Principles<\/h2>\n\n\n\n
The type of skin tumor is diagnosed by your dermatologist through a clinical examination and biopsy. These tumors fall into two main categories:<\/p>\n\n\n\n
- \n
- Benign tumors<\/strong>: such as nevi (moles), histiocytofibromas, hamartomas.<\/li>\n\n\n\n
- Malignant tumors<\/strong>: including basal cell carcinoma, squamous cell carcinoma, and malignant melanoma.<\/li>\n<\/ul>\n\n\n\n
Surgical excision follows strict guidelines established by the French National Cancer Institute. For certain cases\u2014especially squamous cell carcinoma or melanoma\u2014a multidisciplinary consultation meeting (RCP)<\/strong> is required before proceeding with treatment.<\/p>\n\n\n\n
Our team collaborates with the tumor board of Saint Louis Hospital (Paris)<\/strong> to ensure coordinated, state-of-the-art care.<\/p>\n\n\n\n
To achieve the best possible aesthetic outcome, various reconstructive surgical techniques may be used to replace the skin removed during tumor excision:<\/p>\n\n\n\n
- \n
- Directed healing<\/strong>: Letting the wound heal naturally; often ideal for small facial lesions (nose, forehead).<\/li>\n\n\n\n
- Direct closure<\/strong>: Suturing the wound along the skin’s natural tension lines.<\/li>\n\n\n\n
- Skin grafting<\/strong>: Skin is harvested from a donor area with similar tone and texture and placed over the excised area.<\/li>\n\n\n\n
- Local flap<\/strong>: Adjacent skin is rotated or moved into the defect, maintaining aesthetic harmony.<\/li>\n\n\n\n
- Regional flap<\/strong>: For instance, forehead skin is rotated to rebuild part of the nose.<\/li>\n\n\n\n
- Free flap<\/strong>: Skin from a distant site (e.g. forearm) is transplanted with its own blood vessels and reconnected microsurgically near the defect\u2014reserved for large or advanced tumors, particularly those invading bone.<\/li>\n<\/ul>\n\n\n
\n![\"Chirurgie](\"https:\/\/www.plasticiens-paris.com\/wp-content\/uploads\/2025\/08\/Chirurgie-cutanee-Reconstruction-faciale-apres-cancer-1024x683.webp\")
<\/figure>\n<\/div>\n\n\nIn Practice<\/h2>\n\n\n\n
- \n
- A pre-operative consultation<\/strong> with your dermatologist is almost always required.<\/li>\n\n\n\n
- If necessary, your case is presented at a multidisciplinary tumor board (RCP)<\/strong>.<\/li>\n\n\n\n
- Most procedures are performed under local anesthesia with sedation<\/strong> (neuroleptanalgesia), on an outpatient basis <\/strong>(3 to 5 hours).<\/li>\n\n\n\n
- In some cases, a short overnight hospital stay<\/strong> may be recommended.<\/li>\n\n\n\n
- A consultation with the anesthesiologist is required at least 48 hours before<\/strong> surgery.<\/li>\n<\/ul>\n\n\n\n
Important precautions:<\/h3>\n\n\n\n
- \n
- Stop smoking<\/strong> at least one month before and after the procedure, as it can delay healing.<\/li>\n\n\n\n
- Avoid aspirin and anti-inflammatory medications<\/strong> in the 10 days prior to surgery.<\/li>\n<\/ul>\n\n\n\n
Healing and recovery:<\/h3>\n\n\n\n
- \n
- Final wound healing typically occurs within 10 to 15 days<\/strong>, at which point sutures are removed.<\/li>\n\n\n\n
- The surgical specimen is analyzed<\/strong> and your surgeon will discuss results and post-operative care with your dermatologist.<\/li>\n\n\n\n
- Further treatments<\/strong> such as radiation therapy may be required depending on the tumor type and margins.<\/li>\n<\/ul>\n\n\n\n
Please note: Final aesthetic results can only be evaluated at least 6 months post-surgery.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"
Plastic surgeons play a central role in the treatment of skin cancer. Their expertise in both anatomy and aesthetics ensures they can address the two main goals of facial reconstruction: Principles The type of skin tumor is diagnosed by your dermatologist through a clinical examination and biopsy. These tumors fall into two main categories: Surgical […]<\/p>\n","protected":false},"author":4,"featured_media":1574,"parent":2102,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/domain-single.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-2131","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/2131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/comments?post=2131"}],"version-history":[{"count":1,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/2131\/revisions"}],"predecessor-version":[{"id":7060,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/2131\/revisions\/7060"}],"up":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/2102"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/media\/1574"}],"wp:attachment":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/media?parent=2131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- The surgical specimen is analyzed<\/strong> and your surgeon will discuss results and post-operative care with your dermatologist.<\/li>\n\n\n\n
- Avoid aspirin and anti-inflammatory medications<\/strong> in the 10 days prior to surgery.<\/li>\n<\/ul>\n\n\n\n
- If necessary, your case is presented at a multidisciplinary tumor board (RCP)<\/strong>.<\/li>\n\n\n\n
- Direct closure<\/strong>: Suturing the wound along the skin’s natural tension lines.<\/li>\n\n\n\n
- Malignant tumors<\/strong>: including basal cell carcinoma, squamous cell carcinoma, and malignant melanoma.<\/li>\n<\/ul>\n\n\n\n