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 / Nov 19, 2014
"Best dermatologist in L.V.!"- J.B. / Google / Aug 28, 2020
"I love this clinic! I have been seen by doctor Grace Kim, and I cannot thank her enough for her kindness and for making me feel welcome at her office. She always makes sure she answers all my questions and concerns and takes the time to explain to me what is going on with my health. I feel I am not just another patient, I feel Ms. Kim cares for me. Her staff is amazing, from her nurses to the ladies at the front desk. This clinic is very clean and the interior design of the lobby/waiting area is fantastic. Thank you, Ms. Kim, I truly appreciate you!"- L.S. / Yelp / Oct 31, 2019
"Dr. Candace Spann is great. She’s always personable and cheerful and she has jokes! She keeps it real and that’s what I love about her. Very down to earth"- L.G. / Google / Aug 31, 2021
"I have been seeing Dr. Candace Spann for my hair and skin for a year. In this time she has sent me for blood work to get a better understanding of my hair loss and even diagnosed an issue my regular doctor missed. Thank you for your thoroughness and bedside manner. She put me in the magic hands of her in-office esthetician Lizelle and she has been my skin whisperer for my microneedling experience. Her experience with skin tones like mine immediately put me at ease because she understands one setting and approach does not fit all. I am so thankful for the entire staff and look forward to continued success with my skin and hair journey."- D. / Google / Jul 21, 2021
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.
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
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.