What You Must Know Before Getting A Phenol Peel

a young woman with glowing skin smiles and looks at the camera over her shoulder

A phenol peel is a deep chemical peel used to treat severe skin imperfections, including deep wrinkles, acne scars, and sun damage. Because of the potency of this skin treatment, it is essential to have it performed by a qualified and experienced provider. This blog will explain the procedure, the recovery process and timeline, the best candidates, and the expected results.

5 Min Read:

What Is a Phenol Peel?

Chemical peels safely use varying levels of acid to remove layers of damaged skin, revealing a fresh, youthful-looking layer of skin underneath. A phenol peel is a deep peel treatment that offers more drastic results than its light and medium peel counterparts. Phenol peels contain varying concentrations of phenol and croton oil, a substance extracted from the seeds of the Croton tiglium plant. Adding croton oil to phenol enhances the peeling effect. Adjusting phenol and croton oil concentrations allows board-certified dermatologists like Dr. Vincent Hung to customize the potency and depth of a phenol peel to treat specific skin issues.

Phenol peels are considered the most intense level of chemical peels. While they tend to offer the most potent, drastic results, it is recommended to only receive this type of treatment from a board-certified dermatologist or plastic surgeon.

How Does Phenol Work to Rejuvenate Skin?

Phenol peels use a strong concentration of chemicals to penetrate deep into your skin. The phenol treatment breaks apart the proteins that hold skin cells together through a process called denaturation. As these dead skin cells accumulate, they fall off your skin, revealing a new, fresher layer of skin underneath. Your immune system responds to this treatment by starting the healing process, which involves making more collagen that helps keep skin firm, smooth, and radiant.

Who Is a Good Candidate for a Phenol Peel?

While phenol peels can provide patients with a completely rejuvenated look, this treatment is not for everyone. Phenol peels are recommended for people who:

• Have deep wrinkles or lines as a result of the natural aging process.
• Have not seen satisfactory results after trying other skin treatments, like light or medium chemical peels.
• Experience certain noticeable skin concerns, such as scarring or severe sun damage (photoaging).
• Possess moderate skin sagging on the face and neck.

Phenol peels are not recommended for patients with medium to deep skin tones, as the results of this treatment can cause pigmentation issues. It is important to consult with a board-certified plastic surgeon or dermatologist to find out if you are a qualified candidate for this potentially transformative skin treatment.

What Happens During a Phenol Peel?

Your doctor will apply a local anesthetic to the treatment area to ensure the procedure is as comfortable as possible. In some cases, you may be lightly sedated for deeper phenol peels targeting severe wrinkling, scarring, or photoaging.

The skin is thoroughly cleaned to remove dirt, oil, or makeup that could interfere with the phenol peel. Your provider will typically apply the phenol solution using a special brush or swab. After 15–30 minutes, the phenol peel is diluted with saline, lidocaine, or another solution and gently washed off the skin.

After a phenol peel, your doctor will monitor you for about 30 minutes to ensure you are safely recovering. Most phenol peel patients feel a temporary burning or stinging sensation that lasts around 45 minutes. You will need someone to drive you home if you are lightly sedated during the treatment.

What to Expect During the Recovery Process

The treated skin will peel over the next few days after your treatment. The peeling phase can last several weeks, depending on the potency of the peel. During this time, your skin may appear red and swollen. Always follow post-operative care instructions provided by Dr. Hung to minimize discomfort and promote healthy healing.

Most people can return to normal activities and apply makeup after two weeks. It’s important to note that the skin will still be healing and may have the red appearance of a sunburn for two to three months after treatment. However, your final results will become more apparent as time progresses and your skin fully heals.

When Will I See My Phenol Peel Results?

Most patients are amazed and satisfied by how rejuvenated their skin looks after a phenol peel. Deep lines and wrinkles are much less noticeable or completely smoothed away. After your treatment and recovery period, you will also see significant improvements in skin texture, eliminating acne scars and creating a smoother, youthful appearance.

You should be aware that your skin might appear lighter in color after a phenol peel. In addition, your new skin will be more sensitive to the sun and should be carefully protected to avoid future damage. Always apply sunscreen to your face when you plan to be outside to prevent sunburn.

Why Choose a Phenol Peel Over Other Skin Treatments?

