FACIAL RECONSTRUCION AFTER SKIN CANCER EXCISION
The surgical removal of skin cancer often leaves behind wounds, scars, or cosmetic irregularities that may require reconstructive procedures to restore both function and appearance.
The choice of reconstructive option depends on various factors, such as the size and location of the excised area, the type of skin cancer, and the client’s overall health. This guide aims to outline the range of reconstructive techniques commonly used after skin cancer excision.
LOCAL FLAPS
- Advancement Flaps: Suitable for small to medium-sized defects, especially on the face. Adjacent skin is stretched or advanced to cover the defect and stitched into place.
- Rotation Flaps: Commonly used for larger defects. A flap of skin is rotated from an adjacent area to cover the defect.
- Transposition Flaps: Useful for irregularly shaped defects. A flap is cut from skin near the surgical defect, moved into the defect and stitched into place over the defect.
SKIN GRAFTS
- Full-thickness Grafts: Ideal for smaller, less conspicuous areas. A full layer of skin is taken from a donor site (usually the behind the ear, neck, abdomen, or inner arm) and sutured to reconstruct the wound.
- Split-thickness Grafts: Used for larger defects or areas where the graft can be secured tightly. A partial thickness thinner layer of skin is harvested from a larger area (usually the thigh) and transferred to the defect.
- Free Flaps: Used for large, complex defects, especially where significant tissue loss has occurred. Skin and sometimes muscle or bone are transferred from one part of the body to another, along with the blood vessels that supply them. Microsurgical techniques are used to connect the blood vessels to those in the recipient site.
- Tissue Expansion: Best for areas adjacent to the defect where similar skin texture and colour are desirable. A balloon-like device is inserted under the skin and gradually inflated to stretch the skin, which can then be used to cover the nearby defect.
- Secondary Intention Healing: Suitable for small, shallow defects, often in areas with good blood supply. The wound is left open and allowed to heal naturally, filling in with new tissue over time.
CONCLUSION
Reconstruction after skin cancer excision is a tailored approach that depends on various factors like the type of skin cancer, its location, and the extent of tissue removed. Dr Sandeep has trained under world renowned facial plastic and reconstructive surgeons Prof Shan R Baker, Prof Hade Vuyk, and Prof Nick Stafford, to name a few. He has gained extensive experience in excision of facial skin cancer and lesions, and oncologic reconstruction of resultant tissue defect for achieving the best aesthetic and functional outcome.
POSTOPERATIVE CARE AFTER SKIN CANCER EXCISION: A COMPREHENSIVE GUIDE
Postoperative care is a critical component of successful skin cancer treatment, complementing the surgical removal of the tumour. Proper care can help prevent complications such as infection, promote optimal wound healing, and reduce the risk of scarring. This guide outlines the key steps involved in postoperative care following skin cancer excision.
IMMEDIATE POSTOPERATIVE PERIOD
- Wound Cleansing: Cleansing agent like hydrogen peroxide may be prescribed to clean the wound twice a day to prevent crusting and aid healing.
- Antibiotic Ointment: To aid wound healing and prevent infection.
- Dressing and Wound Care: The surgical site may typically be dressed with sterile bandages or adhesive strips. The frequency of dressing changes will depend on the type of dressing and Dr Sandeep’s guidelines.
- Pain Management: Mild to moderate pain is normal and can be managed with prescribed pain relievers or over-the-counter medications, as recommended by our team.
- Antibiotics: Antibiotics may be prescribed to prevent bacterial infection at the surgical site.
- Activity Restrictions: Strenuous activities may need to be avoided, especially for specific areas like the face.
FIRST WEEK
- Monitoring for Signs of Infection: Keep an eye out for redness, increased pain, pus, or elevated temperature, as these may indicate infection.
- Hydration and Moisturization: Keep the area hydrated with recommended ointments, usually antibiotic or antiseptic creams, to facilitate healing.
- Suture Care: If you have non-dissolvable sutures, Dr Sandeep will provide instructions on suture care and when they should be removed.
ONGOING CARE
- Scar Care: Once the wound has fully closed, scar creams or silicone gel sheets can be used to minimize scarring. Triluma may be prescribed to reduce scar pigmentation.
- Sun Protection: Protect the healing and surrounding skin from sun exposure by using high SPF sunscreen, hats, or clothing, as ultraviolet rays can affect wound healing and increase the risk of new skin cancers.
- Regular Check-ups: Scheduled follow-up appointments are crucial for monitoring the healing process, checking for complications, and discussing next steps for surveillance or additional treatment if necessary. Follow up scans may be needed for certain kinds of skin cancers.
- Sentinel Lymph Node Biopsy or Lymph Node Dissection: Additional care may be needed if you have undergone these procedures, such as managing lymphatic drainage or specialized wound care.
- Large or Complex Reconstructions: For grafts, flaps, or complex reconstructions, additional or specialized care may be necessary, including more frequent follow-up appointments.
- Emotional Wellbeing: The emotional aspect of skin cancer treatment shouldn’t be overlooked. Support from friends and family, as well as mental health professionals, can help you cope with stress or anxiety.
CONCLUSION
Postoperative care after skin cancer excision is essential for optimal outcomes. Following your healthcare provider’s guidelines can help prevent complications and speed up the healing process. Regular follow-up appointments will help monitor your progress and ensure that you are on the right track for both healing and cancer surveillance.
RENEW YOUR CONTOURS: POST SKIN CANCER EXCISION RECONSTRUCTION WITH DR SANDEEP
Have you undergone skin cancer excision? Our comprehensive reconstruction options are designed to restore the form and function of the affected area. With a blend of advanced techniques and compassionate care, we focus on achieving the most natural-looking results.
Chart your course back to wholeness. Explore your reconstruction options following skin cancer excision with Dr Sandeep.