Head & Neck Reconstruction for Skin Cancer

Head and neck reconstruction for skin cancer involves surgical procedures to rebuild areas affected by skin cancer removal in the head or neck. This reconstruction is vital for restoring both form and function following excision of cancers such as basal cell carcinoma, squamous cell carcinoma, and melanoma.

Especially in sensitive areas like the face, neck, or scalp, reconstruction helps close the wound, improve aesthetics, and restore essential functions such as blinking or smiling.

• Basal Cell Carcinoma (BCC) – The most common type, typically found on sun-exposed areas.
• Squamous Cell Carcinoma (SCC) – May appear on the lips, ears, scalp, or neck.
• Melanoma – A more aggressive cancer that can occur on the head, neck, or upper body.

SNB determines whether melanoma has spread to nearby lymph nodes. It identifies the first node (the “sentinel” node) that drains the tumour site. If cancer is present, additional treatment may be required.

• Primary Closure – Directly stitching the wound for smaller excisions.
• Local Flap Reconstruction – Using nearby skin to cover the surgical site.
• Skin Grafts – Transplanting skin from another area (e.g., neck, facial fold).
• Complex Reconstruction – Advanced flap surgery using tissue from other body areas when needed.

Reconstruction is performed by Dr. Assad Bangash (plastic & reconstructive surgeon) and Dr. Nasrin Davarpanah (general surgeon), combining their skills to achieve optimal functional and cosmetic results.

Recovery varies with surgery complexity:

• Minor surgeries: 1–2 weeks
• Extensive reconstructions: several weeks to months
• Follow-up visits and physical therapy may be part of the healing process.

All surgeries carry some risks, including bleeding, infection, scarring, or delayed healing. Complex reconstructions may include flap or graft failure, which will be closely monitored.

Some scarring is inevitable, but careful planning and precise techniques minimise their visibility, especially in cosmetically sensitive areas.

Reconstruction in functional zones requires advanced planning to restore both appearance and function. Tissue may be borrowed from areas like the forehead or elsewhere to ensure both form and function are preserved.

Yes, recurrence is possible. Ongoing skin checks, follow-up appointments, and monitoring are essential for early detection and management.

• Use broad-spectrum sunscreen daily
• Wear hats and sun-protective clothing
• Avoid excessive sun exposure, especially during peak hours
• Attend regular skin checks and follow your specialist’s recommendations