If you have tried other, less potent skin rejuvenation treatments without satisfactory results, a deep chemical peel like a phenol peel might be a good fit for your aesthetic goals. Benefits of phenol peels include:

• Deeper penetration: Phenol peels reach the dermis layer for more substantial results than light or medium peels.
• Single treatment: Typically, only one session is necessary to achieve significant improvements.
• Long-lasting results: Phenol peel results can last 8 to 10 years, surpassing the long-term effectiveness of other peels.
• Non-surgical: Phenol peel treatments are an excellent non-surgical option for those who don’t want to undergo a permanent cosmetic procedure.
• Cost-effective: Although pricey, phenol peels are more economical than undergoing multiple lighter peels or surgical procedures.
• Can potentially treat pre-cancerous growths: Phenol peels have been shown to remove actinic keratoses and other pre-cancerous lesions.
• Dramatic skin rejuvenation: This treatment can improve skin tone, texture, superficial smoothness, and appearance in one session.

Schedule Your Phenol Peel Consultation in Pasadena, CA

Explore the possibilities of a phenol peel with Dr. Vincent Hung, a triple board-certified plastic surgeon. Dr. Hung has two convenient office locations you can call to learn more about the many benefits of a phenol peel. Contact our Pasadena office at (626) 432-5032, our Newport Beach office at (949) 574-8292, or complete our online contact form.

This entry was posted on Thursday, December 19th, 2024 | Posted in Chemical Peels.

Skin cancers on the ear tend to occur on the front of the ears but are also seen on the back. Men are more likely to develop cancers on their ears due to the prevalence of shorter haircuts, but it also affects women. This blog will review common signs to look for when monitoring for cancer on the skin of the ears.

4 Min Read:

What Is Skin Cancer?

Skin cancer anywhere on the body is when abnormal skin cells grow uncontrollably—in this case, on the ear. Usually, it starts on the outside of the ear. If left untreated, however, skin cancer on the ear can metastasize or spread to other parts of the body.

What Causes Skin Cancer on the Ear?

Skin cancer on the ear is most commonly caused by overexposure to UV rays from the sun. Years of sun exposure can cause basal cell or squamous cell carcinoma (skin cancer) to develop. Ultraviolet rays can damage DNA and create cancerous cells. These cells rapidly grow and divide, forming a mass of cancer cells.

In addition to UV rays, contact with chemicals such as tar and coal might also cause skin cancer on the ear. Skin infections in the ear canal can also increase the risk of skin cancer on the ear.

Types of Skin Cancer

Basal Cell Carcinoma

Considered the most common form of skin cancer, basal cell carcinoma usually starts as a scaly area of the skin, eventually developing into a pearly white bump. This can be painless or ulcerated. This kind of tumor on the skin can spread to the inside of the ear, but it rarely spreads to other parts of the body.

Squamous Cell Carcinoma

This form of skin cancer occurs in squamous cells, which are present in the middle and outer layers of the skin. Tumors of this kind are more likely to spread.

What Are Signs of Skin Cancer on the Ear?

The most common sign of skin cancer is a change in the appearance of your skin. Do you notice any of the following on the skin of your outer ear?

• Changed appearance of a sore or mole
• Discolored skin
• Itching or bleeding spot
• A lump with a hard and scaly surface
• A shiny bump or nodule
• A sore that doesn’t go away within four weeks
• A yellow or white “scar”

In short, an unusual sore that doesn’t heal, scaly spots, a slowly growing bump, or strange changes in the appearance of the skin are common signs of skin cancer on the ear.

ABCDE Guide

Healthy moles are usually smooth, round or oval, with an even brown, tan, or pink color. They can be flat or raised. A good guideline to follow in evaluating whether your mole is healthy or not is the ABCDE guide:

• Asymmetry, or irregular shape
• Border with irregular edges
• Color, specifically discoloration or multiple colors on a mole
• Diameter that’s bigger than 5–6 mm, or the size of a pencil eraser
• Evolution, or change in size, shape or color

If you are concerned about the skin on your ear, make an appointment with a board-certified dermatologist to discuss next steps and possible treatment plans. Dr. Vincent Hung is a triple board-certified plastic surgeon who specializes in skin cancer surgery and reconstruction. Give us a call at 626-432-5032 today to schedule your consultation.

How Is a Diagnosis Made for Skin Cancer on the Ear?

