Overview
Skin cancer affecting the face, scalp, ears, and nose requires not only complete tumor removal but thoughtful reconstruction to restore both form and function. Dr. Fern works closely with dermatologists and Mohs surgeons — the operation for reconstruction often begins where the cancer surgery ends, on the same day. His reconstructive techniques — local flaps, skin grafts, and complex tissue rearrangements — are chosen to produce the most natural-appearing results given the location and extent of the defect.
Are You a Good Candidate?
Ideal candidates for skin cancer reconstruction typically present with one or more of the following:
- Post-Mohs or excision defect requiring reconstruction
- Facial skin cancer involving cosmetically sensitive areas
- Nasal reconstruction after significant skin cancer removal
- Ear reconstruction
- Scalp reconstruction
The Procedure
Dr. Fern's approach to skin cancer reconstruction proceeds through the following steps:
- Defect assessed after final pathology confirms clear margins
- Reconstruction technique selected: primary closure, local flap, or skin graft
- Adjacent tissue rearranged using rotation, advancement, or transposition flap techniques
- Skin graft harvested from inconspicuous donor site if required
- Wound closure optimized for both primary healing and scar appearance
Recovery
Varies by extent of reconstruction. Most facial reconstructions heal within 2–3 weeks. Scar maturation takes 12–18 months. Dr. Fern offers scar revision procedures after healing if refinement is needed.
Frequently Asked Questions
Do I need a plastic surgeon for skin cancer reconstruction?
For defects in cosmetically critical areas — the nose, eyelids, lips, ears, and cheeks — a plastic surgeon with reconstructive expertise produces significantly better functional and aesthetic results than general closure.
Is reconstruction covered by insurance?
Yes — reconstructive procedures following skin cancer removal are generally covered as they address a medical condition, not cosmetic concerns.