Facial Reconstruction Overview
Dr. Derby regularly performs facial reconstructive surgery following skin cancer excision. The ideal outcome for each patient is a restoration of form and function, and minimization of scar appearance following skin cancer treatment. Skin cancer surgery is focused on removing all cancerous cells while sparing as much healthy tissue as possible. This procedure, often performed by Dr. Derby’s colleagues that perform Mohs surgery, should be followed by a careful and cosmetic wound closure. In more advanced cases of skin cancer, the skin cancer removal surgery can result in a larger defect that can be located on crucial structures such as the lips, eyelids or nose. This subsequent cancer defect can result in significant disfigurement that should be repaired by a plastic surgeon well versed in facial reconstructive surgery. Skin cancer reconstruction can be performed immediately after your skin cancer is removed, or after you have healed from a prior procedure. The treatment plan is based on your individual needs, and Dr. Derby provides professional guidance during your consultation.
Facial Reconstruction Reviews
"I recently had a wonderful experience with Dr. Derby and his staff. My dermatologist had discovered a melanoma on my upper arm and it needed to be removed. Dr. Derby was able to accommodate me in his schedule. His manner is very professional, yet warm and friendly. He put me at ease and gave me great confidence. The procedure was painless and very thorough, with excellent results. Dr. Derby and his staff exceeded my expectations, and I have already recommended him to friends and family."- R. / Healthgrades / May 08, 2016
"Dr. Derby did a very good job. He is very nice and patient and explained every single thing to me. My husband and I came down from Illinois and I had to get this treatment in Florida. I'm glad I found Dr. Derby. My nose is still healing, but it's only been 3 weeks and it's very nice. I do not looked deformed. I appreciate him."- HZ / Office Visit / May 16, 2016
"I was treated by Dr. Derby for an invasive skin cancer. Thanks to his surgical skill and treatment plan, the healing process was brought to a successful conclusion. From the very start, Dr. Derby made me feel very comfortable and never failed to respond to any concerns or questions that I had. A big positive for me was his engaging, affable personality. I would also like to commend Dr. Derby's staff for their efficient and caring attention. Highly recommend."- F.H. / Healthgrades / Oct 03, 2016
"About a year ago, I had extensive melanoma surgery on the right cheek, and the dermatologist who performed the Mohs surgery referred me to Dr. Brian Derby. The reconstructive surgery went very well and healed rapidly. Today, because of Dr. Derby's expertise, my face shows no scarring. God bless you, Dr. Derby! I would certainly recommend family and friends to this excellent, professional and personable physician."- J.H. / Healthgrades / Dec 11, 2016
"Dr. Derby repaired the upper tip of my nose that was scraped away by Moh's surgery. I was concerned about the wound repair surgery and how it would affect my appearance. Dr. Derby was extremely caring throughout the surgery and healing process. He made me feel that I was his most important patient. His skilled hands repaired a nose that looked better than before. I am very thankful to Dr. Derby and with full confidence, I would recommend him to anyone. I was fortunate to experience his talent."- L.L. / Healthgrades / Jan 02, 2017
Facial Reconstruction Surgical Technique
There are several methods of reconstruction that can be used, depending on the size and shape of the affected area. Dr. Derby will work in coordination with your medical team to begin the reconstruction process as soon as possible. In the event of a very severe case, a large defect, or a patient’s other medical problems, reconstruction may need to be delayed. There are many methods that Dr. Derby uses when it comes to cancer defect reconstruction. For smaller defects, a very meticulous layered wound closure may be all that is needed for an aesthetically excellent result. For larger defects, tissue may need to be rotated or advanced into the defect in order to minimize deformity. More significant defects may require more distant flaps, cartilage or fat grafts, skin grafts, or a staged multiple procedure approach. Plastic surgeons are trained in molding, shaping, and rearranging delicate soft tissue. The plastic surgeon’s specialty, by definition, is to conceptualize the least conspicuous and best matching donor sites for this tissue trade, often aesthetically “borrowing from Peter to pay Paul.”
Facial Reconstruction Recovery
The recovery process is mainly concerned with the care of the wound site during healing. This is to ensure that the fresh suture line is not subjected to mechanical stresses such as motion, force or swelling. Following Dr. Derby’s specific instructions can help reduce tension and wound disruption and ultimately help produce the best and finest surgical scars. After surgery, extensive instructions are provided concerning wound care, bathing, resuming normal activities, returning to work and when to follow up with Dr. Derby.
Dr. Derby uses a wide variety of flaps, skin grafts, and tissue expansion techniques for facial defect reconstruction. For the largest and most complicated defects, a method called microvascular free tissue transfer, or a “free flap,” may be required. In this procedure, skin, soft tissue and sometimes bone tissue is harvested along with supporting blood supply. The blood supply to this tissue includes a feeding artery and a draining vein. The tissue is harvested from a donor area that can be more easily and aesthetically closed. This free flap is then transplanted into the cancer defect and the artery and vein are connected to recipient vessels under the microscope with microsurgery. This procedure is quite complex, but may be necessary when large areas of tissue have been removed by the surgical oncologist. Some flap procedures require more than one surgery to ensure blood supply is established.
Plan Your Procedure
- Recovery Time
- 1-2 Weeks
- Average Procedure Time
- 1 Hour