Surgeon Elise

[Martha Weitz]

Dr. Elise Ng is a dermatologic surgeon in the Department of Dermatology at the Johns Hopkins University School of Medicine. She is double board-certified in Dermatology and Micrographic Dermatologic Surgery. Dr. Ng also serves as the clinical co-director of the Melanoma Program at the Sidney Kimmel Comprehensive Cancer Center. Her areas of clinical expertise include Mohs micrographic surgery, complex facial reconstruction following skin cancer surgery, melanoma, and surgical removal of benign and malignant skin lesions.

Kadokawa announced on Thursday that Doctor Elise, the television anime based on author Yuin and illustrator Mini's Surgeon Elise (Gekai Elise, or Oegwauisa Elise in Korean) medical reincarnation fantasy web novels and vertical-scrolling manwha, will premiere in January 2024. Kadokawa also revealed a key visual, teaser promotional video, and the main cast.

The anime's story follows Aoi Takamoto, who was once an evil empress named Elise before being executed by her husband Linden. When Elise is reincarnated into the modern world as Aoi, she becomes a surgeon to atone for her mistakes. However, after she dies in a plane crash, she is once again reincarnated back into her former life as Elise, 10 years before her execution. She avoids marrying Linden this time around to prevent a tragedy. With her medical knowledge, she decides she wants to become a doctor again in this life.

Yuin and Mini launched the manwha on KakaoPage in 2017. Tappytoon publishes the English version as Doctor Elise: The Royal Lady with the Lamp. The series ended in February 2021. There are 10 total volumes for the manwha and four volumes for the novels.

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Elise underwent a vaginoplasty, surgery to construct a vagina from existing genital tissue, at Massachusetts General Hospital in 2020, with a care team led by Milena Weinstein, MD, gynecologic surgeon, Anton Wintner, MD, urologist, and Jonathan Winograd, MD, plastic and reconstructive surgeon, Heather Parker, NP, and Leah, RN.

Her realization, she says, was marked by the small things. When her cousins would play dress-up, she would put on a dress and try out makeup. When playing video games, she would gravitate toward the female personas, despite remarks from her family that she should select the male ones.

Elise began to make changes her in life to assert her gender identity. She sought regular guidance from a therapist, who quickly became a significant source of support when coming out to her family; she switched to female pronouns; and she changed her name.

Upon turning 18 years old, Elise delved into research to learn about her surgical options. A year later, she came to Mass General for her vaginoplasty, a surgery to construct a clitoris, vaginal canal and labia from existing genital tissue.

Prior to her surgery at Mass General, Elise underwent an orchiectomy, surgery to remove the testicles, at a separate institution and was referred to Mass General for a vaginoplasty with a highly experienced and equipped multidisciplinary team.

She set up a consultation with the Mass General Transgender Health Program team to establish her medical support. Following this consultation, Elise met with her surgical team, which included Milena Weinstein, MD, gynecologic surgeon, Anton Wintner, MD, urologist, and Jonathan Winograd, MD, plastic and reconstructive surgeon.

Elise attended her first few visits with the Mass General care team virtually. She had the opportunity to ask questions, complete a physical exam and learn about the timeline for both the operation and recovery.

She arrived at the Boston campus on the day of surgery, prepared and resolute. In the operating room, Elise recalls how the team put her at ease. The anesthesiologists, she says, were particularly helpful in making her feel calm and relaxed before administering her epidural.

Elise recovered comfortably in her home while attending college classes virtually. As for post-operative pain, she says that she felt a manageable soreness for a few weeks, which she treated with ice packs and ibuprofen. Parts of the surgical site remained numb for a couple of weeks as the effects of the epidural slowly wore off.

Additionally, an important part of her new routine to help her body adjust to and maintain its changes is vaginal dilation, which helps to preserve the depth of the vagina, prevent tightening of its skin graft and improve the elasticity of vaginal wall.

Elise says that she went into surgery knowing that it would not fix all of the anxieties and self-consciousness that had been built up throughout the years, but that it was an essential step to allow her to feel more like herself.

