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This patient had been bothered by this cancerous lesion for quite some time but because of his age and the quality of his skin, he’d been encouraged to leave this alone. I think this position is fair but it didn’t really sit well with the patient and he wanted this off. Very thin skin can be difficult to work with but placing steri-strips on the edges of the incision can help. Even in this case where the steri-strips were thinner than I’d like and a little bit messy, they allowed the incision to seal about 80-90% and then I could use wound products to get this to heal the rest of the way. In this case I used Prisma, Inadine and a silicone dressing. The patient was quite happy with the end result.
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