Our Philosophy on Facial Reconstruction
At AR Plastic Surgery, we provide reconstructive procedures to repair areas of the face where skin cancer, trauma, or previous surgery has resulted in tissue loss. Areas such as the eyelids, lips, nose, and ears play important roles in facial movement, expression, breathing, speech, and vision. When these structures are affected, careful surgical planning is required to support both healing and function.
Reconstructive procedures are tailored to the specific location, size of the defect, and available surrounding tissue. The surgeons who operate at AR Plastic Surgery have experience in managing these complex areas and use a range of techniques to support wound closure while maintaining structure. Our approach takes into account both form and function, ensuring that the reconstruction supports basic activities such as eye protection, eating, or breathing.
We work closely with referring dermatologists, general practitioners, and skin cancer specialists to time the reconstruction appropriately, especially following Mohs micrographic surgery. Each patient is provided with a clear explanation of the surgical plan, including the type of repair recommended, recovery expectations, and potential risks. Informed consent and ongoing support are part of every stage of care.
Understanding Reconstruction of the Eyelids, Lips, Nose, and Ears
Each facial region has a unique structure and function. The eyelids protect the eyes and support tear drainage. The lips assist with eating, speaking, and facial expression. The nose supports airflow and smell, and the ears assist with hearing and balance. Surgical repair of these areas requires detailed planning to avoid disrupting these functions.
Eyelid reconstruction often follows the removal of skin cancers such as basal cell carcinoma, particularly near the lower eyelid. Techniques vary depending on the size of the defect and may include local flaps or grafts that match the thin, mobile skin of the eyelid. The goal is to close the wound while preserving eyelid movement and protecting the eye.
Lip, nose, and ear reconstruction also require techniques that match the natural curves and tissue types of the face. These areas may require flaps that borrow tissue from adjacent sites or grafts taken from areas with similar skin quality. The surgical plan considers facial symmetry and aims to preserve important structures such as the nostrils or the edges of the lips and ears.
