of this Patient This 65 year-old gentleman underwent MOHs resection of a basal cell carcinoma of the nose. ZO Skin Health Line; Purchase a Gift Card; Shop SkinMedica; Procedures. Mohs surgery is a precise and effective surgical technique used for the treatment of common skin cancers and certain rare forms. This 57-year-old man had removal of a basal cell skin cancer and reconstruction with a skin graft, the colour match will improve with time (case # 11570 ). gt; cn. Patient 2 * Individual Results May Vary Patient is a 76-year-old female. She also desired a subtle narrowing of her nose as well. Medical Procedures. Presents over 1000 full-color photographs and state-of-the-art drawings that make every technique and concept clear. Patient had squamous cell carcinoma excised from lower lip. It can help them feel beautiful and confident in their own skin again. Get Dentistry Packages at cheap prices and learn more.  · Background Wide-awake local anesthesia no tourniquet (WALANT) technique has emerged among hand surgeons with other indications. Flap surgery can help prevent hospitalization and decrease morbidity. If the wound is especially large, it may require a skin graft or flap. In a skin-sparing mastectomy, all of the breast skin, except the nipple and the areola, is preserved. Atlas of Small Animal Wound Management and Reconstructive Surgery, 4th Edition. 9 ,. He is a specialist in the paramedian forehead flap surgical technique to reconstruct different kinds of nasal defects. See real before & after photos of this mohs surgery & reconstructive plastic surgery case performed by Dr. Similar to the paramedian forehead flap, the midline forehead flap is a. A skin flap may contain skin and fat, or skin, fat, and muscle. Free Shipping on All Order.  · Back (latissimus dorsi flap). The photos were taken 2 months and 3 months after surgery. The goal is to have . MOHS Reconstruction. The goals of this treatment are to remove the cancer, minimize the chance of it returning and preserve as much healthy skin as possible. 3 EXPERT ANSWERS Is this a normal appearance for 1 week after a Mohs graft on nose? (photos) I had a SCC removed a week and a half ago. In addition the skin may contract and tighten and. Log In My Account py. (a) Preoperative picture. Mohs surgeons are trained in reconstructive procedures and often will repair the wound with stitches, a skin graft or skin flap. Types What to Expect 1-833-444-7622. Facial Skin Flaps - Reconstruction of Skin Cancer Skin cancer reconstruction with local facial flaps including: rotation advancement, rhomboid, forehead, nasolabial and abbe-estlander flaps Pictures May Not Be Suitable For All Viewers Facial Reconstruction With Local Flaps Advertisement Facial Flap Presentations (HTML5). 4) 5) These are day-to-day photos of the flap site healing, for the 2 weeks after the staples were removed. Patient 4* Procedure(s): Mohs Surgery Reconstruction, Skin Cancer Reconstruction, Nose Reconstruction Description: This woman developed a basal cell carcinoma skin cancer on her nose and. Skin Graft Ear After Surgery. Michelin Adventure 15806 Anakee Tire. At Marietta Dermatology we have extensive experience in Mohs and reconstructive surgery. The goals of this treatment are to remove the cancer, minimize the chance of it returning and preserve as much healthy skin as possible. Bhama arranged for the patient to have Mohs surgery for removal of the cancer. Patient 2 * Individual Results May Vary Patient is a 76-year-old female. Cuajimalpa, 053333, Mexico City, Mexico Sección de. Secondary procedures such . Usually this happens between 4-6 weeks after surgery. Skin flap surgery is done to treat large wounds that cannot be closed by skin grafting. The reconstruction options following a skin-sparing mastectomy include TRAM flap or Latissimus.  · In order to show the efficacy of NTG ointment on mastectomy skin flap survival and to exclude other factors, 10 independent variables known to be risk factors for skin flap necrosis were analyzed together: age, body mass index, smoking, diabetes mellitus, hypertension, previous chemotherapy, previous radiotherapy, the breast surgeon, the. Skin flap surgery is done to treat large wounds that cannot be closed by skin grafting. . You have either a local or general anaesthetic. Skin Flap - Before & After Photos | Dr. Areas of extensive skin loss due to infection, such as necrotizing fasciitis (flesh-eating bacteria that causes skin death) or purpura fulminans (disorder that causes skin death). 154 Carlos Graef Fernandez Av. using surrounding tissue (local flap), or graft skin from another area of the body (skin graft). kishiwada danjiri festival 2021 » netezza date functions ». Something went wrong. The advantage is that full thickness. More about Mohs Surgery Narrow *Treatment results may vary *The member who uploaded this photo has read and agreed to the RealSelf Photo Rules. Follow Up Flaps · Case #3195 - Flaps. Get Directions. Skin removal surgery includes a range of body contouring procedures performed after major weight loss to address excess skin folds on the arms, legs, torso and/or buttocks, helping patients achieve a more natural, aesthetically pleasing shape. Skin grafting is a type of surgery.  · Skin Flap Surgery - 15 images - the rhomboid flap in medial canthal reconstruction british journal of, basic principles in plastic surgery pptx muhadharaty, forehead skin flaps plastic surgery key, tummy tuck mum has two stone fat flap removed it hung out the bottom,. Patient is a 54-year-old male. The principle of the flap is different. Flap surgery. DIEP Flap Before and After Photos. Skin grafting is a type of surgery. Cuajimalpa, 053333, Mexico City, Mexico Sección de. Features the expertise of more than 95 international experts in the field. 1 Classification3. skin flap surgery on nose pictures. Description Best Cheap Balenciaga 1:1 Mirror Replica Black Speed Trainers Lurex 38 Sneakers fake balenciaga replica triple s for sale New with tags This item has original tags and shows no visible signs of wear. Through the incisions, the surgeon will remove excess fat and skin. Flaps play a major role in the healing of wounds with exposed structure.  · Free Flap Procedure - 18 images - modified widman flap youtube, periodontal flap surgeries current concepts, hughes tarsoconjunctival. Skin grafting involves the transplantation of skin from one area of the body to another. Description Best Cheap Balenciaga 1:1 Mirror Replica Black Speed Trainers Lurex 38 Sneakers fake balenciaga replica triple s for sale New with tags This item has original tags and shows no visible signs of wear. Select from premium Skin Flap of the highest quality. This patient had a large basal cell skin cancer of the nose. You may be a candidate for a local flap if the wound on your nose is small and can be covered by stretching the skin. Two weeks . Local flap: This reconstructive procedure uses the available skin on the nose to close the incision. A thin layer of skin (aka “skin graft . Dr Gene has special expertise in nasal reconstruction. Skin Cancer Reconstruction Before and After Photos, Orange County Plastic Surgery Pictures - 13 Patients Home » Before and After Photos Before and After Photos Gallery » Skin Cancer Reconstruction Page: 1 2 Before After Patient 1* Procedure (s): Mohs Surgery Reconstruction, Skin Cancer Reconstruction. Menachof, MD, FACS has performed thousands of facial plastic surgery procedures in over 20 years of experience. 1 out of 5 stars 2 ratings. The reconstruction options following a skin-sparing mastectomy include TRAM flap or Latissimus. com/breast/reconstruction/ Helpful Ram Kalus, MD, FACS Board Certified Plastic Surgeon ( 40) Book a virtual consultation CONTACT NOW. The healthy skin covers or replaces skin that is damaged or missing. Notice the preservation of the brow position and brow symmetry. In a skin-sparing mastectomy, all of the breast skin, except the nipple and the areola, is preserved. It may also appear concave initially, but will level out on its own. I am improving a lot, can do a lot more than even a month ago. On attending nurse-led wound clinics following Skin cancer surgery, many patients are still shocked/surprised by the surgical outcome. Medical Procedures. In this technique Dr Gene uses skin from the forehead above the eyebrow and pivots it vertically to replace missing nasal tissue. Mohs surgery is a specialized, highly effective technique used to track and remove cancerous "roots. Very early post-operative photos are shown. Types What to Expect. The product, which is available now in the U. Rat is a loose-skinned animal and contraction of skin flaps on rats is an underestimated condition. View cart for details. Long-term effects provide a good color match, inconspicuous scars and preferred nasal shape without excessive bulk. Request Consultation. This is usually around 4 weeks. Most wounds from the surgical removal of skin cancer take a . Flaps come from various locations, and are used in different ways to accomplish the desired result. Scalp Flap Surgery. at herunterladen & bequem mit Ihrem Tablet oder eBook Reader lesen - Practical Skin Cancer Surgery Harcourt von Mileham Hayes. Allis clamps attaching skin edges keep wound closed while surgeon . This young woman first came in for a checkup when she was only 30. The lesion was excised and patient received a forehead skin flap closure to close wound on his nose. Skip to main content. The blood supply may be a single, larger artery or multiple smaller blood vessels. Flap Surgery. Select from premium Skin Flap of the highest quality. Flap reconstruction, or flap surgery, is a procedure a patient may need to cover an open wound in a serious bed sore case. The pain itself is not constant, but it's present when I am using my ankle or after I have done a bit much