This photo gallery showcases the Breast Reconstruction TRAM Flap cosmetic procedures performed by A/Prof Marucci at his Sydney plastic surgery office. The images highlight the results of his treatments. Each photo represents the high level of skill and care A/Prof Marucci applies to his patients.
Before
After
Skin Cancer Surgery: Skin Cancer Chin Case 1
Skin Cancer Surgery: Skin Cancer Chin
This patient had a basal cell carcinoma on her chin. She wanted it removed with the least amount of scarring. The result 4 weeks after complete cancer removal is shown. The patient was pleased with the outcome
After
Before
Skin Cancer Surgery: Skin Cancer Leg Case 2
Skin Cancer Surgery: Skin Cancer Leg
This patient had a nasty skin cancer on her leg and wanted to avoid a skin graft. The cancer was completely removed during Day Surgery. A local flap was used to reconstruct the area. This is a great result in a difficult area. Skin grafts on the leg normally result in a week of bed rest in hospital and leave a crater.
Before
After
Skin Cancer Surgery: Skin Cancer Upper Lip Case 3
Skin Cancer Surgery: Skin Cancer Upper Lip
This lady had a skin cancer on her left upper lip next to her nose. The cancer was completely removed. A “local flap” was used to reconstruct the upper lip. This is a great result which has not distorted the cosmetic form of the upper lip and nose.
Before
After
Skin Cancer Surgery: Skin Cancer Ear Case 4
Skin Cancer Surgery: Skin Cancer Ear
This gentleman had a skin cancer on the outer rim of his ear. This was removed as a Day Surgery procedure. The area was reconstructed with a skin graft. The 4 week result is shown.
Before
After
Skin Cancer Surgery: Melanoma Lower Lip Case 5
Skin Cancer Surgery: Melanoma Lower Lip
This 60 year old lady had a nasty melanoma on her lower lip. It was completely excised with a wide margin. The result 3 months following surgery is shown.
Before
After
Skin Cancer Surgery: Skin Cancers Forehead and Eyebrow Case 6
Skin Cancer Surgery: Skin Cancers Forehead and Eyebrow
This 43 year old lady presented with two nasty skin cancers – one on the forehead and one within the left eyebrow. These were removed by Dr Marucci during day surgery. The areas were reconstructed with local flaps. The result at 3 months is shown.
Before
After
Skin Cancer Surgery: Skin Cancer Bridge of Nose Case 7
Skin Cancer Surgery: Skin Cancer Bridge of Nose
This 80 year old man had a cancerous ulcer on the bridge of his nose. It was removed by Dr Marucci and a local flap was performed as day surgery. The long term post op result is shown.
Before
After
Skin Cancer Surgery: Skin Cancer Bridge of Nose Case 7
Skin Cancer Surgery: Skin Cancer Bridge of Nose
This 80 year old man had a cancerous ulcer on the bridge of his nose. It was removed by Dr Marucci and a local flap was performed as day surgery. The long term post op result is shown.
Before
After
Skin Cancer Surgery: Skin Cancers Temple with Skin Graft Reconstruction Case 8
Skin Cancer Surgery: Skin Cancers Temple with Skin Graft Reconstruction
This 72 year old man had two skin cancers on his left temple. They were removed by Dr Marucci and reconstructed with full thickness skin grafts.
Before
After
Skin Cancer Surgery: Melanoma Forehead Reconstructed with Local Flaps Case 9
Skin Cancer Surgery: Melanoma Forehead Reconstructed with Local Flaps
This 55 year old lady had a melanoma on her right upper forehead. It was removed by Dr Damian Marucci in the Day Surgery. The area was reconstructed with local flaps.
Before
After
Skin Cancer Surgery: Melanoma Forehead Reconstructed with Local Flaps Case 9
Skin Cancer Surgery: Melanoma Forehead Reconstructed with Local Flaps
This 55 year old lady had a melanoma on her right upper forehead. It was removed by Dr Damian Marucci in the Day Surgery. The area was reconstructed with local flaps.