There are a few steps when it comes to diagnosing skin cancer on your ear. These include:

• A physical exam, in which a dermatologist will examine your outer ear and ask you questions about changes to the skin of this area.
• A biopsy may be scheduled if your dermatologist suspects the presence of cancer. A small amount of tissue will be removed from the area exhibiting abnormal skin changes. This tissue sample is then sent to a laboratory so it can be examined under a microscope by a pathologist.
• Imaging, such as an MRI or CT scan, may be recommended if the biopsy finds that the tissue is cancerous.

How Is Skin Cancer on the Ear Treated?

Treatment for skin cancer on the ear aims to destroy cancer cells and preserve the healthy local cells. Your treatment will depend on the stage of cancer—Stages 0 to IV.

In the lower stages, skin cancer may be removed with a biopsy. It can also be treated with Mohs surgery, which is a procedure in which layers of skin cancer cells are removed until no more cancer cells are detected. Hearing is usually not affected if the cancerous cells are located on the external ear. If needed, ear reconstruction surgery can be performed by a qualified, skilled surgeon to restore the ear’s form.

Can Skin Cancer on the Ear Be Cured?

Yes. If the cancer is diagnosed early, treatment is usually successful. Early detection is a crucial factor in effectively treating skin cancer. Dermatologists generally recommend performing monthly self-examinations and scheduling annual professional exams to detect any suspicious moles, marks, or lesions.

Do You Have Questions or Concerns About Skin Cancer in Pasadena, CA?

Dr. Hung is a triple board-certified dermatologist and plastic surgeon. He is the only U.S. plastic surgeon trained and certified in Mohs surgery for skin cancer. If you would like to schedule a consultation with Dr. Hung, please fill out our online contact form or call 626-432-5032.

This entry was posted on Thursday, October 10th, 2024 | Posted in Skin Cancer.

Recovering from a facelift can be smooth and efficient with the right strategies. While everyone heals at their own pace, some tips can help individuals speed up their facelift recovery and achieve the best possible results. This blog will elaborate on seven tips to help you minimize downtime and enjoy your rejuvenated appearance sooner.

4 Min Read:

What Is a Facelift?

A facelift, technically known as a rhytidectomy, is a plastic surgery procedure designed to reverse signs of facial aging. Benefits include smoother skin, a lifted appearance, and more youthful contours. This highly rejuvenating cosmetic procedure often yields dramatic results and can make patients look 10 years younger, or more.

How Long Is Facelift Recovery?

While every patient has a unique biology and timeline for healing, there are some general timeframes with facelift recovery. Typically, the first week is the most uncomfortable recovery stage, but patients feel better by the end of week one. After two weeks, most patients can return to work. After four weeks, many patients can resume their usual activities, including exercise. Minor swelling, bruising, tightness, and numbness can take a year to resolve. Naturally, patients want to know how they can help their bodies heal efficiently during this period for optimal results.

How To Speed Up Your Facelift Recovery

Follow Your Surgeon’s Instructions

This is the most important aspect of recovery, and applies to all the tips that follow in this article. Your surgeon’s instructions will be specific to your procedure, their techniques, their training, and your individual needs. Failure to follow these instructions could result in unnecessary complications or a prolonged recovery.

Manage Swelling and Bruising

Swelling and bruising are normal bodily responses in the post-operative healing process.
Cold compresses should be applied in the first 48 hours after surgery to help reduce swelling. In addition, keep your head elevated, even when sleeping, to minimize fluid accumulation.

Maintain a Healthy Diet

Proper nutrition drives healing. To improve your strength, do not skip meals, and make sure those meals consist of fruits, vegetables, whole grains, and lean proteins. These will give your body the vitamins, minerals, and macronutrients necessary for tissue repair and inflammation reduction. Avoid salt to reduce swelling. Hydration is also essential for multiple functions, such as removing toxins, so drink plenty of water.

Avoid Smoking and Alcohol

To heal optimally, your blood needs to deliver nutrients to the areas of your body that are recovering. Both smoking and drinking alcohol impair the ability of your cardiovascular system to do its job. Nicotine use has been proven to interrupt wound healing after surgery. Alcohol, on the other hand, can increase bleeding, bruising, and swelling and cause dehydration that negatively impacts healing.

Get Plenty of Rest

Most of your body’s healing takes place while you sleep and rest. Get at least seven hours of sleep each night, and supplement with naps, especially in the first few weeks. Rest also involves avoiding strenuous activities. Light activity, such as walking, is recommended to improve circulation and prevent blood clots.

