Reconstructive Surgery

What is surgical reconstruction?

Reconstructive surgery is the procedure that repairs a wound (defect) to preserve the function of the normal anatomy as well as avoid disfigurement. Oftentimes, surgical reconstruction is performed after successfully removing a skin cancer by excision or Mohs surgery. While surgical reconstruction technically includes every type of wound repair requiring stitches, the term is frequently used to describe skin flaps and skin grafts. Skin flaps and skin grafts offer the greatest volume and contour restoration and best color and texture match for larger or more complex wounds.

Skin flaps, also called adjacent tissue transfers, utilize local tissue surrounding the surgical wound for the repair. Adjacent skin including the underlying tissue and blood supply is loosened and brought into the wound by sliding, rotating, or lifting the tissue into place. Skin flap techniques require careful planning and precise surgical execution to ensure adequate blood flow to the transferred tissue and promote successful wound healing.

Skin grafts utilize a remote area of the body that has redundant or excess tissue for the surgical wound repair. Skin grafting involves the harvest and transplantation of healthy skin from one area of the body (the donor site) to another (the recipient site) to cover the wound or defect. Depending on the nature of the skin graft, the donor site may be stitched or left open to heal on its own.

Following skin cancer removal, reconstructive surgery may be recommended to restore the skin’s appearance and function. At Apex Skin Center, our board-certified dermatologists specialize in reconstructive procedures for patients across Cary, Apex, Holly Springs, and Fuquay-Varina. With a focus on both aesthetic and functional recovery, our team offers tailored solutions to ensure you feel confident and comfortable in your skin. Schedule an appointment today to learn more about reconstructive surgery options and regain a natural, healthy look.