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OVERVIEW QUICKLIFT™ FACE/NECK LIFT EYELID SURGERY BROW LIFT SMOOTHER SKIN FILLERS SKIN CANCER
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THE PROCEDURE

Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include local anesthesia, intravenous sedation and general anesthesia. We will recommend the best choice for you based on your personality, your desires, and the complexity of your procedure. Most skin cancers are removed with simple local anesthesia.

For more information about our skin cancer surgery procedure, please contact us online or call us at We look forward to helping you look your best.

HOW WE DO IT: TUTORIAL

The procedure typically takes about 5-15 minutes depending on the individual face and certain surgical variables.

There are three basic steps to Skin Cancer surgery.

Step 1 – Marking

It is important to mark the lesion carefully under magnification.

Step 2 – The Incision

The incision lines for the procedure are designed so that scars will be well concealed within the natural grain of the skin.

Step 3 – Closure

Most defects can be closed directly, or primarily. A large defect can be reconstructed with a local flap. A flap may also be necessary where excision may result in a disfiguring appearance. A local flap repositions healthy, adjacent tissue over the wound. A suture line is positioned to follow the natural creases and curves of the face if possible, to minimize the appearance of the resulting scar.

If a skin graft is needed, healthy skin is removed from one area of the body and relocated to the wound site.

The specimen is marked appropriately and sent to the pathologist, who makes a diagnosis and comments on the margins, whether or not all the cancer has been removed. In our experience all margins are clear approximately 90% of the time. If a margin is positive, the scar will usually be re-excised in the next 1-3 months

When the cancer is particularly large or recurrent, Dr. Alexander may order a frozen section. In this procedure, the cancerous lesion is removed and microscopically examined immediately by a pathologist prior to wound closure to ensure all cancerous cells have been removed.

The goal is to look for a clear margin — an area where the skin cancer has not spread. If clear margins are found, the resulting wound is reconstructed. If clear margins are not present, Dr. Alexander will remove more tissue until the entire region has a clear margin. This process is similar to Mohs surgery, and is rarely required.



BEFORE AND AFTER




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