Aesthetic Skin Cancer Repair

For patients that have had skin cancer, reconstructive surgery is an invaluable tool for attaining a more aesthetically appealing appearance. It also gives patients closure so they can move on from the experience. Reconstruction after skin cancer consists of various techniques, such as Mohs surgery and excision. Whichever approach is taken, the goal is to preserve most of the healthy tissue while reducing scarring. 

Woman on mountain top with arms raised towards the sun

Why Choose The LaVie Institute of Plastic Surgery?

At The LaVie Institute, our four board-certified plastic and reconstructive surgeons provide compassionate, patient-centric care in a safety-oriented accredited environment, where comfort, discretion, and personalized attention come first. Our providers practice active listening to understand patient goals and strive to empower clients through a thorough and educational consultation process. 

Our state-of-the-art facility provides a world-class 8-room clinic as well as 2 onsite operating theaters, equipped with among the latest in advanced technology. It is our goal to exceed expectations for excellence through concierge-level service and outstanding aesthetic results.

What is Skin Cancer?

Skin cancer is most often defined as an unusual accumulation of cells. There are three different types to be aware of: basal cell carcinoma, squamous cell carcinoma, and melanoma.

Basal cell carcinoma

This iteration of cancer often manifests as a flattened lesion that looks similar to a scar. A common cause for this is too much sun exposure. It is the most common form of skin cancer. 

Squamous cell carcinoma

This form of cancer presents as a flat lesion that usually has a red crust or firm bump. Patients with light pigmentation are the most susceptible to this form of skin cancer. 


While this type of cancer is quite uncommon, it is considered to be very serious due to its tendency to spread to surrounding areas. It most often manifests as a sudden mole or another type of growth that transforms. Using the ABCDE warning system (Asymmetry, Border, Color, Diameter, Evolving) can help patients identify it early on. 

What Are the Different Methods of Reconstruction After Skin Cancer?

There are two primary approaches to reconstructing the skin after cancer: conventional excision and Mohs. Those seeking more enhanced results can also look to grafting and local or free flap creation. 

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What is Mohs Surgery?

Created in 1953 by Dr. Frederic Mohs, Mohs surgery has become the most popular technique for removing cancerous lesions, especially from the face. This surgical technique is performed in several phases. Every layer of excised skin is assessed to check for cancer cells. This process is repeated until no cancer cells are detected. This gradual, accurate approach ensures that most of the healthy skin cells are preserved. Mohs is known for having a cure rate of nearly 99%.

What Can I Expect From Recovery?

Just like every other aspect of the procedure, the recovery process varies depending on the patient and the extent of work performed. Other determining factors include the patient’s overall health, age, and whether the reconstruction was carried out immediately following treatment or later on. Any scarring that remains after the skin cancer reconstruction can be attenuated by way of fat grafts or other treatments, such as laser resurfacing, injectables, and topical creams.

Nasal Reconstruction After Skin Cancer Excision

Skin cancer removal on the nose can leave behind contour distortions and scars that require the reconstructive expertise of a specialist. Our providers offer nasal reconstruction for those with simple to complex concerns, restoring the natural attractiveness of the nose after skin cancer. During surgery, our team will rebuild the nasal framework using cutting-edge techniques, including skin and cartilage grafting and/or flap surgery. The goal is a seamless, personalized outcome that enhances self-confidence and quality of life.

What Are the Benefits?

  • Improved mood 
  • A boost in self-confidence
  • Healthy skin cells are preserved
  • Minimal discomfort following skin cancer removal 
  • The patient’s own tissues can be used in the reconstruction process
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Who is an Ideal Candidate?

Patients that have experienced the removal process for basal cell carcinoma, squamous cell carcinoma, or melanoma may be good candidates for reconstruction. Those that have received Mohs surgery treatment for facial lesions can undergo reconstruction just a few days after their procedure.

As with any surgical procedure, it is vital that patients be non-smokers or quit if they currently smoke. Smoking can have adverse effects on the procedure and potentially lead to complications. 

The whole team from front desk, nurses, MAs, to PAs are amazing providers who go above and beyond for their patients. I am so appreciative towards everyone who has been a part of my care. Dr Pulikkottil is not only an incredible surgeon, he is a cool dude who answered all my questions and made me feel cared for. Thank you everyone! 

Lillian Farrell

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