{"id":550,"date":"2014-08-05T11:07:45","date_gmt":"2014-08-05T11:07:45","guid":{"rendered":"http:\/\/parraskincancer.dev\/?page_id=550"},"modified":"2022-06-11T13:04:52","modified_gmt":"2022-06-11T13:04:52","slug":"skin-cancer-surgery-made-simple-at-a-low-cost-for-patients-from-wollongong-to-sydney-parramatta","status":"publish","type":"page","link":"https:\/\/crowndermatology.com.au\/crown\/skin-cancer-surgery-made-simple-at-a-low-cost-for-patients-from-wollongong-to-sydney-parramatta\/","title":{"rendered":"Skin cancer surgery – complex"},"content":{"rendered":"\n\n
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Surgery is still the gold <\/span>standard in treating skin cancer. For most of the time skin cancer surgery is simple and straight forward. Removing the cancer completely most important.<\/span>\u00a0Making your scar looking nice and neat is important too.<\/p>\n

We haven’t yet found any magic smooth talk, potions, lotions that will improve surgical scars. Just let your body do its work\u00a0 and it\u2019s free ! <\/span><\/p>\n

Some patients will heal faster than others; It\u2019s just a matter of your genetic make up. If you have made it past 90 years of age,\u00a0 your skin tends to heal very well – That’s why you can live to 90 !<\/p>\n

\u00a0What is skin flap surgery ?<\/strong><\/span><\/h2>\n

\u00a0<\/strong>As the name suggests, a flap of skin is dissected and pulled over to cover the open wound. It takes experience to judge what type of skin flap and how much dissection is required for \u00a0successful wound closure. The risk of flap dying is higher with poor handling and smoking.<\/span><\/p>\n

\"skin-flap-on-temple\"<\/p>\n

Skin flap on the temple. Excising large tumors in this location can be a real challenge. The doctor must be a able to deal with significant bleeding, nerve injury and distorted anatomy. \u00a0Timid, conservative\u2014minimalist approach will risk incomplete excision of the cancer. Recurrence of cancer in this area can be quite problematic. In this example, misguided dissection will result in severing of the temporal artery and nerve damage resulting in permanent facial droop.<\/span><\/p>\n

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facial paralysis. Injuring to the facial temporal nerve will occur if the nerve is cut either by choice or by accident.<\/figcaption><\/figure>\n

Full thickness skin graft.<\/strong><\/span><\/h2>\n
\"skin-graft-nose\"
The cancer is removed. Matching skin is taken from a suitable site e.g. behind the ear.<\/figcaption><\/figure>\n

The skin is stitched onto the surgical defect. Cotton dressing\u00a0 (bolster) is tied over the skin graft to press it onto the wound base.<\/p>\n

Selecting the right donor skin and good suturing will result in a well healed wound.<\/p>\n

Avoid smoking, strenuous activities and keep the dressing dry to allow the skin graft to heal. Stitches and dressing are removed in 7 to 14 days.<\/p>\n

Notice: first set of photos, the cancer was removed from the lower eye lid, skin was taken from behind the ear ( 2nd set of photos) and stitched on. Bolster dressing must be kept dry and must not be disturbed.\u00a0\u00a0<\/span><\/p>\n

The resulting scar will nice and neat in the majority of cases. Scar should only be judged 3-6 months post-operatively.<\/span><\/strong><\/p>\n

\u00a0<\/strong>More examples of full thickness skin grafts<\/strong><\/p>\n\n\n

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Split thickness skin grafts surgery\"\"<\/strong><\/span><\/h3>\n

Split thickness skin grafts surgery<\/strong> are normally reserved for large cancers and on the lower leg or scalp. \u00a0If on the leg, \u00a0you will require bed rest at home ( with toilet and shower privileges ). The affected leg must be kept elevated, above the shoulders ,for 2 weeks. We therefore, like to keep the graft to 3cm or less.\u00a0 NO SMOKING or the skin graft will die you will be back again for more skin surgery.<\/p>\n

Radiation therapy<\/strong><\/span><\/h3>\n
\"radiation
Generally you will get 95%+ cure rate for the common BCCC\/SCC skin cancers. Good for 50+ y\/o and for difficult to operate on site or size.<\/figcaption><\/figure>\n

Radiation therapy<\/strong> for skin cancer, is available at various\u00a0hospitals, Usually reserved for multi-focal cancer, Cancer in awkward areas and for the elderly. The patient will usually be 60 or older. We will prepare your skin ready for Radiation therapy.<\/p>\n

Radiation therapy is like going for multiple repeated x-rays.\u00a0The resulting scar will be fantastic in the <\/span>short<\/strong> term.\u00a0 Long term the scar will be pale, discoloured and slightly crinkly.<\/span><\/p>\n

Examples of the common daily routine surgeries<\/span>.<\/b><\/h3>\n