Introduction
This case study examines the remarkable healing process of a patient who underwent Mohs surgery for Basal Cell Carcinoma (BCC) on the nose and utilised Xen LED therapy as part of the post-operative care.
Patient Background
Condition: Basal Cell Carcinoma (BCC) on the nose.
Initial Presentation: A slight red area on the nose as shown between the marked black dots in the pre-operative photo.
Treatment: Mohs surgery performed by Professor Shyamala Huilgol at Adelaide Skin and Eye Clinic on 25/10/23.
Post-Surgical Condition: Large area removed from the tip and side of the nostril, requiring a skin flap repair with both external and internal sutures.
Treatment Timeline
14 Days Post-Surgery (8/11/23): Patient returns to Darwin.
16 Days Post-Surgery (10/11/23): Second session of Xen LED therapy, with noticeable improvements in swelling and redness.
LED Therapy Protocol
First Session (9/11/23): Blue LED was used initially due to slight oozing, followed by Red LED. The LED panels were positioned at an elevated height to avoid close contact with the skin. Second Session (10/11/23): Repeated Blue/Red LED therapy, showing significant improvements.
Post-Operative Care
In Adelaide: Hydrogen peroxide for cleaning and Vaseline to keep the area moist, as per the surgeon’s instructions. Ice packs were used to minimise swelling and bruising. In Darwin: Commenced Dp Dermaceuticals SSSCAR silicone gel application at night.
Results
The photographs illustrate a significant reduction in redness and swelling, with a notable improvement in the skin’s appearance after LED therapy sessions. The patient expressed satisfaction with the immediate response to Xen LED therapy.
Upcoming Treatments
Planned return to Adelaide in March for scar revision to fine-tune the scar appearance.
Conclusion
This case demonstrates the potential of Xen LED therapy as an adjunctive treatment in post-operative care, particularly following Mohs surgery for skin cancer. The patient’s proactive approach in using LED therapy contributed to an expedited and effective healing process.
Patient Consent: The patient has given consent for the use of her photographs and information for educational purposes.
