By Daniel Givens, MD, FACS | Facial Plastic Surgeon & Otolaryngologist | Dubuque, Iowa
Being diagnosed with skin cancer on the face can be an overwhelming experience. Understandably, patients are often concerned about two things: removing the cancer completely and preserving their appearance. Fortunately, with today’s surgical techniques, both of these goals can be achieved effectively and efficiently.
At my practice in Dubuque, we specialize in the removal of facial skin cancer with immediate reconstruction—offering patients not just peace of mind, but also excellent cosmetic outcomes.
Frozen Section Analysis: Confidence in the Moment
When treating facial skin cancers such as basal cell carcinoma or squamous cell carcinoma, the most important step is ensuring that all of the cancer is removed. To achieve this, we often use frozen section analysis, performed by a pathologist during the surgery.
Here’s how it works:
- The cancer is surgically removed in layers.
- The tissue is immediately sent to a local pathologist, who freezes and examines it under a microscope.
- The surgeon and pathologist work together in real time to confirm that the margins are clear—meaning no cancer remains.
This immediate feedback allows us to proceed confidently with reconstruction in the same procedure, without the need to leave a wound open or delay healing.
This is similar to MOHS surgery, which also checks margins during the procedure, though the tissue processing and technique differ slightly. Both approaches offer very low recurrence rates, but in cases where reconstruction is complex, having your cancer removal and reconstruction performed by a facial plastic surgeon can provide distinct advantages in cosmetic outcome.
Why Surgical Resection Is the Gold Standard
For most types of skin cancer, particularly on the face, surgical removal is the gold standard. It provides:
- The highest cure rates
- Immediate confirmation of complete cancer removal
- The ability to reconstruct the area at the same time
Facial Reconstruction: Function, Form, and Aesthetics
Once we know the cancer has been completely removed, reconstruction begins immediately—often within minutes. As a facial plastic surgeon, my goal is to restore both function and form, with an emphasis on achieving:
- Natural appearance
- Minimal scarring
- Well-camouflaged incisions
- Rapid healing
Depending on the size, location, and depth of the defect, reconstruction may involve:
- Straight or curved incisions placed in natural skin folds or lines
- Local flaps, where nearby skin is carefully rotated or advanced into the area
- Skin grafts, used when local tissue isn’t available or suitable
Every decision is made with an eye toward preserving the facial structure and maintaining symmetry and expression. The best reconstructions are those that are barely noticeable once healed.
What To Expect After Surgery
Most patients are pleasantly surprised by the speed of recovery and the quality of the cosmetic result. Because the reconstruction is performed at the same time as the cancer removal, there is:
- Less swelling
- Fewer procedures
- Shorter healing time
- No need for temporary open wounds or dressing changes between stages
Follow-up care includes regular monitoring to ensure proper healing and long-term success.
You Don’t Have to Choose Between Cancer Control and Appearance
At Dubuque ENT, we take a comprehensive approach to facial skin cancer—removing it safely and thoroughly while prioritizing your appearance and comfort. If you’ve been diagnosed with skin cancer on the face or are concerned about a suspicious lesion, we’re here to guide you through every step, from diagnosis to reconstruction and healing.
Contact us today to schedule a consultation and learn more about your facial skin cancer treatment and reconstruction options.
Daniel Givens, MD, FACS is a board-certified facial plastic surgeon and otolaryngologist in Dubuque, Iowa. He specializes in advanced techniques for skin cancer removal and facial reconstruction, combining surgical precision with a deep understanding of facial aesthetics.