Melbourne Institute or Plastic Surgery

Skin Cancer Removal Reconstruction

Procedure Information

For many Australians, skin cancer and the risk of skin cancer are all too familiar subjects. Australia may be renowned for its sun-kissed complexions and love of the outdoors but the majority of the population have not been born with skin types designed to cope with the effects of the sun. The exposure to the sun and the power of the UV rays that are directly impacting on the skin with no Ozone layer to filter is having a significant impact on skin cancer rates in Australia.

Australians have the highest rate of skin cancer in the world.

Why does skin cancer removal require reconstruction?

To excise a skin cancer, it must be surgically removed. This creates a wound. On occasion, depending upon the size and location of the wound, the wound may be left to heal on its own in a process known as granulating. More frequently when a wound requires surgical repair, it is known as ‘reconstruction’. Reconstruction can lead to faster and more efficient wound healing.

What happens during the skin cancer removal?

To ensure the complete removal of the skin cancer and associated cancerous cells an additional margin of skin will be excised. This area of excision establishes the area, depth and shape of reconstruction that will be required. The surgeons at Melbourne Institute of Plastic Surgery are experienced in the different reconstruction options that may be required dependent upon the area and location of the wound and to reconstruct the area to provide the best cosmetic result for your skin and appearance.

What reconstruction options are available?

Direct Closure

A straight line scar can be used when the skin wound is small and well oriented. The surrounding skin must be loose enough to enable the cancer to be removed and the wound reconstructed with a straight line scar.

Flap

A wound reconstruction can involve a flap of skin. The flap is a portion of skin with blood supply still intact. This procedure may be simple or complex depending on the site and size of the excision area. The flap of skin can be twisted and shaped to cover up the segment of missing skin where the skin cancer has been removed.

Graft

In a graft, essentially one portion of skin is taken from another area and sutured into place to fill the wound. The success of the graft is reliant open a wound that is accepting of the graft, with plenty of scope for the new blood vessels to grow and adhere and the graft and wound to heal.

Why is the extra margin of skin taken?

Known as ‘margin control’ it is a requirement that all cancers be removed with a margin of ‘normal’ tissue to ensure that any traces of the cancerous tumour are removed. Margin control can have a significant impact on the reconstructive capabilities of a wound. If the margins are considered ‘not clear’, then the tissue that is being used to reconstruct the wound must be re-elevated while the further cancerous affected tissue is removed.

Reconstructive surgery for skin cancer removal is often complex. The nose, ears, lips and eyelids are sensitive areas to perform skin cancer removal on and are also some of the most common areas for skin cancers to occur.

The skilled reconstructive surgeons at Melbourne Institute of Plastic Surgeon can repair difficult skin cancer wounds in complex locations with the aim of exceptional functional cancer free sites and cosmetically pleasing results.

Our surgeons who perform this procedure

Meet our expert surgeons, delivering exceptional skill and expertise in the field of plastic surgery for transformative aesthetic and reconstructive procedures.

Graeme Southwick OAM

Specialist Plastic and Reconstructive Surgeon (MB BS FRACS FACS) Registration Number: MED0001010319, Registration: Specialist, Registration Type: Surgery, Specialty Fields: Plastic Surgery Otolaryngology - head and neck surgery
Assoc Prof Graeme Southwick holds multiple fellowships and memberships in medical associations, with extensive experience in teaching, research, and private practice.

Morris Ritz

Specialist Plastic and Reconstructive Surgeon (MB B.Ch FCS FRACS) Registration Number: MED0001156076, Registration: Specialist, Registration Type: Surgery, Specialty Fields: Plastic Surgery
Mr Morris Ritz is a plastic and reconstructive surgeon with experience in various areas such as breast reconstruction, aesthetic surgery, microsurgery, hand surgery, and skin cancer surgery.

Damon Thomas

Specialist Plastic and Reconstructive Surgeon (M.B.CH.B, F.R.A.C.S.) Registration Number: MED0001170385, Registration: Specialist Registration, Type: Surgery, Specialty Field: Plastic Surgery
Mr Damon Thomas is a plastic and reconstructive surgeon with an interest in areas such as paediatric hand, adult hand, microvascular, breast surgery, and aesthetic procedures.

Alenka Paddle

Specialist Plastic and Reconstructive Surgeon (MBBS (Hons), PGDipSurgAnat, FRACS (Plast)), Registration Number: MED0001201827, Registration: Specialist, Registration Type: Surgery, Specialty Field: Plastic Surgery
Dr. Alenka Paddle is a Specialist Plastic Surgeon with interest in aesthetic and pediatric plastic surgery. Alenka has trained in Australia and abroad.

Ian Loh

Specialist Plastic and Reconstructive Surgeon (MBBS, MS, DipSurgAnat, FRACS), Registration Number: MED0001205071, Registration: Specialist, Registration Type: Surgery, Specialty Field: Plastic Surgery
Mr Ian Loh is a Specialist Plastic and Reconstructive Surgeon with an interest in both adult and pediatric plastic surgery, holding various professional memberships and affiliations.

Edmund Ek

Specialist Plastic and Reconstructive Surgeon (MBBS (Hons) DipSurgAnat FRACS (Plas)),Registration Number: MED0001202123, Registration: Specialist, Registration Type: Surgery, Specialty Field: Plastic Surgery
Mr Edmund Ek is a plastic and reconstructive surgeon, who graduated with top honors from Monash University in 2003 and has received numerous awards throughout his medical career.

Vachara Niumsawatt

Specialist Plastic and Reconstructive Surgeon (M.B.B.S, F.R.A.C.S), Registration Number: MED0001201228, Registration: Specialist, Registration Type: Surgery, Specialty Field: Plastic Surgery
Mr Vachara Niumsawatt is a plastic and reconstructive surgeon with experience in breast surgery, microsurgery, facial reconstruction, skin cancer surgery, and hand surgery.

Board-certified plastic surgeons.

You can minimise your risks by selecting a surgeon experienced in liposuction procedures. All our surgeons at Melbourne Institute of Plastic Surgery have extensive training and experience in these procedures, so we offer our patients the highest level of safety and efficacy possible.

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For any further questions or support, please don't hesitate to email our team for assistance.

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