Memorial Sloan Kettering Cancer Center specializes in melanoma surgery with a dedicated oncology team. The procedure may cost between $7,600 to $12,000. The center leads in innovative cancer research and treatment protocols.
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Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.
Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.
The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.
","text_type":"short_description","reviews":[],"clinic":{"id":9627,"alias":"davinci-plastic-surgery","name":"Davinci Plastic Surgery","short_description":"Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.
Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.
The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.
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In stage 0 and stage I melanoma, removal of the primary tumor may be the only procedure necessary for complete recovery.The main types of operations performed for melanoma:
Wide excision (excision) involves the removal of the formation along with some healthy tissue around the edges. The tumor is excised with a scalpel under local anesthesia, making an indent of 0.5-2 cm. The size of the surgical margin depends on the thickness (germination) of the melanoma deep into the skin.
After removal of the formation, a suture is applied.
Formation thickness | Surgical edge |
0.5 cm | |
less than 1 mm | 1 cm |
from 2 to 4 mm | 2 cm |
more than 4 mm | 2 cm |
If malignant cells in the sentinel lymph node were found, lymph node dissection ( lymphadenectomy ) is performed - removal of the affected lymph nodes.
The Mohs operation is the removal of the formation in stages, in layers. Each layer removed during the operation is examined under a microscope to detect cancer cells. The next layer is removed as long as there are tumor cells in it. This approach is gentle and allows you to remove the tumor, preserving healthy skin as much as possible.
Mohs surgery can be used for lesions of the face , where a wide excision can leave an unwanted cosmetic defect. Many doctors recommend Mohs surgery only for non- melanoma skin cancers.With damage to the limbs and deep germination of the tumor, amputation can be performed. In an effort to preserve as much tissue as possible, doctors also offer radiation and local chemotherapy (isolated limb perfusion) as alternatives.
At stages 0 and I, the main method of treatment is a wide excision.
At stage II, the tumor is also excised, however, a biopsy of the sentinel lymph node is mandatory, and if it is damaged, lymphadenectomy is performed.
At stage III melanoma, a wide excision is performed, removal of the lymph nodes in which malignant cells were found, and drug therapy.
At the IV (last) stage, the removal of the primary tumor takes place whenever possible. For the treatment of metastases, drug therapy and / or radiation are mandatory.
To accelerate the healing of a postoperative wound, it is necessary to strictly follow the recommendations of a specialist:
Lymphedema is swelling and swelling of the extremities caused by stagnation of lymph during surgical removal of lymph nodes.
The symptoms of lymphedema are:
Lymphedema can develop immediately after lymph node dissection, and after a long time. Carefully monitor the condition of the body and inform the doctor about any changes!
Day 1 - Arrival
\nDay 2 - Pre-Operation
\nDay 3 - Surgery
\nDay 4-7 - Post-Operation
\nWeek 1-2 - Rehabilitation
\nWeek 3-6 - Rehabilitation
\nPlease note that these timelines may vary depending on individual recovery rates and the complexity of the surgery.
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