Skin Cancer Surgery

TOP PLASTIC SURGEON

Skin Cancer Surgery in Norwalk, Connecticut

Key Highlights
  • Common skin cancers are basal cell carcinomas and squamous cell carcinomas.  
  • The majority of these cancers are seen in the exposed skin of the scalp, face, nose, ears, lower lip, scalp, forearms, hands and lower legs
  • Malignant melanoma is less common but generally a more aggressive skin cancer requiring a wider skin excision. Malignant melanoma is also related to sun exposure but occurs in non-exposed skin as well.
  • Skin cancers are more frequent in light skinned individuals who have significant sun damage 
  • Skin cancer surgery is usually performed by simply removing the lesion with a rim of normal skin and then checking the tissue, after the procedure, to ensure that no skin cancer was left behind. 
  • Moh’s surgery is a technique that involves removing concentric tissue layers around the cancer and examining each layer under a microscope, until it is clear of tumor
  • Moh’s technique is used for cancers that are close to the eyes, lips, nose and ears. In these locations there is a need to preserve as much of the vital structures as possible and to ensure that the cancer is fully removed so that it does not further penetrate into these vital organs. 
  • Removing a skin cancer leaves a skin ‘defect’. 
  • After removal of the skin cancer, reconstructive surgery is needed to restore the normal appearance 

When is Mohs surgery indicated?

Moh’s technique is used for cancers that are close to vital organs such as eyes, lips, nose and ears. Many skin cancer types can be treated with the Mohs procedure. The most common are squamous cell carcinoma and basal cell carcinoma. 

What is reconstructive surgery?

Reconstructive surgery is surgery to close the defect left behind after the successful removal of a skin cancer. The aim of reconstructive surgery is to restore a normal appearance. Tissue defects and deficiencies should be restored with tissue of a similar thickness and color. Any reconstruction should avoid pulling and distorting an adjacent structure such as the lower eyelid or rim of the nose. Scars ideally should be positioned either within or parallel to the natural skin creases of the face or other parts of the body. In the simplest case this can be achieved by simply stitching the edges of the defect together. In more complicated cases a skin’ flap’ is used to move tissue into the defect. Surgery is usually performed in the office under local anesthesia. More complicated procedures can be performed in the hospital, either under sedation or general anesthesia.

What if reconstructive surgery fails to restore a the ‘normal’ or distorts the natural facial features?

If a defect is not correctly reconstructed this may result in an abnormal appearance and impaired function. For example, if the eyelid is scarred and retracted, it may be impossible to close the eyelids. This can lead to a corneal ulcer, scarring and blindness. If the nostril is constricted, breathing maybe obstructed. Distorted lips may result in drooling, difficulty eating and dental disease.  A distorted ear not only looks unsightly but might impair your ability to wear glasses. Looking normal is a function. Facial and limb deformities affect our ability to look normal. They affect our social interactions and our general quality of life. Poorly planned reconstructive surgery and its complications may lead to problems that are not only difficult but also may be impossible to correct. Prevention is the best solution.

What if I want a plastic surgeon to perform my reconstruction?

You should speak with your Moh’s surgeon or your dermatologist and discuss using a Plastic Surgeon for the reconstruction. Alternatively, Dr. Kirwan may refer you to a Moh’s surgeon for the Moh’s excisional surgery. The skills of a Plastic Surgeon are important if the cancer is in a critical region, particularly on the face and especially around the eyes, lips, nose or ears. The reconstructive surgery closure can be performed on the same day or a separate day. The Moh’s surgeon or dermatologist will remove the skin cancer and apply a sterile dressing and you can then be seen by Dr. Kirwan for the reconstructive stage. It is important to know your options for both the skin cancer removal as well as the repair.

Does the surgeon I choose, make a difference?

Yes, it does make a difference. Plastic Surgery requires a rigorous training program in the art and science of Plastic Surgery. The specialty treats every age from birth to senescence and every part of the body from the scalp to the soles of the feet. A Plastic Surgery Residency Program is a minimum of five years, after completion of Medical School. Many Plastic Surgeons are Board Certified in General Surgery or Otolaryngology. Most surgeons complete a Fellowship in a specialized area of Plastic Surgery in addition to their Plastic Surgery residency training. Dr. Kirwan completed General Surgery training (he is a Fellow of the Royal College of Surgeons of England) and a Fellowship in Hand Surgery before his Plastic Surgery residency training.

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"You really took care of me during the surgery and even through the ups and downs of healing, you were right there to comfort me through it all. When I was in the hospital and scared when my blood pressure went so low, you dropped everything and came right up to the hospital to make sure I was ok. You were kind, thoughtful, and compassionate from day 1. I am so happy with my results and so happy you are my Doctor. Thank you for the extra attention you gave me."

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why-choose-dr-kirwan

Why choose Dr. Kirwan as your cosmetic surgeon?

Dr. Kirwan, because of his extensive experience, international connections and exposure, understands an enormous variety of techniques, which he utilizes to individualize the result for each patient.

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Listed as TOP 20 Plastic Surgeons Worldwide by Vogue Magazine.
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We are a boutique practice as we believe in offering personalized care to each patient. Every patient is a VIP. You will see Dr. Kirwan himself at every single appointment including follow up appointments.
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Uses special techniques to reduce trauma or scarring such as VISTASEAL™ Fibrin Sealant during facelift surgery and endoscopic surgery to perform minimal incision brow lift.
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His patients greatly appreciate the compassion, professionalism and excellent care provided by him and his staff. Celebrities trust Dr. Kirwan for cosmetic makeovers.
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Recognized for introducing and training other surgeons on his own pioneer procedures such as his breast innovation technique SAMBA™ and many more.
CONTACT DR. KIRWAN

Request a Consultation.

Consult with the best cosmetic surgeon in Connecticut to discuss all your options.

NORWALK OFFICE
10 Mott Avenue, Suite 1A
Norwalk, CT 06850

Phone: (203) 838-8844
eFax: (203) 774-1177
Email: info@drkirwan.com

Plastic Surgery Practice in Norwalk CT with clients from CT, NY, NJ – Manhattan, Northern New Jersey towns, surrounding areas of Greenwich, New Canaan, Stamford, Westport, Darien, Wilton, Weston, Easton, Fairfield, Bridgeport, Trumbull, Ridgefield, Danbury, Monroe, Milford, Bedford, Armonk, Mt Kisco, Bedford Hills, Rye, Harrison, New Haven, Mamaroneck, Larchmont, White Plains, Scarsdale, Westchester County, Fairfield County. New York and from around the world.

*Disclaimer: results are not guaranteed, may not be permanent, and can vary per individual. Before and after photographs of surgical results are of procedures performed solely by Dr. Kirwan.  Some images on this web site are of models, not actual patients.

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