Dr. Adam Mamelak

05/01/2026

A robot crosses a street next to a self driving car in front of a giant prism 🤖

04/27/2026

04/17/2026

Reconstruction of the upper lip after Mohs surgery requires a balance of precision, artistry, and respect for both form and function 💉🎨 One elegant solution for select defects is the island pedicle flap—a technique that allows recruitment of nearby tissue while maintaining its native blood supply for optimal healing.

A key principle in achieving a natural result is designing the flap around the cosmetic subunits of the lip. By aligning incisions along natural borders—such as the philtral columns, vermillion-cutaneous junction, and nasolabial fold—we can help camouflage scars and preserve the visual harmony of the face. Thoughtful placement makes the reconstruction far less noticeable over time 🧑‍⚕️

Equally critical is maintaining lip function. The upper lip plays a central role in speech, oral competence, and facial expression. Careful dissection and flap inset help preserve the orbicularis oris muscle and avoid distortion, ensuring patients not only look good, but also retain normal movement and sensation 😷

When tumor margins extend into the vermillion, reconstruction often requires an additional step. A mucosal advancement flap can be used to restore the inner lining of the lip, maintaining both contour and function while preventing tightness or retraction 😗

Rebuilding the upper lip isn’t just about closing a defect—it’s about restoring identity, expression, and confidence 💋👄

😘💥🙌

03/30/2026

Rebuilding the ear after skin cancer removal requires both precision and artistry 😷🎨The mastoid interpolation flap is an advanced reconstructive technique that allows us to restore complex auricular defects following Mohs surgery, particularly when local tissue is insufficient.

This staged procedure uses well-vascularized skin from the mastoid region (behind the ear), which closely matches the color and texture of the native ear. For added structural integrity—especially in larger or more complex defects—cartilage can be harvested from the contralateral ear to provide support and maintain natural contour 🦻🙉

The benefits of this highly technical approach are significant:
• Excellent color and texture match
• Reliable blood supply for optimal healing
• Restoration of natural ear contour and projection
• Ability to reconstruct complex, multi-layered defects

While it requires careful planning and multiple stages, the mastoid interpolation flap offers outstanding functional and aesthetic outcomes for patients undergoing auricular reconstruction after skin cancer 💉🩺

🍎🍏

01/14/2026

Reconstructing the nose after removal is one of the most delicate and rewarding challenges in facial surgery - particularly after where the goal is complete cancer removal while preserving as much healthy tissue as possible.

One powerful option for nasal reconstruction is the Peng flap, also known as an anchor flap. This versatile, single-stage flap is particularly well suited for medium-to-large defects, most commonly on the central nasal tip - one of the most visible and structurally complex areas of the face.

The Peng flap is a modification of a linear advancement flap, but with an important innovation: it features two “rotating arms” that advance from the cheeks and nasal sidewalls toward the defect. These arms naturally follow the curved anatomy of the nose, allowing the tissue to rotate and advance smoothly rather than pulling straight across. This design reduces tension, improves flap survival, and helps maintain the nose’s natural contours.

One of the greatest strengths of the Peng flap is its excellent color and texture match. By borrowing tissue from immediately adjacent areas, the reconstruction blends seamlessly with the surrounding skin. Just as importantly, the helps recreate the nose’s three-dimensional shape, preserving the natural convexity of the nasal tip rather than flattening it.

From an aesthetic standpoint, the Peng flap also fits beautifully into the nose’s existing cosmetic subunit lines, allowing scars to be placed where they are less noticeable and more likely to heal discreetly over time. The result is a reconstruction that looks natural- not tight, not distorted, and not “operated on.”

While no single technique is right for every patient or every defect, the Peng flap is often a preferred choice for central nasal tip repairs because it balances form, function, and long-term appearance so well. It’s a perfect example of how thoughtful surgical design can restore not just skin, but confidence.

isn’t just about closing a wound—it’s about respecting anatomy, honoring aesthetics, and helping patients feel like themselves again.

04/10/2025

03/28/2025

🌿 Ariessence Pure PDGF+ – The Ultimate Elixir for Skin & Hair Renewal ✨

Unlock the power of Platelet-Derived Growth Factors (PDGF+), scientifically designed to rejuvenate skin and stimulate hair growth at the cellular level.

🔬 For Skin: Boosts collagen production, accelerates healing, and reduces fine lines—giving you a firmer, more youthful complexion.
💆‍♀️ For Hair: Stimulates follicles, strengthens strands, and supports thicker, healthier hair growth.

Whether you’re looking to revitalize your skin or restore your hair, Ariessence Pure PDGF+ is your go-to for next-level regeneration.

Tag someone who needs this game-changing treatment! ✨

01/28/2025

So honored to be recognized asa 2025 Austin by magazine 🙏 What an incredible group of physician colleagues to be associated with 😊

07/29/2024

🌟 Discover the Magic of Fraxel Dual for Skin Resurfacing! 🌟

Are you looking to rejuvenate your skin and achieve a radiant, youthful glow? Fraxel Dual laser treatment might be your perfect solution! Here’s why:

✨ **Improves Skin Texture**: Say goodbye to rough, uneven skin. Fraxel Dual smooths out imperfections, giving you a silky-soft complexion.

✨ **Reduces Fine Lines & Wrinkles**: Target those pesky signs of aging. This treatment stimulates collagen production, helping to minimize fine lines and wrinkles for a fresher, more youthful look.

✨ **Fades Scars & Hyperpigmentation**: Whether it’s acne scars or sun spots, Fraxel Dual works wonders in evening out skin tone and reducing discoloration.

✨ **Non-Invasive & Minimal Downtime**: Enjoy the benefits of a powerful treatment without the long recovery time. Most people can return to their daily activities shortly after the procedure.

✨ **Long-Lasting Results**: With proper skincare, the results from Fraxel Dual can last for years, making it a worthwhile investment in your beauty routine.

Ready to transform your skin? Book your consultation today and unlock the secret to a flawless complexion! 💖

05/17/2024

A great dinner and fantastic reunion with the incredible Dr. Hideaki Watanabe the in Japan 🇯🇵