Before
After
Skin Cancer Surgery: Scalp skin cancer reconstructed with local flap Case 10
Skin Cancer Surgery: Scalp skin cancer reconstructed with local flap
This 79 year old man had a large skin cancer on his scalp. He wanted to avoid a skin graft – which can look unsightly in this location. The area was reconstructed with a local flap.
Before
After
Skin Cancer Surgery: Skin cancer lower lip with flap reconstruction Case 11
Skin Cancer Surgery: Skin cancer lower lip with flap reconstruction
This 81 year old lady had a large skin cancer which took up almost half of her lower lip. It was removed by Dr Marucci and the lip was reconstructed with local tissues.
Before
After
Skin Cancer Surgery: Skin Cancer Nose with Flap Repair Case 12
Skin Cancer Surgery: Skin Cancer Nose with Flap Repair
This 35 year old lady had a skin cancer on the side of her nose – in a cosmetically sensitive spot. The cancer was completely removed and the area reconstructed by Dr Marucci.
Before
After
Skin Cancer Surgery: Skin Cancer Cheek with Local Flap Repair Case 13
Skin Cancer Surgery: Skin Cancer Cheek with Local Flap Repair
This 70 year old man had a skin cancer on his right cheek. It was excised by Dr Marucci under local anaesthesia and the area was reconstructed with a local flap.
Before
After
Skin Cancer Surgery: Skin Cancer Nose with Local Flap Repair Case 14
Skin Cancer Surgery: Skin Cancer Nose with Local Flap Repair
This 62 year old lady had a skin cancer on the right side of her nasal tip. She was keen to avoid a skin graft. The cancer was excised by Dr Marucci and the area reconstructed with a local flap.
Before
After
Skin Cancer Surgery: Skin Cancer Leg with Local Flap Repair Case 15
Skin Cancer Surgery: Skin Cancer Leg with Local Flap Repair
s 80 year old man had a skin cancer on his leg. This was surgically removed by Dr Marucci in a Day Surgery procedure. The area was reconstructed with a local flap.
Before
After
Skin Cancer Surgery: Skin Cancer Ear and Skin Graft Case 16
Skin Cancer Surgery: Skin Cancer Ear and Skin Graft
This 40 year old man had a BCC on his right ear. It was excised and the area reconstruction with a skin graft. The result one month after surgery is shown.
Before
After
Skin Cancer Surgery: Skin Cancer Leg with Local Flap Repair Case 17
Skin Cancer Surgery: Skin Cancer Leg with Local Flap Repair
This 60 year old lady had biopsy proven skin cancer on her leg and was keen to avoid a skin graft. The cancer was removed and the area reconstructed with a local “horn” flap. The result 3 months after surgery is shown.
Before
After
Skin Cancer Surgery: Skin Cancer Nose with Local Flap Repair 2 Case 18
Skin Cancer Surgery: Skin Cancer Nose with Local Flap Repair 2
This 75 year old man had a BCC on his right nasal tip. It was excised and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer Upper Lip Local Flap Repair Case 19
Skin cancer Upper Lip Local Flap Repair
This 42 year old lady had a BCC on her right upper lip. This was surgically removed and reconstructed by Dr Damian Marucci, Sydney Plastic Surgeon, as a day surgery procedure. The result 3 months after surgery is shown.
Before
After
Skin Cancer Nose Treated with Local Flap Repair Case 20
Skin Cancer Nose Treated with Local Flap Repair
This 70 year old lady had a 1 cm diameter skin cancer on the left side of her nose. It was surgically removed and the area reconstructed by Sydney Plastic Surgeon, Dr Damian Marucci. The result at 3 months following surgery is shown.
After
Before
Skin Cancer Nose with Local Flap Repair Case 21
Skin Cancer Nose with Local Flap Repair
This 65 year old man has a 1cm diameter skin cancer on his left upper nose. It was surgically removed and the area reconstructed with a local flap by Sydney Plastic Surgeon, Dr Damian Marucci.
