Facial Skin Cancer Defect Reconstruction

Skin cancer is an extremely common problem across the country, and especially in Southern California. The three main types of skin cancer that are commonly seen include basal cell carcinoma, squamous cell carcinoma and malignant melanoma.

Skin cancer can arise on any skin surface. Most cancers, however, tend to occur more commonly on skin areas that are chronically exposed to sunlight, such as the face, hands and arms.

It is in the hands of dermatologists to diagnose and treat the overwhelming majority of skin cancers. However, removing skin cancers can sometimes leave a very large defect, requiring the skill of a specially trained plastic surgeon to repair it. Dr. Brenner has the necessary training and experience to effectively repair facial defects caused by skin cancer. He works with many dermatologists throughout Los Angeles and even around country.

Most skin cancers that arise on the face occur in aesthetically critical areas, such as the nose, lips, eyelids, cheeks and ears. Repairing these types of defects requires an intricate understanding of the underlying facial anatomy. Dr. Brenner has years of experience and very high patient satisfaction with repairing these extremely difficult problems.

Some of the most common procedures used to repair facial skin cancer defects include:

Dr. Brenner is highly experienced in this and other advanced techniques. In this technique, reconstruction takes place in two stages. The first stage is nasal skin cancer repair in which a template is made of the unaffected side of the nose and transposed to the affected side. In some cases the unaffected remaining portion of the subunit is removed entirely and a piece of ear cartilage is used to provide structure to this portion of the nose. Following this, a nasolabial flap is designed and dissected. The flap is then thinned out and sewn into place along three sides. The fourth side is left attached to the original donor site and allowed to heal for about three weeks.

After three weeks of healing, the second stage of the nasal skin cancer repair is performed. During the second stage, the flap is divided, contoured to look like the structure that it is replacing and then inset with sutures. The remaining portion of the cheek is also contoured during this second stage operation. Occasionally, patients will return for a final third contouring procedure. This is usually done three to six months later.

  1. Bilobed flap
  2. Nasolabial flap
  3. Forehead flap
  4. Rhomboid flap
  5. Mustarde flap
  6. Full thickness skin graft
  7. Ear Cartilage graft

Repair of Skin Cancer of the Nose

Skin Cancer Repair on the nose can be a very challenging problem to repair. Basal Cell Carcinoma and Squamous Cell Carcinoma are found very commonly on the face. These non-melanoma types of skin cancer are particularly common on the nose. Reconstructing defects following removal of skin cancer from the nose is a particularly difficult surgical problem. When a tumor destroys a portion of the nasal ala (nasal wing), a common repair technique is to use a naso-labial flap.

Dr. Brenner is highly experienced in this and other advanced techniques. In this technique, reconstruction takes place in two stages. The first stage is nasal skin cancer repair in which a template is made of the unaffected side of the nose and transposed to the affected side. In some cases the unaffected remaining portion of the subunit is removed entirely and a piece of ear cartilage is used to provide structure to this portion of the nose. Following this, a nasolabial flap is designed and dissected. The flap is then thinned out and sewn into place along three sides. The fourth side is left attached to the original donor site and allowed to heal for about three weeks.

After three weeks of healing, the second stage of the nasal skin cancer repair is performed. During the second stage, the flap is divided, contoured to look like the structure that it is replacing and then inset with sutures. The remaining portion of the cheek is also contoured during this second stage operation. Occasionally, patients will return for a final third contouring procedure. This is usually done three to six months later.

Schedule Your Consultation Today

Contact our offices today to schedule a consultation so that you may get your questions answered and learn more about how Dr. Brenner can help you to achieve your cosmetic goals.

Call us at 424-230-7779 today or click here to schedule online