Plastic surgeons play a central role in the treatment of skin cancer. Their expertise in both anatomy and aesthetics ensures they can address the two main goals of facial reconstruction:<\/p>\n\n\n\n

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• Complete removal of the tumor<\/li>\n\n\n\n
• Achieving the most discreet aesthetic result possible<\/li>\n<\/ul>\n\n\n\n

  Principles<\/h2>\n\n\n\n

  The type of skin tumor is diagnosed by your dermatologist through a clinical examination and biopsy. These tumors fall into two main categories:<\/p>\n\n\n\n

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  • Benign tumors<\/strong>: such as nevi (moles), histiocytofibromas, hamartomas.<\/li>\n\n\n\n
  • Malignant tumors<\/strong>: including basal cell carcinoma, squamous cell carcinoma, and malignant melanoma.<\/li>\n<\/ul>\n\n\n\n

    Surgical excision follows strict guidelines established by the French National Cancer Institute. For certain cases\u2014especially squamous cell carcinoma or melanoma\u2014a multidisciplinary consultation meeting (RCP)<\/strong> is required before proceeding with treatment.<\/p>\n\n\n\n

    Our team collaborates with the tumor board of Saint Louis Hospital (Paris)<\/strong> to ensure coordinated, state-of-the-art care.<\/p>\n\n\n\n

    To achieve the best possible aesthetic outcome, various reconstructive surgical techniques may be used to replace the skin removed during tumor excision:<\/p>\n\n\n\n

    \n
    • Directed healing<\/strong>: Letting the wound heal naturally; often ideal for small facial lesions (nose, forehead).<\/li>\n\n\n\n
    • Direct closure<\/strong>: Suturing the wound along the skin’s natural tension lines.<\/li>\n\n\n\n
    • Skin grafting<\/strong>: Skin is harvested from a donor area with similar tone and texture and placed over the excised area.<\/li>\n\n\n\n
    • Local flap<\/strong>: Adjacent skin is rotated or moved into the defect, maintaining aesthetic harmony.<\/li>\n\n\n\n
    • Regional flap<\/strong>: For instance, forehead skin is rotated to rebuild part of the nose.<\/li>\n\n\n\n
    • Free flap<\/strong>: Skin from a distant site (e.g. forearm) is transplanted with its own blood vessels and reconnected microsurgically near the defect\u2014reserved for large or advanced tumors, particularly those invading bone.<\/li>\n<\/ul>\n\n\n
      \n

      <\/figure>\n<\/div>\n\n\n

      In Practice<\/h2>\n\n\n\n

      \n
      • A pre-operative consultation<\/strong> with your dermatologist is almost always required.<\/li>\n\n\n\n
      • If necessary, your case is presented at a multidisciplinary tumor board (RCP)<\/strong>.<\/li>\n\n\n\n
      • Most procedures are performed under local anesthesia with sedation<\/strong> (neuroleptanalgesia), on an outpatient basis <\/strong>(3 to 5 hours).<\/li>\n\n\n\n
      • In some cases, a short overnight hospital stay<\/strong> may be recommended.<\/li>\n\n\n\n
      • A consultation with the anesthesiologist is required at least 48 hours before<\/strong> surgery.<\/li>\n<\/ul>\n\n\n\n

        Important precautions:<\/h3>\n\n\n\n

        \n
        • Stop smoking<\/strong> at least one month before and after the procedure, as it can delay healing.<\/li>\n\n\n\n
        • Avoid aspirin and anti-inflammatory medications<\/strong> in the 10 days prior to surgery.<\/li>\n<\/ul>\n\n\n\n

          Healing and recovery:<\/h3>\n\n\n\n

          \n
          • Final wound healing typically occurs within 10 to 15 days<\/strong>, at which point sutures are removed.<\/li>\n\n\n\n
          • The surgical specimen is analyzed<\/strong> and your surgeon will discuss results and post-operative care with your dermatologist.<\/li>\n\n\n\n
          • Further treatments<\/strong> such as radiation therapy may be required depending on the tumor type and margins.<\/li>\n<\/ul>\n\n\n\n

            Please note: Final aesthetic results can only be evaluated at least 6 months post-surgery.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

            Plastic surgeons play a central role in the treatment of skin cancer. Their expertise in both anatomy and aesthetics ensures they can address the two main goals of facial reconstruction: Principles The type of skin tumor is diagnosed by your dermatologist through a clinical examination and biopsy. These tumors fall into two main categories: Surgical […]<\/p>\n","protected":false},"author":4,"featured_media":1574,"parent":2102,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/domain-single.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-2131","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/2131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/comments?post=2131"}],"version-history":[{"count":0,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/2131\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/2102"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/media\/1574"}],"wp:attachment":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/media?parent=2131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}