Oncoplastic Facial Reconstruction for Basal Cell & Squamous Cell Carcinoma
The delicate skin of the face, especially the nose, eyelids, lips, and ears, is the most common site for non-melanoma skin cancers like Basal Cell Carcinoma (BCC) and Squamous Cell Carcinoma (SCC). Complete surgical excision with histologically clear margins is the cornerstone of cure; however, oncologic excisions leave visible soft-tissue defects that cannot be simply pulled together without distorting facial symmetry, pulling down the lower eyelid, or deviating the nasal tip.
The Facial Subunit Reconstruction Philosophy
Dr. Vishal Purohit adheres to the proven aesthetic subunit principle: replacing lost tissue with adjacent skin of identical color, texture, thickness, and hair-bearing quality, while concealing scar borders along natural anatomical boundary junctions.
- Nasal Reconstruction: Rebuilding nasal alar and tip defects using bilobed local transposition flaps or the gold-standard paramedian forehead flap, preserving nasal airway patency and contour.
- Cheek & Lip Reconstruction: Utilizing nasolabial flaps, Mustardé rotation flaps, or Karapandzic functional sphincter-preserving lip flaps to maintain natural mouth movement and smile symmetry.
- Eyelid Reconstruction: Restoring the delicate lid margin to shield the cornea from drying and prevent ectropion.
Histological Safety and Long-Term Aesthetics
Every specimen is verified with frozen section or formal margin analysis to ensure total cancer clearance before definitive plastic flap closure, combining complete oncologic eradication with beautiful cosmetic outcomes.