Дерматохирургията/ дерматологичната хирургия използва локални ламба – васкуларизирана тъкан, преместена от съседни области – за реконструкция на дефекти по лицето и скалпа след отстраняване на рак на кожата или травма.

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Dermatologic surgery for skin cancer sometimes uses skin flaps for reconstruction, which involve moving a section of skin with its own blood supply from an adjacent area to cover a wound. Unlike skin grafts, which are fully detached, flaps remain partially connected to their donor site to maintain their blood flow until the wound has healed. This technique is effective for closing deep or complex defects and often results in better color and texture matching compared to grafts.
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Longitudinal melanonychia in children is most often a harmless, benign condition caused by a melanocytic nevus or melanocyte activation, but it can sometimes be challenging to distinguish from melanoma. While malignant melanoma is rare in this age group, a doctor should monitor the lesion for changes like increasing width or darkness, pigment variegation, or periungual pigmentation. Biopsy is usually avoided due to the risk of permanent nail dystrophy, so close, long-term monitoring is advised. When changes occur during time , dermatosurgical approach is recommended in order to clarify the genesis of the last mentioned above.

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Successful performance of my young team again: The LIMBERG flap.
Each and every day a step forward:
dermatosurgical approach in local anesthesia as always.
Together with my strong colleagues Dr Simona Kordeva and Dr Betul Okulmus.
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Danger zones require special attention and special approach. Basal cell carcinoma in close proximity to the lower eyelid. Condition after dermatosurgical removal under local anesthesia.

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Fine dermatosurgical procedures with periocular location require always the special attention of the dermatosurgeons.

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Giant pretibial located melanoma developing after curettage of a “seborrheic keratosis“ – sometimes clinicians has to be careful, very very careful. Giant melanomas might be mistaken for seborrhiec keratosis.
Be careful – sometimes collision tumors are also possible between seborrheic keratosis and cutaneous melanoma. Dermoscopy could be helpful here.
Surgical removal with small surgical security field (as I have done here) might be always form benefit for the patients.
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Surgery for a medium-sized congenital nevus (CMN) typically involves surgical excision, with the specific technique depending on the nevus’s size, location, and depth. For smaller lesions, a single-stage excision may be possible, while larger ones often require more complex approaches like serial excision, tissue expansion, or skin grafting to manage the defect and achieve a good cosmetic result.

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One step melanoma surgery is the best method to manage thin melanomas. We are performing it daily in our clinic.
“One-step melanoma surgery” (OSMS) is a surgical approach where the entire melanoma and the necessary surgical margin are removed in a single procedure, based on a preoperative assessment of tumor thickness and lymph node status. This can avoid a second surgery for re-excision, which saves time, reduces patient discomfort, lowers the risk of surgical complications, and is more financially efficient.
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Melanoma of the neck area – an extremely danger zone. Be careful.
Melanoma on the neck can appear as a new, dark, or changing mole, a sore, or an unusual skin growth. Symptoms can also include an enlarged lymph node in the neck or a sore that won’t heal. Treatment typically starts with surgical removal of the melanoma, though more advanced cases may require a combination of surgery, radiation therapy, and other treatments.