Focusing on restoring normal proportions, symmetry, and protecting vital structures after a tumor is removed.
Once there is no more visible tumor on the skin edges, the surgeon and patient discusss optimal wound healing strategies. Sometimes natural healing, without stitching, can provide the best outcome for the patient. Other times, stitching will guarantee a much more predictable outcome.
Large and critically located wounds present challenges to a reconstructive surgeon, and may require some “curtaining” over from nearby skin (a flap) or a small piece of skin (graft) from another part of the body. Flaps and grafts provide one with additional options for closing surgical wounds and restoring a natural appearance and function.
This image shows the recreation of the cupid’s bow, an important feature of the lip line, with meticulous rearrangement of the skin surrounding the Mohs surgery site.
Dr. Ezaldein specializes in skin reconstruction after Mohs surgery in areas where every stitch counts and must be placed perfectly. His background and training is in higher risk anatomical areas such as the nose, eyelids, lips, ears, fingers, and genitals.
Large tumors sometimes require more careful reconstruction to not only restore the skin’s appearance but also ensure that tension is distributed evenly.
Every wound is very different and the method of healing or stitching depends on various factors, but will above all be the decision of a well-informed patient.
Dr. Ezaldein welcomes any patient seeking an initial evaluation or secondary opinion about skin cancer surgery, complex facial reconstruction, surgical treatment of hidradenitis and follicular conditions, scar revisions, or repigmentation procedures for vitiligo. You are welcome to contact us for a consultation.