Couture Explains Skin Cancer Reconstruction
After receiving a skin cancer diagnosis, many patients are faced with the prospect of skin cancer treatment, which often includes surgery. For example, MOHS micrographic surgery is used to treat squamous cell carcinoma, melanoma-in-situ, and primary basal cell carcinoma. Since the surgery is so detailed and technical, it’s imperative to seek treatment from an experienced surgeon who meticulously performs the surgery to effectively remove a patient’s cancer. At Couture Dermatology & Plastic Surgery, Dr. Grace Kim performs this procedure with a skill that makes her one of the most sought MOHS surgeons in the Las Vegas Valley. Contact us today to schedule your consultation.
"I could not be more pleased with my results. I would recommend Dr. Spann without hesitation."- Anonymous / Other / Jul 13, 2020
"Thank you Dr. Marvin Spann for the wonderful job you did on my breast surgery and Liposuction!!! The results far exceed any expectation I held! I look and feel amazing!!! My clothes fit better, I carry myself more confidently, and I'm constantly receiving compliments on how I look. Friends and coworkers can't pinpoint the reason, and they can't get over how great I look ;) I started offering to show my breasts to everyone after surgery because I was so happy with, and proud of, the results!!! Dr. Spann's is phenomenal! Every single person who has seen my breasts, post surgery, both clothed and unclothed is floored. The comment I get most is "They look real!". Can't get better than that! Dr. Spann was attentive and his perfectionist nature meant every detail was thought about and my breasts were perfectly executed. I did not experience too much pain and was back to work (being mindful) a week later!!! I was worried that because of my liposuction I would be badly bruised and have significant pain (a friend had it done 6 months earlier (NOT BY Dr. Spann) and she was bruise beyond recognition and in pain for weeks and weeks following her procedure)). My experience could not have been more different! My bruising was minimal, as was my pain. The compression garment that I was given allowed for using the restroom without having to take it on and off, which is brilliant and saved me a lot of discomfort! The results? Wow! WOW!!! For me it was transformative both physically and mentally! I now wear skinny jeans, something that would have NEVER happened before. Finally, thank you to the wonderful staff for their professionalism and skill in making my journey through this process, effortless. The office is beautiful. You are greeted as you walk through the door by the lovely reception team. Everyone I interacted with was kind, patient and available throughout the process beginning to end. They were never bothered to answer questions and always returned calls promptly."- N.B. / Yelp / Apr 12, 2020
"Wonderful service from initial consultation to follow up post-op. Dr. Spann is kind, helpful and professional and made me feel more than comfortable throughout the entire process. I highly recommend him and his team for their service and exceptional work. I am thrilled with my results and thankful to them!"- C.C. / Yelp / Apr 06, 2020
"Dr Spann is one of the most compassionate doctors I have met in a long time. And as a chronic illness patient - I see A LOT of doctors. She is knowledgeable beyond just dermatology. She spent time with, answered all of my questions, and promised to get to the bottom of a very complex health issue I have going on. She is willing to confer with many other doctors to figure this out and instead of writing me off or passing me along (like every other doctor has in town, she’s offering different paths to get to the answer. She said we won’t stop til we figure this out. She is so much more than just a dermatologist! Her staff was exceptional (esp. Lydia) as well, very communicative and helpful. I can’t thank my friend enough for recommending me to her. It’s hard to find rare gem doctors like her!"- N.B. / Google / Mar 05, 2020
"While it is true that I did not leave the office 40 years younger, any thinner and/or smarter, (I really was not actually expecting any magical transformation), it was great. So when I was seen on time, treated well, given excellent consultation and no one made fun of my big big silly sun hat, I began to think I must be loosing my touch at being an insufferable windbag of a patient. Well at least they are giving me the chance to try again at my next visit. Thanks for that."- W.M. / Google / Feb 26, 2020
Skin Cancer Reconstruction Surgical Technique
Reconstruction can often be performed the same day or the day after the removal procedure. Reconstructive procedures are performed on an individualized basis, depending on each patient's wound, and can involve a skin graft, flap of skin, stitching or surgical closure. Our dcotor will discuss the various options with the patient and together they will choose the best method or methods of treatment. Following that, we will work with the doctor performing the patient’s skin cancer removal to perform reconstruction either immediately after the removal or later if the patient chooses.
Skin Cancer Reconstruction During/After Surgery
Patients may be put under local or general anesthesia depending on the location and size of the area being treated. Once the skin cancer lesion is removed, reconstruction is done using the techniques she and the patient decided on during the initial consultation. Once the reconstruction is completed, your surgeon will close and dress the wound before the patient is allowed to leave. Following that, every patient will receive post surgical instructions, including how to care for the surgical wound, what topical medications to apply, and other tips to help with the patient's recovery. Avoiding sun exposure and using sun protection will help the wound heal quicker and without irregularities, like raised, red, or darker skin. It may take up to 1 year for patients to see the final results of their skin cancer reconstruction. If needed, our staff will discuss a secondary surgery to further refine the results.
Plan Your Procedure
Couture FAQs Skin Cancer Reconstruction
Will There Be Scars?
While our doctors do their best to keep their incisions small and the wound closures clean and neat, there will be some degree of scarring. Scarring can be minimized by following any post surgical wound care instructions. You can also elect to have surgical scar revision if you would like to further reduce the visibility of the scarring.
Why a Plastic Surgeon?
Even if a dermatologist removes the skin cancer growth, it is beneficial for patients to have a plastic surgeon performing the wound closure and/or skin reconstruction. Plastic surgeons are specially trained to preserve the appearance of the skin and they are more practiced at closing incisions cleanly and evenly.
When To Have Reconstruction?
It is best if patients make an appointment before their skin cancer removal so she can consult and coordinate with the doctor and facility performing the skin cancer removal. Patients may choose to have their skin reconstruction performed right after their removal surgery or they can wait to see how the wound will heal naturally. During the initial consultation, the doctor will listen to the needs and concerns of the patient and then help them determine their best timeline and treatment plan.