Skin lesions that tend to bleed, not heal, grow or change over time should be evaluated for possible malignancy (cancer). Individuals with a history of skin cancer should have regular full body checks by a dermatologist. Treatment of skin cancer typically involves complete surgical excision of the cancer. When skin cancer sits close to the eye, nose, mouth or ear, specialized reconstruction may be needed by a facial plastic surgeon in order to prevent physical distortion and possible functional impairment of breathing, vision or hearing.
Skin cancer develops from a history of extensive sun exposure. Treatment of skin cancer often involves surgical excision.
Mohs is a process of skin cancer excision performed by a dermatologist in the clinic that essentially preserves more tissue than traditional “frozen” sections in the operating room. Following excision and clearance of margins, either through Mohs or traditional “frozen” specimens, the subsequent defect may require reconstructive closure.
When skin cancer occurs on the nose, close to the eyes or mouth, reconstruction should take into consideration the specific anatomy and function of these regions. The repair of skin cancer defects involves a number of techniques ranging from skin grafts and rotational flaps to ear cartilage and free flaps.
The purpose of reconstructive surgery following skin cancer excision is to restore function to the affected area and to provide as natural an appearance as possible.