Keep Incisions Clean and Protected

Most patients are concerned with wound healing after surgery, especially on the face. Ideally, a scar will be undetectable, be level with, and match the color of the surrounding skin. There are various products available, from silicone gels and strips to ointments and cleansers, that help with ideal scar healing. Wound cleaning, changing dressings, and protection from the sun’s UV rays are part of basic wound care. In terms of your specific incisions, always follow your surgeon’s instructions to ensure optimum healing.

Attend Follow-Up Appointments

These are non-negotiable if you want to ensure your recovery is going smoothly. Your surgeon can ensure you’re healing according to plan and address any developing complications before they progress. Be sure to keep all of your follow-up appointments!

Interested in Facelift Surgery in Pasadena, CA?

If you are considering getting a facelift, it’s important to choose a highly qualified and trustworthy cosmetic surgeon to ensure the best results. Dr. Vincent Hung is a triple board-certified plastic surgeon with years of experience in advanced surgical techniques and excellent patient care. Schedule a consultation today by calling (626) 623-7135, or call (949) 415-5195 for our office in Newport Beach. We look forward to hearing from you!

This entry was posted on Friday, September 6th, 2024 | Posted in Facelift.

Individuals seeking skin resurfacing have several options, with two of the most popular being chemical and laser peels. Each method offers unique benefits and works through different mechanisms to improve the skin’s texture and appearance, addressing wrinkles, poor skin texture, and some types of skin discoloration. This blog will explore the differences between laser and chemical peels so you can make a well-informed decision about which is best for your skin needs and aesthetic goals.

5 Min Read:

What is a Laser Peel?

Glowing, dewy skin is what so many long to have. A laser peel, also known as laser skin resurfacing, delivers concentrated beams of light to remove the outer layers of the skin. This process promotes the generation of new, healthier skin cells and encourages collagen production, which can enhance skin firmness and elasticity. There are different types of lasers used in laser peels, each with specific functions and benefits:

Ablative Lasers

Ablative lasers, such as CO2 and erbium lasers, remove the outer (older) layer of skin (epidermis) and heat the underlying layers (dermis) to stimulate collagen and healthy new skin growth. This type of laser peel is more intensive and requires a longer recovery time, but it can provide dramatic results when addressing:

• Deep wrinkles
• Severe sun damage
• Significant skin texture issues

Non-Ablative Lasers

In contrast, non-ablative lasers, like Nd:YAG and fractional lasers, don’t remove the outer layer of skin. Instead, they target deeper layers of the skin to promote collagen growth and skin tightening. Non-ablative laser peels are less invasive and have shorter recovery times, making them suitable for those with milder or more moderate skin concerns such as:

• Fine lines
• Mild pigmentation
• Early signs of aging

What is a Chemical Peel?

Using a liquid solution applied to the skin, a chemical peel causes the outer layers to eventually peel off. This process reveals new, smoother skin underneath. Chemical peels vary in strength and depth, depending on the type of acid used and the desired results:

Superficial Peels

Mild acids like alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) are used in superficial peels to gently exfoliate the uppermost layer of the skin. These peels are ideal for addressing minor skin imperfections such as:

• Uneven texture
• Dullness
• Mild acne

The recovery time for superficial peels is minimal, often just a few days of slight redness and peeling.

Medium Peels

Typically using trichloroacetic acid (TCA), medium peels can penetrate deeper into the skin and address more significant concerns like:

• Fine lines
• Acne scars
• Moderate sun damage

The recovery period for a medium peel is longer than that of a superficial peel, with noticeable peeling and redness lasting about a week.

Deep Peels

Deep peels use strong acids like phenol to achieve profound skin resurfacing. These peels can correct:

• Deep wrinkles
• Severe sun damage
• Significant scarring

Due to their intensity, deep peels require a lengthy recovery period, often of several weeks. It should only be performed by qualified and experienced professionals to lower the risk of complications.

Key Differences Between Laser Peels and Chemical Peels

The Way Cosmetic Peels Work

The primary difference between laser peels and chemical peels lies in how they achieve skin resurfacing. Laser peels use light energy to vaporize the skin’s outer layers and stimulate collagen production.

In contrast, chemical peels rely on applying acidic solutions to chemically exfoliate the skin. This fundamental difference in approach affects the depth of penetration, type of results, and recovery time for each treatment.

Precision and Customization

Laser peels offer a high degree of precision and customization. The intensity of the laser is adjustable to target specific skin concerns, making it possible to treat different areas of the face with varying degrees of intensity. This versatility makes laser peels appropriate for a more tailored treatment that can address both superficial and deep skin issues in a single session.