Before
After
Skin Cancer Nose with Local Flap Repair Case 22
Skin Cancer Nose with Local Flap Repair
This 70 year old lady had an obvious skin cancer on her nose. It was surgically removed and the area reconstructed with a local flap by Sydney Plastic Surgeon, Dr Damian Marucci. The result a few months after surgery is shown.
Before
After
Skin Cancer Nose with Local Flap Repair Case 23
Skin Cancer Nose with Local Flap Repair
This 65 year old man has a skin cancer on the very tip of his nose. It was around the size of a 5 cent piece. It was surgically removed and the area reconstructed with a local flap by Sydney Plastic Surgeon, Dr Damian Marucci. The result a few months after surgery is shown.
Before
After
Skin cancer Nose and Local Flap Repair Case 24
Skin cancer Nose and Local Flap Repair
This 65 year old lady had 1.5 cm diameter skin cancer on the side of her nose. It was surgically removed and the area reconstructed with a local flap by Sydney Plastic Surgeon, Dr Damian Marucci. The result three months after surgery is shown.
Before
After
Skin Cancer Forehead Treated with Local Flap Repair Case 25
Skin Cancer Forehead Treated with Local Flap Repair
This 60 year old man had a large BCC on his forehead. This was surgically removed and the area reconstructed with a local flap as day surgery. The result 3 months after surgery is shown.
Before
After
Skin Cancer Nose with Local Flap Repair Case 26
Skin Cancer Nose with Local Flap Repair
This 75 year old lady had a skin cancer on the tip of her nose. The cancer was removed and the area reconstructed with a local flap. The result 3 months after surgery is shown.
Before
After
Skin Cancer Nose with Local Flap Repair Case 27
Skin Cancer Nose with Local Flap Repair
This 52 year old man had a large BCC on his nose. It was surgically removed and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin Cancer Nose and Local Flap Repair Case 28
Skin Cancer Nose and Local Flap Repair
This 72 year old lady had a skin cancer on the side of her nose. It was surgically removed and the area reconstructed with a local flap. The result at 2 months is shown.
Before
After
Skin Cancer Leg with Local Flap Repair Case 29
Skin Cancer Leg with Local Flap Repair
This 90 year old lady had a skin cancer on her leg and was keen to avoid a skin graft. The skin cancer was surgically removed and the area reconstructed with a local flap. The result at 2 weeks is shown.
Before
After
Skin Cancer Nose with Local Flap Repair Case 30
Skin Cancer Nose with Local Flap Repair
This 73 year old man had a skin cancer (BCC) on the tip of his nose. The cancer was surgically removed and the area reconstructed with a local flap. The result 4 months after surgery is shown.
Before
After
Skin Cancer Lower Lip – Lower Vermillionectomy Case 31
Skin Cancer Lower Lip – Lower Vermillionectomy
This 33 year old man had a skin cancer (SCC) affecting a large part of his lower lip. He underwent a “lower vermillionectomy” – where the skin of the lower lip is removed and reconstructed. The result 3 months after surgery is shown.
Before
After
Skin Cancer Lower Lip – Lower Vermillionectomy Case 32
Skin Cancer Lower Lip – Lower Vermillionectomy
This 45 year old lady had a skin cancer (SCC) affecting the skin of her lower lip. She underwent a surgical “lower vermillionectomy” – where the skin of her lower lip containing the skin cancer was removed and reconstructed. The result at 4 months is shown.
Before
After
Skin Cancer Nose with Local Flap Repair Case 33
Skin Cancer Nose with Local Flap Repair
This 55 year old man had a skin cancer (BCC) on his upper nose. The cancer was surgically removed and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin Cancer Cheek with Local Flap Repair Case 34
Skin Cancer Cheek with Local Flap Repair
This 43 year old lady had an infiltrative BCC on her right cheek. The cancer was surgically removed and the area reconstructed with a local flap. The result a few months after surgery is shown.
