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Facial Reconstructive Surgery

Skin Cancer Removal and Facial Reconstructive Surgery

Skin cancers are the commonest cancer, by number, of the body. They are increasing in presentation with increasing sun exposure to ones skin. Majority are very manageable with low risk of harm, but in some cases can be fatal.

Diagnosis and removal of lesions which may be skin cancer is important to be performed at an early stage. This reduces the risk of its development, potential increased disfigurement following surgery, and reduce the likelihood of it causing serious harm.

In my patient examination I am able to assess skin cancer by used of a special magnifying lens called a dermoscope, and have completed the reputed Cardiff University Introduction to Dermoscopy course. This allows me to more accurately diagnose skin cancer to either make a decision to treat, or as importantly, not to treat if its benign. By taking electronic photographic images I am able to monitor patients lesions if they are not treated. I offer this to all my suspected skin cancer patients.

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Within my NHS work I almost exclusively treat skin cancers alone, and therefore have great experience in its management. With over 1000 treated lesions as a Consultant alone I have documented successful outcomes. The key to successful skin cancer management is in its complete and adequate removal, which aims to lowers the risk of it returning. My success rates of removal are higher than most reported averages at about 95% removal the first time in surgery.

Reconstruction after skin cancer removal is important for both cosmetic reasons, but also returning function e.g. so your lips work when you eat and speak, if the cancer was around your mouth. A variety of techniques are used to establish this successfully.

EAFPS site on Skin cancer

Benign Skin lesion removal

Over time our skin responds to the insults of the weather, the sun and sometimes irritations. Formation of benign (non-harmful) skin lesions can develop. Often these lesions are entirely normal but in both cases can detract from our desired appearance. Often these can be easily removed but require care to achieve minimal scarring.

Post Traumatic Reconstruction

Follow facial trauma, be that from a e.g. a sporting cause or an accident, facial structures can be disfigured to varying degrees, often subtly. A number of techniques can be employed to correct these with degrees of success. Sometimes they are declined to be managed in the NHS if for cosmetic reasons only. Please check with your doctor first.

Scar Revision Surgery

For injuries that result in scars of cosmetic concern only these can often be improved. Unfortunately once skin has been scarred it will never disappear but there are many techniques to improve scars.

EAFPS site on Scar revision