Who is this procedure for?
Post-excision reconstruction can be for anyone with a loss of substance after prior surgery.
Indications include sequelae of tumor excision, extensive skin defects, or visible anatomical damage.
Frequently affected areas include the face, scalp, trunk, or limbs.
The procedure can be considered if the general condition allows for surgical management.
Certain medical situations may lead to adaptation or postponement of the reconstructive plan.
Consultation Process
Consultations allow for a precise assessment of the area to be reconstructed.
The clinical examination analyzes the size of the defect, the skin quality, and the neighboring structures.
Additional examinations may be requested depending on the context.
The feasible technical options are explained, along with their principles, limitations, and constraints.
A detailed quote and explanations of possible outcomes are provided after the plan is approved.
Preparation Steps
Preparation involves a comprehensive medical evaluation.
Biological tests or specialist opinions may be necessary.
The technical choice depends on the location, the volume to be reconstructed, and the functional or aesthetic goals.
The surgical modalities, recovery times, and postoperative follow-up are explained.
Preoperative instructions aim to reduce surgical risks.
The Procedure in Practice
The procedure is performed under local, regional, or general anesthesia, depending on the extent of the procedure.
The operative duration varies depending on the technique used.
Outpatient or short hospitalization may be considered depending on the case.
The principles involve mobilizing living tissues or transferring grafts.
Cosmetic surgery procedures are not performed at our clinic.
Flap Techniques
Flaps use vascularized tissues moved to the deficient area.
A local flap mobilizes adjacent tissues.
A regional flap comes from an anatomically close area.
A free flap involves microsurgery with vascular anastomoses.
The choice depends on the complexity of the defect and the functional requirements.
Graft Techniques
Grafts consist of harvesting tissue to reposition it on the area to be reconstructed.
Skin grafting is used for extensive superficial losses.
Bone grafting can be considered after bone excision.
Muscle grafting provides volume and support.
Each graft requires optimal take to ensure its viability.
Postoperative Care
Recovery involves a gradual healing phase.
Moderate pain may occur and is usually controlled with medication.
Regular local care is prescribed.
The resumption of activities is gradual.
A structured medical follow-up allows for evaluation of the reconstructed tissues’ evolution.
Results and Scars
The result aims for harmonious integration of the reconstructed area.
The final appearance evolves over several weeks or months.
Scar quality depends on individual and technical factors.
Some scars may remain visible, despite an adapted approach.
Satisfaction is based on consistency between the initial goal and the achieved result.
Risks and Possible Complications
All procedures carry known surgical risks.
Possible complications include infection, delayed healing, or tissue compromise.
Partial necrosis may occur in certain contexts.
Scarring issues may arise depending on the individual.
Management involves rigorous monitoring and therapeutic adjustments if necessary.
Fees and Coverage
Post-excision reconstruction may be covered by medical insurance, depending on the initial indication.
Partial or total coverage may be considered in certain reconstructive cases.
Procedures for aesthetic purposes are not reimbursed.
Fees vary depending on the complexity, the technique used, and the number of surgical stages.
A personalized quote is provided after a complete assessment of the case.