Before
After
Skin Cancer Upper Lip with Local Flap Repair Case 35
Skin Cancer Upper Lip with Local Flap Repair
This 72 year old man had a Basal Cell Carcinoma (BCC) on his right upper lip surgically excised. The area was reconstructed with a local flap. The result 3 months after surgery is shown.
Before
After
Skin Cancer Cheek with Local Flap Repair Case 36
Skin Cancer Cheek with Local Flap Repair
This 70 year old man had a large Basal Cell Carcinoma (BCC) on his right cheek. The cancer was removed and the area reconstructed with a local flap. The result 3 months after surgery is shown.
Before
After
Skin Cancer Nose with skin graft Case 37
Skin Cancer Nose with skin graft
This 83 year old lady had a large skin cancer on the tip of her nose. The cancer was removed and the area resurfaced with a full thickness skin graft.
Before
After
Skin Cancer Nose Case 38
Skin Cancer Nose
This 50 year old woman had a BCC on the side of her nose near her eye. It was surgically removed. The result 3 months later is shown.
Before
After
Skin Cancer Nose with Local Flap Repair Case 39
Skin Cancer Nose with Local Flap Repair
This 50 year old lady had a BCC on the tip of her nose. It was surgically removed and the area reconstructed with a local flap. The result 3 months post op is shown.
Before
After
Skin cancer nose with local flap repair Case 40
Skin cancer nose with local flap repair
This 66 year old woman had an skin cancer (SCC) on her nose. It was surgically removed and the region was reconstructed with a local flap.
Before
After
Skin Cancer nose with Local Flap Repair Case 41
Skin Cancer nose with Local Flap Repair
This 75 year old lady had a skin cancer on her nose. The cancer was surgically removed and the area reconstructed with a local flap under local anaesthetic by Dr Marucci. The result at 3 months is shown.
Before
After
Skin cancer scalp with local flap repair Case 42
Skin cancer scalp with local flap repair
This 72 year old man had a skin cancer (SCC) on his scalp. The cancer was surgically removed and the area reconstructed with a local flap by Dr Marucci. The result at 3 months is shown.
Before
After
Skin cancer forehead with local flap repair Case 43
Skin cancer forehead with local flap repair
This 75 year old man had a BCC on his right forehead. This was excised by Sydney Plastic Surgeon Dr Damian Marucci and the area reconstructed with a local flap. The result 3 months after surgery is shown.
Before
After
Skin cancer nose and local flap repair Case 44
Skin cancer nose and local flap repair
This 74 year old lady had a Basal Cell Carcinoma (BCC) of the side of her nose. It was surgically removed and the area reconstructed with a local flap. The result 3 months after surgery is shown
Before
After
Skin cancer ear Case 45
Skin cancer ear
This 68 year old man had a skin cancer on his ear. It was excised under local anaesthesia. The result 3 months after surgery is shown.
Before
After
Skin cancer cheek and local flap repair Case 46
Skin cancer cheek and local flap repair
This 60 year old lady had a skin cancer (BCC) on her right cheek close to her eye. The cancer was surgically removed by Dr Marucci as day surgery and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose and local flap repair Case 47
Skin cancer nose and local flap repair
This 70 year old lady had a skin cancer on her nose (Basal Cell Carcinoma). The cancer was surgically removed and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin Cancer Temple with Local Flap Repair Case 48
Skin Cancer Temple with Local Flap Repair
This 84 year old lady had a Squamous Cell Carcinoma (SCC) on her right temple. This was surgically removed and the area reconstructed with a local flap. The result a few months after surgery is shown.
Before
After
Skin cancer nose with local flap repair Case 49
Skin cancer nose with local flap repair
This 79 year old man had a nasty BCC on the side of his nose. The cancer was surgically removed and the area reconstructed with a local flap. The result 3 months after surgery is shown.
Before
After
Skin cancer nose and local flap repair Case 50
Skin cancer nose and local flap repair
This 80 year old lady had a skin cancer on the tip of her nose surgically removed. The area was reconstructed with a local flap.