Chemical peels, while also customizable to some extent, primarily depend on the type and concentration of the acid used. The depth of penetration is less easily controlled compared to laser peels.

Skin Concerns Addressed

Both laser peels and chemical peels can address a range of skin concerns, but their effectiveness varies depending on the issue:

• Wrinkles and Fine Lines: Ablative laser peels are best for deep wrinkles and noticeable skin laxity, while chemical peels can address fine lines and moderate wrinkles.
• Pigmentation and Sun Damage: Both treatments can reduce pigmentation and sun damage, but laser peels, especially fractional lasers, can be more effective for deeper pigmentation issues.
• Acne and Acne Scars: Superficial and medium chemical peels commonly treat acne and superficial acne scars. Laser peels can also address acne scars, with fractional lasers being particularly effective.
• Skin Texture and Pore Size: Laser peels can significantly improve skin texture and reduce pore size through collagen stimulation. Chemical peels also improve texture but may not be as effective for large pores.

Risk and Side Effects

Both laser and chemical peels carry risks and potential side effects. Laser peels can cause redness, swelling, and infection if not properly managed. There is also a risk of discoloration, especially in individuals with darker skin tones. Chemical peels can cause redness, peeling, and sensitivity, with deeper peels carrying risks of scarring and changes in skin pigmentation. It is essential to have laser and chemical peels performed by qualified aesthetic healthcare professionals to minimize risks and ensure proper aftercare.

Choosing a Chemical Peel or a Laser Peel in Pasadena, CA

Deciding between a laser peel and a chemical peel depends on various factors, including skin type, specific concerns, desired results, and willingness to endure downtime. Consulting with a dermatologist or qualified skin care professional is paramount in determining the most appropriate treatment based on your unique concerns and goals.

Our plastic surgeon, Dr. Vincent Hung, is a leader in his field and is also board-certified in dermatology. Schedule a consultation today to learn more about your Pasadena chemical and laser peel options by calling (626) 623-7135, or for our Newport Beach office, call (949) 415-5195.

This entry was posted on Wednesday, July 17th, 2024 | Posted in Chemical Peels, Laser Peel.

Recognizing the ABCDEs of Skin Cancer Five Top Signs of Skin Cancer and the Skin cancer is an extremely common malignancy, with early detection crucial for effective treatment and better prognosis. Understanding the top signs of skin cancer and how they relate to the ABCDEs of melanoma can help in identifying potentially dangerous skin lesions early. The ABCDE rule is a guideline established by dermatologists to assist in recognizing suspicious moles or spots that may require further examination. This blog will explain the five top signs and the ABCDEs of skin cancer.

5 Min Read:

A – Asymmetry: Asymmetrical Shaped Mole

One of the primary signs of melanoma, a dangerous type of skin cancer, is an asymmetrical shape. If you were to draw a line across the middle of the mole, and the two halves wouldn’t match, this asymmetry is a key indicator that the growth may be malignant.

Normal moles and benign lesions are typically symmetrical. If you notice that a mole or skin spot is irregularly shaped, it should be examined by a dermatologist. Asymmetry suggests that the cells are growing at different rates and directions, which is characteristic of cancerous changes.

B – Borders: Moles With Jagged or Irregularly Shaped Borders

Healthy moles usually have smooth, even borders. In contrast, melanomas often have borders that are notched, scalloped, or blurred. These uneven edges are another significant sign of skin cancer.

Irregular borders indicate that the cells are spreading unevenly beneath the skin. The immune system’s response to these abnormal cells can lead to inflammation and a disrupted growth pattern. When examining your skin, look for moles with edges that appear jagged or irregular and bring them to the attention of your healthcare provider.

C – Color: Different Colors in a Mole

While benign moles are usually a single shade of brown, melanomas can exhibit a variety of colors, including different shades of brown, tan, black, and sometimes even red, white, or blue. These color variations are a red flag for potential skin cancer.

The presence of multiple colors in a single mole suggests an abnormal accumulation of different types of pigment-producing cells, which can occur as the melanoma grows and invades surrounding tissues. It’s essential to monitor moles that show a mix of colors, as this could indicate malignancy.

D – Diameter: A Large Mole

Another important sign to watch for is the size of the mole. Generally, melanomas are larger than benign moles. A mole measuring more than 6 millimeters across, or the size of a pencil eraser, warrants closer examination.

