SKIN CANCER
Reconstructive Surgery (Post Skin Cancer)
Where a skin cancer excision leaves a larger or more complex wound, reconstructive surgery repairs the area — performed by ASFB's specialist surgeons.
About Reconstruction After Skin Cancer
Not every skin cancer excision needs reconstruction — many smaller wounds are simply closed directly at the time of excision. Where a larger area needs to be removed, or the wound is in a location where direct closure isn't appropriate, reconstruction may involve:
Direct closure — the wound edges are brought together and stitched
Skin graft — a thin piece of skin is taken from another part of the body (the donor site) and placed over the wound
Skin flap — nearby skin and underlying tissue is moved across to cover the wound, keeping its own blood supply
The right approach depends on the size, depth and location of the area being reconstructed. In more complex cases, reconstruction may involve more than one technique, staged surgery, or a longer hospital stay.
A referral is required to see Mr Ian Holten for this procedure as he is a Medical Specialist — this is different from a GP-led skin check, which needs no referral. Your GP or the doctor who diagnosed your skin cancer can arrange this for you.
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Following your skin cancer diagnosis and excision, your surgeon will explain the most suitable reconstruction approach for your specific wound. This is generally performed as day surgery, though more complex reconstructions may require a longer hospital stay. A referral from your GP or diagnosing doctor is needed to arrange this consultation.
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As with any surgical procedure, reconstructive surgery carries risks. These can include, but are not limited to:
Bleeding or infection
Scarring at both the wound and donor sites, where relevant
Partial or complete failure of a skin graft or flap
Changes in sensation around the treated area
Asymmetry or irregularities in appearance
The possibility that further surgery may be needed
Risks associated with anaesthesia
Your surgeon will discuss the risks relevant to your specific reconstruction during your consultation.
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Healing generally takes a few weeks, and both the wound site and any donor site will need care during this time. You'll be given detailed aftercare instructions and follow-up appointments to monitor your recovery, along with contact details for any concerns.
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As with any surgical procedure, individual results vary depending on the size and location of the area reconstructed, and how your body heals. Your surgeon can discuss realistic expectations for your specific situation during your consultation.
Costs will be confirmed during your consultation and set out in writing before you proceed. Nothing is finalised until you've had the chance to review it in full.
Arrange Your Consultation
Start with a conversation with our team about your goals and whether this procedure is right for you.
