Skin Cancer & Reconstruction
Purpose- Learning that you have a skin cancer can be difficult news. When it is in a cosmetically sensitive area on your face, preserving normal tissue and restoring a natural appearance is imperative. This can be done with standard excision or Mohs resection. Closure is then performed by a surgeon who is trained in facial plastic surgery procedures.
Procedure- The size and location of the defect will dictate the recommended closure and repair. The general principle of closure is to borrow extra, unnecessary tissue from other similar or nearby locations. All layers of the defect and all tissue types that are removed must be replaced. Skin grafts and cartilage grafts harvested from other regions of the head and neck or body are often necessary. For defects of the nose, multiple surgeries may be necessary to provide optimal results. The procedure length varies from 15 min. to 3 hrs. depending on the exact defect. Generally, the closure can be done under local anesthesia or conscious sedation. Together with Dr. Ladner, an appropriate anesthetic plan will be determined.
Recovery- You should be able to return to normal function the day of the procedure. An occlusive dressing may be placed after the surgery. Because wounds heal more quickly in clean, moist environments, wound care instructions will be provided. Sutures are removed within 7 days of the procedure.
Warning: The pictures below are graphic and not suitable for all audiences
Mohs Before & After Photos
Before and 1 month after left lower eyelid Mohs reconstruction
Before and 3 months after paramedian forehead flap reconstruction of a nasal Mohs defect
Before and 1 year after right nasal Mohs reconstruction
Before and 1 month After lower lip skin cancer reconstruction
Before and 2 months after left ear Mohs reconstruction