In July 2022, I was diagnosed with Uterine Cancer, resulting in my hysterectomy in September. Then, in October of that same year, I was shocked to be diagnosed with Basal Cell Carcinoma on my cheek. Even with my diligent application of sunscreen and protective care, I couldn't wholly shield myself from the damage caused by the sun and other environmental factors during my younger years. My husband and I get regular skin cancer screening from Jennifer Scheiderich, P.A. at Dallas Center of Dermatology and Aesthetics, and thank goodness we do.

Once Jennifer had identified my condition, she referred me to Surgical Dermatology Associates in Dallas. I consulted with Dr. Sarah Weitzul, MD, FAAD, who created a tailored treatment plan for me that involved Mohs surgery and reconstructive surgery by a plastic surgeon if necessary.

Mohs surgery is a procedure for removing skin cancer, using precise "map-like" surgical techniques to remove and eliminate all traces of cancer. The Mohs surgeon first examines the tumor under a microscope. Then, they carefully remove a thin layer of skin from the skin cancer area. Next, the removed tissue is examined under the microscope to determine if any cancerous cells remain. If they do, the process is repeated, and another layer is removed. This process is repeated until no cancer cells remain.

 I picked a surgical location with a plastic surgeon on the team so that after they removed cancer, I could have the reconstruction the same day. Dr. Verrett would be my plastic surgeon.

On the day of the surgery, the team came in, numbed the area, and proceeded with the first layer from my cheek; unfortunately, after about 45 mins, they returned as they needed to take another layer until they had clear borders.

 Clear borders regarding skin cancer refer to the edges of the cancerous area being well-defined and distinct from the surrounding healthy skin. Clear borders are essential in determining the extent of the tumor and whether it has spread to other sites. 

After taking the second batch of tissue, I had good clear borders and was ready for Dr. Verrett, the plastic surgeon.

The stitching used after Mohs surgery depends on the wound's size, location, and depth. The process begins with the surgeon carefully aligning the wound's edges and then using a series of stitches to hold the skin together as it heals. Depending on the size of the wound, the surgeon may use one of several different stitching techniques, including interrupted sutures, running sutures, or subcuticular sutures.

Throughout the process, Dr. Verrett took great care to ensure that the stitches were placed in a way that minimized any scarring and provided a natural-looking finish. In addition, he explained every step along the way, making me feel very comfortable. He did a fantastic job; you will see before and after photos below. After the procedure, they provided instructions for promoting proper healing once I returned home. After ten days, I had the stitches removed, leaving behind only a faint scar.

It is essential to assess your skin regularly for changes in moles or growth and consult a dermatologist if anything looks suspicious or abnormal. Taking steps to detect and treat skin cancer early is vital to prevent further issues, and of course, do your best to protect yourself from ever developing skin cancer.

Here are a few steps:

1. Wear sunscreen whenever outdoors: Make sure to wear broad-spectrum sunscreen with an SPF of at least 15 whenever you are outside. This will help protect your skin from the sun's harmful ultraviolet rays, which can lead to skin cancer.

  2. Avoid tanning beds: The ultraviolet light in tanning beds is as damaging as the sun's rays. Avoiding tanning beds decreases your risk of getting skin cancer.  

3. Be aware of your skin: It's essential to be mindful of any changes in your skin. Check your body regularly for any new moles or changes to existing moles. If you notice anything unusual, contact your doctor immediately. 

 4. Avoid sunburns: Sunburns are painful and increase your risk of skin cancer. Use a broad-spectrum sunscreen and limit your time in the sun when it is hottest. Wear protective clothing, including a hat, long sleeves, and long pants when possible.  

Overall, it's important to understand skin cancer risks and take preventive steps.

Remember, You are your best advocate!

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All opinions are always 100% honest and my own and are based on what I have been through in my 50s with Perimenopause and Menopause and Cancer. I am not an expert or claim to be one. Just a participant in Menopause.

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