Melanomas can be smaller when first detected, but a larger diameter often indicates that the lesion has been growing for some time. Rapid growth and an increase in size are common characteristics of malignant tumors. Regular skin checks can help detect changes in size early, prompting timely medical consultation.

E – Evolving: Moles That Change Their Size, Shape, or Color

One of the most critical signs of skin cancer is change. Moles or skin spots that evolve in size, shape, color, or elevation—or exhibit new symptoms such as bleeding, itching, or crusting—should be evaluated promptly.

Cancerous cells tend to grow and change rapidly. This evolution is a sign that the lesion is not static but is undergoing cellular changes that could be malignant. Keeping track of changes in your skin through regular self-examinations and photographs can be an effective way to monitor this sign.

Additional Skin Cancer Symptoms

While the ABCDEs cover the primary visual indicators of melanoma, there are other important symptoms of skin cancer you should be aware of:

• New Growths: The sudden appearance of new moles or growths on the skin, especially if they look different from your existing moles, can be a warning sign.
• Non-Healing Sores: Ulcers or sores that have not healed within a few weeks may indicate skin cancer, particularly if they bleed or ooze.
• Redness or Swelling: Spreading redness or swelling beyond the border of a mole could be indicative of an inflammatory response to cancerous changes.
• Pain or Tenderness: While many skin cancers are painless, any persistent pain or tenderness in a mole or skin lesion should be checked.
• Itching or Sensitivity: Changes in sensation, such as itching, tenderness, or numbness, around a lesion or mole are also symptoms of skin cancer.

Importance of Regular Skin Examinations

Regular self-examinations and professional skin assessments are crucial for the early detection of skin cancer. Dermatologists recommend performing monthly self-exams to check for any new or changing moles. Here’s how you can conduct a thorough self-examination:

Use a Handheld Mirror Together With a Full-Length Mirror

These tools will help you examine hard-to-see areas, such as your back and the back of your legs.

Check All Areas of Your Body

Examine your scalp, between your toes, and under your nails. While less common, skin cancer can be found in areas not exposed to the sun.

Take Note of New Moles or Changes

Keep a record of any new moles or changes in existing moles. Photographs can be particularly useful for comparison over time.

Schedule Annual Dermatologist Visits

Even if you don’t notice any changes, it’s wise to have a yearly skin examination by a dermatologist, who can identify lesions that may not be apparent to the untrained eye.

When to Seek Medical Advice

If you notice any of the ABCDE signs or other concerning symptoms, seek medical care promptly. Early detection and treatment offer significantly better outcomes.

Here’s what to do if you find a suspicious mole or lesion:

• Contact Your Dermatologist: Schedule an appointment as soon as possible for a professional evaluation.
• Provide Detailed Information: Be prepared to describe any changes you have observed and the duration of these changes.
• Follow-up: If your dermatologist performs a biopsy or other diagnostic tests, make sure to follow up on the results and any recommended treatment plans.

Are You Facing Skin Cancer in Southern California?

Vincent C. Hung, MD, FACS, is board-certified in dermatology and plastic surgery. He is the only plastic surgeon in the U.S. trained and certified in Mohs skin cancer surgery. Dr. Hung has offices in Pasadena and Newport Beach, CA, to serve individuals from the West Coast and San Fernando Valley, as well as skin cancer patients who come from all over the country to receive top-level reconstructive surgery and care. Call 626-432-5032 today and learn more about what Dr. Hung can do for you.

This entry was posted on Monday, June 17th, 2024 | Posted in Skin Cancer.

Gynecomastia, the development of enlarged breast tissue in males, can cause physical discomfort and psychological distress. While it is often associated with hormonal changes during puberty, gynecomastia can affect individuals of all ages and is influenced by various factors. In this informative blog, we’ll explore the causes of gynecomastia, potential treatments, and when surgery becomes the only option.

4 Min Read:

What is Gynecomastia?

Man-boobs may be what some say, but the official term of gynecomastia refers to a condition characterized by the enlargement of glandular breast tissue in males, leading to the appearance of swollen or protruding breasts. This condition can affect one or both breasts and may be accompanied by tenderness, discomfort, or nipple discharge.

While gynecomastia is common during puberty due to hormonal fluctuations, these imbalances can also occur in adults. Certain medications and underlying medical conditions can also contribute to enlarged breast tissue in males.

What Causes Gynecomastia?

