Why choose Wake Plastic Surgery?
Skin cancer defect reconstruction is one of the most satisfying procedures that Dr. Stoeckel and Dr. Purzycki perform. Their techniques and results have been presented at both national and international venues. Almost all of these procedures can be completed using local anesthesia in his private surgical suite setting.Our Facial Reconstruction Results
What are some common methods of restoring defects of the nose?
The nose is the part of the face most commonly affected by skin cancers. Many nasal defects are easily repaired by “borrowing” nearby skin and utilizing something termed a local flap. This is an example of a technique called a bilobed flap. The bilobed flap is an excellent choice when the nasal defect is small.
Dorsal nasal flap
Slightly larger nasal defects may be repairable with a dorsal nasal flap. This technique involves borrowing skin from above the defect and between the eyes and sliding the skin down to fill the defect. The resultant scar is found along the side of the nose and is usually quite tolerable.
Still larger nasal defects require regional tissue transfer when there is not enough local tissue to use. Probably the most effective and reliable regional tissue to use for nasal reconstruction is the forehead. The forehead flap can provide very nice results, but does require several surgical stages. The first stage involves elevating the forehead skin and folding it down onto the nose. A small segment of skin (the pedicle) remains attached to the forehead to provide the flap with its blood supply. After about 3 weeks, the pedicle can be transected and the flap more precisely fashioned to fill the defect. Often, the flap remains a bit bulky and requires small additional procedures to optimize the result.
What others facial defects are commonly repaired?
Scalp, forehead, and cheek skin cancers are also quite common. The repair of these defects usually involves some type of rotation flap and sometimes a combination of rotation flaps. Fortunately, the blood supply to the face and scalp is quite robust allowing for several reconstruction options. The design of the reconstruction is focused on trying to avoid changes to the normal defining characteristics of the face including the hairline, the position of the eyebrows and eyelids, and the interfaces between the nose, cheek and mouth.
The same principles are used to reconstruct the lips, eyelids, ears, and other facial structures. Dr. Purzycki performs many of these procedures in the private surgical suite with local anesthesia. And most repairs are completed either the day of the cancer removal or the day after.Schedule A Consultation