Skin lesions, moles and skin cancers are common. Many people seek a facial surgical specialist to reduce the chances of developing unfavorable scars. The removal and reconstruction techniques for skin lesions, moles, and skin cancers varies greatly by location on the face, patient age and skin type. These techniques include simple suture closure and flap closure (where tissue is delicately moved from one area to another, while keeping its blood supply intact), and skin grafts (where skin is actually fully removed from the body before replacement).
Reconstruction of the face is a complex topic. Facial reconstruction can be broken down into layers requiring repair: skin and soft tissue, nerve, muscle and ligamentous layer, and the bony skeletal layer. Each of these areas are treated completely differently.
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Skin and Soft Tissue
Reconstruction of the skin and soft tissue of the face is usually performed to repair a deficit due to trauma or skin tumors. Typically, if skin edges can not be brought directly together, adjacent tissue is brought in, known as a “flap”. Flaps are designed to close the deficit with as much camouflage and as little tension as possible, thus permitting maximally efficient healing, minimal scarring and a natural result.
Nerve and Muscle Layer
Reconstruction of the nerve and muscle layer is performed to restore tone to facial structures. The facial nerve is the chief neural supply to the muscles of the face. When this nerve is injured or weakened, the face becomes asymmetric, with droopiness of the cheek, eye, and forehead. Reconstruction typically involves restoring facial symmetry by lifting or strengthening the tissue around the forehead, eyelid, or cheek. These procedures are performed using the most advanced aesthetic techniques to restore facial harmony.
Reconstruction of the Skeleton
Reconstruction of the bony skeleton is performed via minimally invasive approaches that involve restoring the bony anatomy typically using advanced facial plating systems.