Most cases of gynecomastia are caused by a problem with hormone levels. Here are a few reasons males can experience enlarged breast tissue:

1. Hormonal imbalances in pubertal gynecomastia: During the preteen/early teen ages (puberty), hormonal fluctuations can temporarily disrupt the balance between estrogen and testosterone, leading to the development of gynecomastia in adolescent boys. In many cases, pubertal gynecomastia resolves independently as hormone levels stabilize.
2. Hormonal imbalances in late teens and adults: Changes in hormone levels after adulthood, particularly an increase in estrogen relative to testosterone, can lead to the development of gynecomastia. This hormonal imbalance can occur during puberty, aging, or as a side effect of certain medical conditions or medications.
3. Obesity: Excess body fat can contribute to the accumulation of estrogen, leading to hormonal imbalances that promote breast tissue growth in males.
4. Medications: Certain medications, including anabolic steroids, anti-androgens, and chemotherapy drugs, can interfere with hormone levels and increase the risk of gynecomastia.
5. Underlying medical conditions: Gynecomastia may be associated with underlying medical conditions such as hypogonadism, liver disease, kidney failure, hyperthyroidism, or tumors affecting the testes, adrenal glands, or pituitary gland.

Treatment Options for Gynecomastia

A conservative approach is always worth trying, and you might consider the following options:

• Observation: In cases of pubertal gynecomastia, observation may be recommended initially, as the condition often resolves independently as hormone levels normalize. Close monitoring by a healthcare provider can help determine if further intervention is necessary.
• Lifestyle changes: For individuals with gynecomastia related to obesity or lifestyle factors, adopting a healthy lifestyle that includes regular exercise, balanced nutrition, as well as the avoidance of alcohol and cannabis may help reduce breast size and improve overall health.
• Medication: In some cases, drugs such as selective estrogen receptor modulators (SERMs) or aromatase inhibitors may be prescribed to help reduce breast size by blocking the effects of estrogen or reducing estrogen production.

When is Surgery the Only Way to Correct Gynecomastia?

When conservative measures fail to achieve desired results or when gynecomastia causes significant physical or psychological distress, surgical intervention may be necessary. Male breast reduction surgery, also known as gynecomastia surgery, involves the removal of excess glandular tissue and fat from the breast area to achieve a flatter, more masculine chest.

Surgery may be the only option for treating gynecomastia in the following scenarios:

Persistent Gynecomastia

If gynecomastia persists beyond puberty or fails to resolve with conservative measures, surgical intervention may be necessary to achieve the desired results.

Significant Discomfort

Gynecomastia that causes significant physical discomfort, pain, or restriction of movement may warrant surgical treatment to alleviate symptoms and improve quality of life.

Psychological Distress

Gynecomastia can have a profound impact on self-esteem, body image, and mental well-being. For individuals experiencing psychological distress or emotional discomfort due to their breast size, surgery may offer a solution to improve confidence and self-confidence.

Cosmetic Preference

Even mildly enlarged male breasts can affect one’s self-image, and some men may seek surgery to achieve their ideal aesthetic. If excess tissue consists only of stubborn residual fat after weight loss or strength training, a minor liposuction procedure can correct the issue if the skin is not loose.

Gynecomastia is a common condition that can affect males of all ages and is influenced by various factors, including hormonal imbalances, obesity, medications, and underlying medical conditions. While gynecomastia may resolve on its own in some cases, surgical intervention may be necessary when conservative measures fail to achieve desired results or when the condition causes significant physical or psychological distress.

Gynecomastia Surgery in Pasadena, CA

Dr. Vincent Hung is board-certified in plastic and reconstructive surgery and provides male breast reductions with the highest level of care in Pasadena, California. If you want to learn more about gynecomastia surgery, call our office at (626) 623-7135.

This entry was posted on Wednesday, April 17th, 2024 | Posted in Gynecomastia Surgery.

Do you struggle with stubborn, diet-resistant pockets of fat? Maybe you have excess loose skin on your belly and waist due to weight loss, pregnancy, or aging. There is a solution, whether you’re experiencing one of these issues or both. A tummy tuck is typically the best option to smooth and tighten abdominal skin while slimming the midsection. However, liposuction is a less invasive option if your skin is in relatively good shape and your primary concern is stubborn, localized fat. This comprehensive guide will explore how these procedures work and when to combine them for the best results.

4 Min Read:

Your Options for a More Toned and Fit-Looking Body

We’re all trying to look our best and exploring different ways to reach that elusive objective. Liposuction and tummy tuck surgery can enhance the appearance of the abdomen and waist. However, the goals are achieved through different methods. Understanding the differences between these procedures is crucial for anyone considering either to achieve their desired body goals.

