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Reconstruction procedures can also help cosmetically repair facial fractures or soft-tissue injuries. At Refine Facial Plastic Surgery and Aesthetics, great care and attention are taken to assist patients in overcoming obstacles in life so they can face the future without feeling held back by their appearance. This is one of the most rewarding parts of Dr. Bryant’s practice as he aims to touch patients’ lives by bringing them the highest level of quality, service, and facial surgery expertise that can be found in the greater Nashville metropolitan area.
After Mohs surgery to remove face or neck cancer, facial reconstruction is often necessary. Biopsy and excision can mar the face, resulting in extensive tissue loss.
Dr. Bryant offers reconstructive face surgery after Mohs to help patients that have recovered from cancer regain a more normal appearance following skin cancer face surgery. As a facial plastic and reconstructive surgeon, Dr. Bryant is highly skilled in the complex repair techniques needed to restore the skin of the face. He has advanced training in the latest surgery techniques with a plastic surgery practice that is dedicated solely to facial aesthetics. His goal is to reconstruct the facial skin to as close to normal as possible.
Often, a circular scar can be reshaped into a straight line. There are natural contours and lines on the face known as relaxed skin tension lines (RSTL). By placing the incision in the same direction as these lines, it helps them start to blend in nicely with the skin so it appears less noticeable than the original circular scar. Dr. Bryant takes a great amount of care when it comes to planning a scar location so that patients have the best result possible.
This method of facial reconstruction after Mohs surgery involves removing skin from one area of the body and grafting it on the face. The preferred technique for the face uses Full Thickness skin grafts. The skin graft is selected from an area of the body that best matches the color, thickness, and texture of the patient’s facial skin.
This is the most common type of facial reconstruction to repair the face after Mohs surgery. It involves using skin that is close to the damaged skin in order to best match the skin thickness and color of the area that is being repaired. Areas of excess facial skin or areas that have better skin elasticity produce the best result.
Most surgeons prefer the local flap vs skin grafting because the skin tone and contours of nearby skin provide a more seamless match compared to grafting skin from a different part of the body. In some cases, more than one operation may be needed to perfect the result. The flap is constructed in the first operation, then a second operation smooths the tissue so it blends better with the surrounding skin.
During your consultation, a customized treatment plan is created based on your individual cosmetic concerns. The final method of reconstruction is determined to keep your goals in mind along with the aesthetics and functionality of the tissues.
Before your procedure, you’ll meet with Dr. Bryant and his surgical care coordinator. Your personal treatment plan will be reviewed and you’ll be provided with all preoperative and postoperative instructions—as well as medication if applicable.
After your procedure, Dr. Bryant will review your care instructions. Downtime varies based on the extent of the procedure. We give all of our surgical patients a personal phone number so that they can reach us by phone or text during the recovery period. It’s important to come in for all follow-up appointments; This ensures you are healing well for an optimal result.
As a head and neck surgeon specializing in cosmetic and reconstructive facial plastics, he is a compassionate guide as you embark on the journey to improve your appearance after trauma, cancer, or an accident that has affected the functionality and looks of your face.