Before
After
Skin cancer nose with local flap repair Case 51
Skin cancer nose with local flap repair
This 45 year old woman had a BCC (skin cancer) on the side of her nose surgically removed. The area was reconstructed with a local flap. The result at 4 months is shown.
Before
After
Skin cancer leg with local flap repair before and after Case 52
Skin cancer leg with local flap repair before and after
This 78 year old man underwent surgical excision of an SCC from his lower leg. The area was reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose with skin graft before and after Case 53
Skin cancer nose with skin graft before and after
This 50 year old man had a skin cancer on the left side of his nose. The cancer was surgically removed and the area reconstructed with a skin graft. The result at 3 months is shown.
Before
After
Skin cancer nose with local flap before and after Case 54
Skin cancer nose with local flap before and after
This 51 year old lady had a BCC (Basal Cell Carcinoma) on the tip of her nose. The cancer was surgically removed and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose with local flap before and after Case 55
Skin cancer nose with local flap before and after
This 44 year old lady had a BCC (Basal Cell Carcinoma) on her nose. The BCC was surgically removed and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose with local flap before and after Case 56
Skin cancer nose with local flap before and after
This 74 year old man had a Basal Cell Carcinoma (BCC) on his nose surgically removed. The area was reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose and local flap repair before and after Case 57
Skin cancer nose and local flap repair before and after
This 56 year old lady underwent excision of a skin cancer from ther nose. The area was reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose and local flap repair before and after Case 59
Skin cancer nose and local flap repair before and after
This 90 year old lady underwent excision of a skin cancer from the tip of her nose. The area was reconstructed with a local flap. The result at 2 months is shown.
Before
After
Skin cancer nose and local flap repair Case 60
Skin cancer nose and local flap repair
This 64 year old man underwent excision of a skin cancer on the side of his nose. The area was reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose and local flap repair before and after Case 61
Skin cancer nose and local flap repair before and after
This 59 year old man had a nasty skin cancer on his left nostril. The cancer was surgically removed and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose and local flap repair before and after Case 62
Skin cancer nose and local flap repair before and after
This 78 year old man had a skin cancer surgically removed from the side of his nose. The area was reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose and local flap repair before and after Case 63
Skin cancer nose and local flap repair before and after
This 70 year old lady had a skin cancer on her nose surgically excised and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose and local flap repair before and after Case 64
Skin cancer nose and local flap repair before and after
This 69 year old man had a BCC (Basal Cell Carcinoma) surgically removed from the his nose. The area was reconstructed with a local flap. The result at 3 months is shown.
Before
After
Lower lip skin cancer before and after Case 65
Lower lip skin cancer before and after
This 46 year old man had an SCC (Squamous Cell Carcinoma) on his lower lip. The entire lower lip with excised and reconstructed. The result at 3 months is shown.
Before
After
Skin cancer lower eyelid and local flap repair before and after Case 66
Skin cancer lower eyelid and local flap repair before and after
This 66 year old man had a skin cancer on his right lower eyelid. The cancer was surgically excised and the area reconstructed with a local flap. The result at 3 months is shown.
Before
After
Skin cancer nose and skin graft before and after Case 67
Skin cancer nose and skin graft before and after
This 68 year old man had a skin cancer on the side of his nostril surgically removed and the area reconstructed with a skin graft. The result at one month is shown.
Before
After
Before
After
Skin Cancer Surgery Case 68
After
Before
Skin Cancer Surgery Case 69
Patient Information
This 50 year old man underwent excision of a BCC skin cancer from the right side of his nose with reconstruction with a local flap. The result at 3 months is shown.
After
Before
Skin Cancer Surgery Case 69
Patient Information
This 50 year old man underwent excision of a BCC skin cancer from the right side of his nose with reconstruction with a local flap. The result at 3 months is shown.
Before
After
Skin Cancer Surgery Case 70
Patient Information
This 75 year old female patient had an SCC of the right lower lip treated with a wedge excision under local anesthetic. The result at 3 months is shown.
