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Written by a private patient
3rd January 2023


In October 2021 a small sore developed on my upper lip (Vermilion border near Philtrum). It looked like a cold sore, however it never healed and was eventually diagnosed as a BCA (Basal Cell Carcinoma) growth after the biopsy was taken. The subsequent scar/cancer did not appear to grow or change on the surface over the following few months. Since your lips are a very sensitive area, especially for drinking, eating, kissing and general looks, I was somewhat concerned about the way forward. The NHS Consultant’s recommendation was for MOHs surgery. Upon arrival at the area NHS hospital in August 22, I was expecting a discussion on the surgical procedure and more importantly, the possible reconstruction of the lip/face and even plastic surgery as a possible option. On the day the NHS hospital in question had lost my records, the surgeon knew nothing of my history and did not fill me with confidence on his approach to the surgery and reconstruction. I discharged myself without treatment as was deeply concerned about this apathetic approach. Following this, I was informed that to go through the NHS MOHs surgery system again, the waiting list time will be nine months. I was then recommended to approach Dr Adam Bray as a private patient. From the initial consultation with Dr Bray in November 22, where he used an iPad to show the possible outcomes all the way through to the surgery, I was confident of his approach and knowledge regarding delicate surgery. The hospital booking, paperwork, all follow up and aspects of the procedure was managed via Julia, an excellent point of contact as part of his team. The surgery in early December 2022 was extremely professional taking over nine hours, the outcome being an open wound 25x13mm as the cancer was clearly spreading. The wound stitching and recovery follow up has been excellent in all aspects, from personal calls, replies to emails, especially after sending pictures of the wound for comments and tips on healing. I cannot thank Adam Bray enough for his fantastic work, truly professional, especially as it looks to date that I will have no noticeable scaring, which is incredible especially if you see the pictures of the wound after surgery and its position on the upper lip. I would certainly recommend Dr Adam Bray for MOHs surgery, especially if a sensitive part of the face is to be treated and for all other aspects of dermatology in future he would be my first point of call. Alan Bennett-Brown

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