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Dr. Ehland specializes in facial cosmetic surgery, having earned board certification by the American Board of Facial Cosmetic Surgery (ABFCS) in 2019. The ABFCS only awards certification to surgeons who can prove they are uniquely qualified via training, credentials, and experience to expertly perform cosmetic surgery, as well as non-surgical aesthetic treatments, to the face and neck.

American Board of Facial Cosmetic Surgery diplomates have dedicated all or a significant portion of their practice to treating facial cosmetic conditions. From the skin to underlying tissues, to the facial skeleton, American Board of Facial Cosmetic Surgery surgeons have a deep understanding of underlying anatomic causes as well as solutions for cosmetic concerns.

Whether with non-surgical options such as skin renewal or injectable treatments, or surgical modalities such as facelift, rhinoplasty, or eyelid lift, ABFCS diplomates are dedicated to safely providing you with superior facial cosmetic procedure results.

Mohs surgery is a method for treating skin cancer lesions. During this procedure, the surgeon removes thin layers of skin one layer at a time and examines each layer under a microscope to determine if any cancer remains. This procedure continues until only cancer-free tissue remains.

Since its development, Mohs surgery has been refined into the most precise and advanced treatment for skin cancer, yielding success rates up to 99%. Mohs surgery is so effective because it evaluates the tissue surrounding the cancer more thoroughly than traditional skin cancer surgery techniques. As a result, it is considered the gold standard treatment for high-risk skin cancers, such as those located on the head and neck or those with aggressive growth patterns.

The Mohs procedure takes place in an outpatient setting with the surgeon using a local anesthetic to numb the area completely. After injecting the anesthetic, the surgeon uses a scalpel to remove thin, saucer-shaped layers of skin in a sequential manner.

Mapping is a critical part of the process, as it helps the surgeon plan the removal of each layer. The surgeon marks areas of the removed skin samples with colored dyes and makes a map of the surgical area using a freehand drawing or a computer application. The map provides a guide to the surgical area and aids the surgeon in identifying where cancerous cells are still being found.

Some cancers are deeply rooted in lower levels of the skin, appearing small on the surface but with extensive growth several skin layers below. Other cancers may be shallow and require removal of only a few small layers.

After each layer of tissue is removed, the specimen is frozen, sliced into very thin sections and processed onto glass slides by a Mohs histotechnician, a professional who is specially trained in preparing these slides. This process typically takes up to one hour.

The Mohs surgeon then examines the slides under the microscope to assess the extent of the skin cancer and identify microscopic roots. If tumor cells remain at any of the margins, the map is used to remove an additional tissue layer precisely at the area where cancer remains. This procedure continues until the tissue is cancer-free, which spares the maximum amount of healthy surrounding tissue.

Some Mohs procedures may not require reconstructive surgery at all, but for those that do, the reconstruction can most often be performed by your Mohs surgeon immediately after the skin cancer has been removed.

If a Mohs surgery leaves a large defect in a visible or sensitive place such as the nose or the areas around the eyes or ears, you may need a skin graft (taking a patch of skin from elsewhere on the body) or local flap (moving a segment of nearby skin) to cover the defect and restore the function and appearance of the face.

Advanced cases that require more extensive reconstruction are performed in the operating room under sedation or general anesthesia. In these cases, your Mohs surgeon may coordinate your reconstructive work with a plastic, facial plastic or oculoplastic surgeon. A consultation with your Mohs surgeon will help determine what type of reconstructive surgery you will need.

Mohs surgery for the removal of squamous cell carcinoma left Amber with a large wound on her face. Willing to travel anywhere for the best facial plastic and reconstruction surgeon, Amber found Lisa Ishii, M.D., at Johns Hopkins to repair her cheek and is delighted with the outcome.

Dr. Kuykendall is thoroughly Oklahoman. She graduated from Norman High School as valedictorian in Norman, OK, before graduating Summa Cum Laude with a B.S. from Southwestern Oklahoma State University. She received her Doctorate of Osteopathic Medicine from Oklahoma State University College of Osteopathic Medicine in Tulsa, OK, where she ranked second in her class. She spent three years in a general surgery residency, believing she wanted to be a surgeon, before having a big change of heart that resulted in pursuing family medicine as her profession. She then completed her residency training at Integris Northwest Family Medicine Residency in Enid, OK, where she served as Chief Resident during her final year.

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