Before
After
Skin Cancer Surgery Case 71
Patient Information
This 75 year old female patient had an SCC of the right lower lip treated with a wedge excision under local anesthetic. The result at 3 months is shown.
Before
After
Skin Cancer Surgery Case 72
Patient Information
Skin cancer (BCC) removal and local flap (bi lobed flap)
Before
After
Skin Cancer Surgery Case 73
Patient Information
This patient had a melanoma excised from the leg, which was excised and reconstructed with a local flap
After
Before
Skin Cancer Surgery Case 74
Patient Information
Case 48 20 254 Bilobed flap
Before
After
Skin Cancer Surgery Case 75
Patient Information
Case 4 21 429
After
Before
Skin Cancer Surgery Case 76
Patient Information
Case 6 22 855 hatchet flap
This 67 yo man had a BCC on his upper lip. This was treated with surgical excision and local flap reconstruction under local anaesthetic
Before
After
Skin Cancer Surgery Case 77
Patient Information
Case 62 22 849 Inner canthus glabella flap
76 yo female had a skin cancer on the inside of the upper nose treated with excision and a local flap
Before
After
Skin Cancer Surgery Case 78
Patient Information
Case 61 22 849 Inner canthus glabella flap
This 51 yo female had a skin cancer on the upper inner nose treated with excision and a local flap
Before
After
Skin Cancer Surgery Case 79
Patient Information
Case 60 22 914 Nasal sidewall with cheek rotation flap
This 56 yo female had a BCC on the side of her nose treated with excision and local flap reconstruction
Before
After
Skin Cancer Surgery Case 80
Patient Information
Case 5 22 1308
This is an 80 yo man who had an SCC of the lower lip treated with a lower vermilionectomy
Before
After
Skin Cancer Surgery Case 81
Patient Information
Case 50 21 2562 Bilobed nasal tip
This on is a 71 yo mane who had a BCC excised from his nasal tip. the area was reconstructed with a local flap
Before
After
Skin Cancer Surgery Case 82
Patient Information
Case 53 21 2341 Alar rotation flap
87 yo female with a skin cancer on the nose treated with a cheek advancement flap
Before
After
Skin Cancer Surgery Case 83
Patient Information
Case 54 22 586 Tip bilobed
This is a 64 yo man with a skin cancer on the nasal tip treated with a bilobed fla
Before
After
Skin Cancer Surgery Case 84
Patient Information
Case 56 22 9224 Dorsum cheek advancement flap
This a female patient with an SCC on the side of the nose treated with a cheek advancement flap
Before
After
Skin Cancer Surgery Case 85
Patient Information
Case 56 22 9224 Dorsum cheek advancement flap
This a female patient with an SCC on the side of the nose treated with a cheek advancement flap
Before
After
Skin Cancer Surgery Case 86
Patient Information
Case 58 22 720 Sidewall and cheek advancement flap
This man had a skin cancer on the side of the nose treated with a cheek advancement flap
Before
After
Skin Cancer Surgery Case 87
Patient Information
Case 59 22 585 alar rotation
This 76 yo man had a BCC on his alar treated with excision and an alar rotation flap
Before
After
Skin Cancer Surgery Case 88
Patient Information
Case 60 22 914 Nasal sidewall with cheek rotation flap
This 56 yo female had a BCC on the side of her nose treated with excision and local flap reconstruction
Before
After
Skin Cancer Surgery Case 89
Patient Information
Case 63 22 63 Alar rotation flap
This 35 yo man had a skin cancer on his nose treated with excision and a local flap
Before
After
Skin Cancer Surgery Case 90
Patient Information
Case 55 19 1197 Soft triangle wedge
This 79 yo female with a BCC of the soft triangle of the nose, treated with a wedge excision
The Practice
Contact
Contact
Copyright A/Prof Damian Marucci 2025. All rights reserved.
This website contains adult content. You must be 18 years or older to read.
All surgery carries risks. You should seek a second opinion before proceeding.
Results vary from patient to patient.