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Written by a private patient
26th January 2023


My wife and I grew up in an industrial town 8 miles north of Manchester, where the risk of sun damage was not exactly a cause for concern. In the 1950s I spent a year of my National Service in Malta, including a month in the Libyan desert, whereas my wife was a member of a theatre company which toured Italy from Palermo to Trieste, So we were both accustomed to life in Mediterranean sunshine at an early age, but at a time when sun cream of any quality did not exist. In the 1960s and 70s my job took us to Santiago de Chile and Sao Paulo, Brazil for some ten years in total, and, following that that experience, in recent years we have regularly taken holidays in southern Spain. Being Northerners with fair skins, we have always been well aware of the risk of sun damage and so have never been sunbathers; nevertheless involuntary exposure in warmer climes eventually caught up with both of us in recent years in the form of facial carcinomas – perhaps not surprisingly, given that it is the one part of the body which is always exposed. We first met Mr Knepil about five years ago when my wife had a carcinoma on the upper lip, just below the nose. It had to be removed and the consultant we had been seeing specifically asked Mr Knepil to do the surgery because of the difficulty of its location and the need to ensure that the scar would be as invisible as possible. This involved (in layman’s language) a long incision from the chin to stretch the skin to enable the necessary skin graft on the upper lip. The surgery was an outstanding success, so much so that there is no sign that it actually happened. We are grateful not only to Mr Knepil for his skill, but also to the consultant who passed the case to him – an introduction which has been much appreciated, now that both of us have had further facial carcinomas successfully removed by him.

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