Goals in the surgical treatment of skin tumors:
Complete removal of the skin tumors
Aesthetically pleasing result
Different surgical techniques depending on the size and location of the tumor:
Direct closure: If the skin is closed directly and the result is aesthetically and functionally optimal.
Covering defects with flaps: After the complete removal of malignant skin tumors, direct skin closure is often no longer possible. Defect coverings are particularly demanding in the face area, as the resulting scars not only leave visible marks, but can also lead to functional problems, such as a gaping lower eyelid or problems with opening and closing the mouth. Therefore, the concept of how a defect coverage on the face is planned under functional aspects is of crucial importance. It is known, however, that a scar develops unfavorably when the united wound edges are under tension. Therefore, the experienced plastic surgeon has numerous complex local flaps at his disposal in order to be able to choose an incision in such sensitive areas as the face in order to influence the scar formation as favorably as possible. The neighboring skin is used to close the defect.
Defect coverage with a skin graft: If the direct closure is not possible and there is not enough adjacent skin, it is possible to take the skin from a place where there is excess, e.g. supraclavicular, back of the upper arm, etc.
In a personal conversation, Dr. Shafighi advise and advise you on functional aspects as to which surgical technique achieves the best result in your individual case.
Small tissue shifts can also be made in the facial area under local anesthesia. For very large flaps, analgesic sedation, so-called twilight sleep, or anesthesia can be performed.
After the operation
Operations in the facial area tend to swell. Therefore, Dr. Shafighi the application of local cooling. You should take it easy after the procedure and position your head a little higher to support the lymphatic drainage. The sutures on the face are removed after 1 week and elsewhere after 12 days.
For scar treatment, silicone gel plates, silicone ointments, and intradermal cortisone for keloid formation are used. Botox has been scientifically tested for scar treatment, but has never been used clinically.