The most common cause for development of skin cancer is damage from sun exposure. Frequent types of skin cancer are: Basal Cell Carcinoma, Squamous Cell Carcinoma, and Melanoma. Mohs' micrographic surgery is the accepted technique for removal of basal cell and squamous cell skin cancers on the face. The Mohs' technique minimizes the extent of tissue removal and the risk of cancer recurrence. Dr Khosh works closely with Moh's dermatologist-surgeons to repair facial defects following cancer removal.
Various techniques like skin grafts, skin flaps, or skin and muscle flaps can be used in repair of facial defects. Dr. Khosh prefers to see patients in consultation for skin cancer reconstruction prior to the excision. In this way, the reconstructive options can be more fully discussed, and the excision and repair procedures can be better coordinated. In most cases, the repair can be performed under local anesthesia in our offices. Occasionally, skin cancer reconstruction needs to be done in the operating room, where sedation or general anesthesia can be offered.
We understand that surgery on the face can be quite a daunting from a patient's perspective. We strive to make the process less foreboding by allying your concerns in regards to the aesthetic effects of the surgery on your face. Dr. Khosh is an expert in reconstruction of cancer defects on the face. He has published and lectured extensively on this subject. Many patients travel from under regions of the country for consultation and secondary reconstruction of old skin cancer defects. You may review some of Dr. Khosh's publications on line at www.emedicine.com. (Lip reconstruction, Upper eyelid reconstruction, Full thickness skin graft)
Skin cancer reconstruction can be categorized according to the various facial areas. In our website you can learn more about skin cancer reconstruction of the scalp, the forehead, the eyelids, the nose, the cheeks, the lips, the chin, the ears, and the neck. Secondary procedures such as laser treatments, scar revisions, and steroid injections can help improve the reconstructive results. Please contact our office to schedule a private consultation to discuss primary or secondary repair of a skin cancer on the face.