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 / Apr 02, 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
"She is one of the two best doctors in the world! Dr. Spann is kind and oh so smart; she is caring and oh so compassionate. Her intelligence far exceeds what I expected from anyone! She has saved my life literally on several occasions from skin cancer. I adore her and so will you!"- K.M. / Yelp / Feb 18, 2020
"Dr Casey and Dr Kim are very nice and all the personnel there are very helpful. all are very professional."- D.D. / Facebook / Feb 11, 2020
"I can not say enough about both Dr. Marvin Spann and Dr. Candace Spann. Let's start with Dr. M., I met him 24 hours before my bilateral mastectomy with reconstruction surgery. I don't care for male Dr.'s, will go out of my way not to see them, but when cancers involved, you don't always have a choice. Honestly I'm grateful that he ended up on my side, months of visits, 2 surgeries and I got a beautiful pair of foobs. As far as him blowing off infections, haha I developed one and had more added appointments than I wanted. Now to Dr. C, I originally made an appointment to get my skin checked, and while there she pointed out 3 things, one of which was flared up thanks to one of my medications. I had been suffering for months, my skin and I thank her. Then I went back for Botox and filler, best choice I've made. My husband also sees Dr. C. He had a spot she didn't like, she cut it out and his back looks just fine. I always say there's a reason for everything, so for me cancer added 2 amazing doctors that actually care to my side, and in Vegas that's hard to find."- J.G. / Yelp / Feb 10, 2020
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.