on a given day (like yesterday, I had to stand for about 1,5 hours and my. 880 pages. If you care I do have a picture of the cyst excision here. Patient 4* Procedure(s): Mohs Surgery Reconstruction, Skin Cancer Reconstruction, Nose Reconstruction Description: This woman developed a basal cell carcinoma skin cancer on her nose and. It may be used for a variety of reasons, including breast reconstruction, open fractures, large wounds, and, in rare cases, for improving a cleft lip and palate. The large number of patients we see and the experience of our faculty offer you a rare degree of skill and. Find Skin Flap stock photos and editorial news pictures from Getty Images. Skin Cancer Reconstruction Before and After Photos, Orange County Plastic Surgery Pictures - 13 Patients Home » Before and After Photos Before and After Photos Gallery » Skin Cancer Reconstruction Page: 1 2 Before After Patient 1* Procedure (s): Mohs Surgery Reconstruction, Skin Cancer Reconstruction. This is particularly useful when a large skin island is included with the flap. Log In My Account py. The lesion was excised and patient received a forehead skin flap closure to close wound on his nose. Davis, this procedure can provide. hot boy sex

Nipple-areolar complex (NAC) or skin flap ischemia necrosis post nipple-sparing mastectomy (NSM)—analysis of clinicopathologic factors and breast magnetic resonance imaging (MRI) features. . Skin flap surgery pictures

During <strong>surgery</strong>, the remaining breast tissue is rearranged to restore fullness and symmetry to the breast. . Skin flap surgery pictures

Pony Skin Semi Dress Sporran with Black Leather Flap and 3 Knotted Tassels. Picture of skin cancer of nose. For example, if you're on blood thinners, doing a flap. Flap surgery is a type of gum procedure in which the gums are separated from the teeth and folded backwards temporarily in order to allow the dentist to reach the root of the tooth and the bone. Then an expansion balloon is placed under the scalp tissue and the wound is sutured closed. More about Mohs Surgery Narrow *Treatment results may vary *The member who uploaded this photo has read and agreed to the RealSelf Photo Rules. DIEP Flap Before and After Photos. intense exercise. Typically this will not flatten on it's own. August 16, 2021 Written by: Michael Menachof Categories: Facial Plastic Surgery. We identified it from reliable source. Local flap: This reconstructive procedure uses the available skin on the nose to close the incision. TABLE 2. Post Surgery Wound Images. A 64-year-old patient was affected by BCC of the nasal tip. . Can you tell me tips for dealing with skin flap surgery (to grow skin on a site that needs it) and your experience with. All photos included in this gallery are from surgeries performed by Dr.  · The Mohs surgery pictures show how an ear cartilage graft and a staged cheek flap helped repair the nose of the patient. I had MOHS laser to remove extensive basal cell carcinoma on my nose, and then a flap surgery to cover the damage? (photo) Had MOHS laser on nose; flap surgery to repair; have big scars and large lump where flap attached; nose is pulled to one side; left nostril much smaller and I can't think of any procedure that could correct it!. It can also be used to help patients who have undergone failed procedures to heal, or to stop the progression of some post-surgical. More about Panniculectomy Narrow *Treatment results may vary *The member who uploaded this photo has read and agreed to the RealSelf Photo Rules. Cleveland Ave. The latissimus dorsi flap is a pedicle flap used for breast reconstruction. ISBN-10: 007145943X. 21 Reade Place Suite 2100 Poughkeepsie, NY 12601 203 863-0003. A bed sore can extend deep into the underlying muscle and expose bone. Time frame for wound healing. Oct 31, 2020 · One surgical method used to encourage healing in pressure injuries is flap surgery, which involves taking a section of skin with an intact blood supply and placing it over the injured area. Microvascular free flap - involves detaching and reattaching skin and blood vessels from one site of the body to another site. He has been recognized as a Fellow by multiple academies, named one of America's Top Facial Plastic Surgeons continually since 2003 and is featured in multiple. Skin flap surgery is done to treat large wounds that cannot be closed by skin grafting. 1 Tissue Type3. Finally, some women prefer a more natural reconstruction using their own tissues, without an implant, to create a breast. Patient 2 * Individual Results May Vary Patient is a 76-year-old female. Pre-Expanded Super-Thin Skin Perforator Flaps; Pre-Expanded Transverse Cervical Perforator Flap; Pre-Expanded Internal Mammary Perforator Flap; Pre-Expanded Deep Inferior Page 1/19. Design a Rhomboid Flap. Michael M. The pain itself is not constant, but it's present when I am using my ankle or after I have done a bit much on a given day (like yesterday, I had to stand for about 1,5 hours and my. yada, yada, yada. A degloving injury is the loss of a large area of skin from somewhere on the body, usually the arms or legs.  · Surgical Flap - 16 images - free flaps hand leg cover best free flap surgery delhi jaipur, surgical flaps is a great tool for students and junior residents to, global leader in digital dentistry, intraoperative flap related complications in femtolasik surgeries,. Delivery time 2 weeks. Because the amount of skin and other tissue is generally less than in a TRAM flap surgery, this approach may be used for small and medium-sized breasts or for creating a pocket for a breast implant. We undertake this kind of Surgical Flap graphic could possibly be the most trending subject next we share it in google plus or facebook. Mark D. * Individual Results May Vary. Approximate healing of small facial flaps is as follows: DAY 1 Return home, leave any surgical dressing undisturbed for first day after surgery. 3 Location Subtypes4 Key Points Introduction Skin grafts and skin flaps are two surgical. Farahmand, MD 12411 Brantley Commons Court Fort Myers, FL 33907 8. Red scar on human. Flaps play a major role in the. Body Procedures. Stage 2: Thinning of the flap One month later the bulky flap has healed to the recipient site. Johnston, VMD,. Nipple-areolar complex (NAC) or skin flap ischemia necrosis post nipple-sparing mastectomy (NSM)—analysis of clinicopathologic factors and breast magnetic resonance imaging (MRI) features. Probably the first nasal reconstructions using a forehead flap were performed by Sushruta in India during 600 to 700 BC. In addition the skin may contract and tighten and. Tenzel skin flaps are delicate flaps isolated from very close to the eye. Parts & Accessories Motorcycle Parts. Osteomyocutaneous Flap: includes muscle, bone, and skin. Different surgical techniques can be used. Skin Graft. This skin graft is then sutured to the loss of substance. Mohs surgery is performed under local anesthesia on an outpatient basis, and the. Atlas of Small Animal Wound Management and Reconstructive Surgery, 4th Edition. Flap surgery is basically used for the treatment of periodontitis. Most of the abdominal muscle is left in place and minimal muscle tissue is taken to form the new breast mound. skin flap surgery on nose pictures. During this time, the graft will appear mottled, burgundy or purple. It indicates, "Click to perform a search". It may also be done to repair surgical or traumatic scars to improve skin appearance. This skin graft is then sutured to the loss of substance. Photos Mohs Surgery Photos Mohs Surgery Photos Browse Mohs Surgery before & after photos shared by doctors on RealSelf. In a skin-sparing mastectomy, all of the breast skin, except the nipple and the areola, is preserved. First an incision is made along the upper margin of the intended flap. Steve Vu Patient 1 * Individual Results May Vary Patient is a 94-year-old female. The medical term for the blood supply is the "pedicle". The map provides a guide to the surgical area and aids the surgeon in identifying where cancerous cells are still being found. Cancer Center in South Bay. This piece of tissue with its attached blood supply is used in reconstructive surgery by being set into a recipient site (injured area onto which a flap or graft is placed). On attending nurse-led wound clinics following Skin cancer surgery, many patients are still shocked/surprised by the surgical outcome. 2 Blood Supply3. Department of Surgery. It covers the olecranon, which is the medical term for the bone comprising the elbow. Flaps come from various locations, and are used in different ways to accomplish the desired result. Abdomen (DIEP flap). More about Panniculectomy Narrow *Treatment results may vary *The member who uploaded this photo has read and agreed to the RealSelf Photo Rules. This surgery is a somewhat more painful than expander surgery. This 67-year-old had a squamous cell carcinoma removed from the upper nasal sidewall. Most wounds from the surgical removal of skin cancer take a . This will take 6-7 days. The most reliable flaps that can be used anywhere in the world are highlighted. skin flap stock pictures, royalty-free photos & images. For example, if you're on blood thinners, doing a flap. Department of Surgery. If you have lost an area of skin due to an illness or injury, you may be a candidate for a skin graft or flap surgery to replace to damaged skin. Here are a number of highest rated Surgical Flap pictures on internet. He presented to my office for cosmetic repair. The prototype rotation flap includes a triangular defect that is incorporated into a semicircular arc, which is rotated to close the defect; the donor site is primarily closed (see the image below). The postoperative pictures shown are 5 weeks after his surgery. 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