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A surgeon's hands, a woman's touch. Beautiful Results A surgeon's hands, a woman's touch. Beautiful Results

Marisa Lawrence M.D., F.A.C.S.

Skin Cancer Reconstruction Atlanta

For skin cancer removal, the Mohs micrographic surgery technique is performed by certified dermatologists to meticulously remove cancerous tissue one layer at a time. After removal, the specimen’s surface area is examined under a microscope. If there are any cancer cells seen at the outer edges of the specimen, more of the surrounding tissue is removed and the process is repeated until the sample’s margins are examined and come up negative. This technique eliminates the guesswork from determining tumor margins, and is less likely than other surgical techniques to damage healthy skin that surrounds the lesions. This technique provides the highest cure rate and lowest recurrence rate for basal and squamous cell cancers.

When post-Mohs surgical reconstruction is needed, it can be performed immediately by a well-qualified and experienced reconstructive plastic surgeon. It is important to understand that there is no one procedure for performing post-Mohs reconstructive surgery since the locations, amounts, and types of tissues affected are different from patient to patient. Skin cancer reconstruction may be performed under local anesthesia, intravenous sedation, or general anesthesia. Techniques commonly used by Dr. Lawrence include flap reconstruction, tissue expansion, and skin grafting. At your consultation, Dr. Lawrence will recommend the best choice for you.

Regardless of the techniques used, Dr. Lawrence will take care whenever possible to ensure that the resulting suture line is positioned to follow the natural creases and curves of the face, in order to minimize the appearance of your scar. It is important to note that, in approximately 15% of cases, reconstruction after skin cancer excision must be performed in two stages. This is true mostly when certain types of flap techniques are used. The first stage creates and repositions the flap, and the second stage “sections” or separates the flap from its original location and blood supply. Therefore, once you have recovered and blood supply to the wound has been sufficiently established, a second surgery may need to be scheduled to complete reconstruction.

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