Liposuction: Sculpting Your Figure or Physique

Liposuction is a surgical procedure designed to remove stubborn pockets of fat from specific areas of the body, including the abdomen. This popular procedure is ideal for individuals close to their ideal body weight who struggle with fat deposits that are resistant to diet and exercise.

The process involves making small incisions in the target area through which a thin, hollow tube called a cannula is inserted. The plastic surgeon will use the cannula to break up the fat and then suction out excess fat cells to sculpt the body and achieve more desirable contours. Liposuction can be performed on various areas of the body, including the chin, abdomen, thighs, hips, buttocks, arms, and neck.

When to Choose Liposuction

Liposuction is the better option if you meet the following criteria:

• You have localized fat deposits: Liposuction is most effective for addressing specific areas of stubborn fat, such as love handles, saddlebags, or a double chin.
• You have good skin elasticity: Ideal candidates for liposuction have good skin elasticity, as the procedure does not address loose or sagging skin.
• You are near your ideal weight: Liposuction is not a weight-loss procedure but rather a body contouring technique. Candidates should be close to their ideal weight and have realistic expectations about the results.

Tummy Tuck (Abdominoplasty): Tightening Loose Skin and Muscles

A tummy tuck, or abdominoplasty, is a surgical procedure that tightens loose abdominal skin and muscles while removing excess fat in the tummy and waist to create a smoother, firmer abdominal appearance.

During a tummy tuck, an incision is made along the lower abdomen or bikini line, allowing the surgeon to remove the excess fat while tightening skin and underlying muscles. Depending on the extent of the procedure, the belly button may also be repositioned to achieve a more natural-looking result.

When to Choose a Tummy Tuck

After significant weight loss, pregnancy, and sometimes natural aging, this option can correct:

• Muscle weakness: Pregnancy or significant weight fluctuations can lead to the separation of the abdominal muscles, resulting in a protruding belly that is difficult to address with exercise. A tummy tuck can tighten these muscles, restoring a firmer abdominal contour.
• Excess skin and fat: Individuals with significant amounts of loose, hanging skin and residual fat, especially in the lower abdomen, may benefit from a tummy tuck. Excess skin also presents a problem after pregnancy and major weight loss, whether through diet and exercise or bariatric surgery. A tummy tuck can remove excess skin and stretch marks, allowing patients to fully enjoy the results of their weight loss efforts.

Liposuction, Tummy Tuck, or Both: Making the Right Choice

Choosing between liposuction and a tummy tuck depends on your specific body concerns and aesthetic goals. In some cases, individuals may benefit from both procedures to fully achieve their desired results.

Liposuction Alone

If your primary concern is localized fat deposits and you have good skin elasticity, liposuction alone may be sufficient to achieve the desired improvement in body contour. This is often the case for individuals who are relatively close to their ideal weight but struggle with stubborn areas of fat that do not respond to diet and exercise.

Tummy Tuck Alone

A tummy tuck is the most effective option for individuals with significant amounts of loose, hanging skin or weakened abdominal muscles. This procedure can dramatically improve abdominal contour and is particularly beneficial for those who have experienced significant weight loss or pregnancy.

Combination of Liposuction and Tummy Tuck

In some cases, individuals may benefit from a combination of liposuction and a tummy tuck to address both excess fat and loose skin. This approach allows for comprehensive body contouring and sculpting of the abdomen to achieve a firmer, more toned appearance. Fortunately, most plastic surgeons automatically use liposuction with abdominoplasty when needed.

Body Contouring With Liposuction and Abdominoplasty in Pasadena, CA

You want to look your best and be smart about achieving that. Deciding between liposuction and a tummy tuck requires careful consideration of your cosmetic body concerns and aesthetic goals. While liposuction is ideal for targeting localized fat deposits, a tummy tuck is better suited for addressing excess skin and muscle laxity in the abdominal area.

Our reputable and compassionate board-certified plastic surgeon provides tummy tucks and liposuction in Pasadena, California. Call our office today at (626) 623-7135 to schedule a thorough consultation. Our knowledgeable and friendly staff is eager to help you!

This entry was posted on Wednesday, April 10th, 2024 | Posted in Liposuction, Tummy Tuck.

Ultraviolet (UV) rays from the sun are the biggest and most well-known cause of skin cancer. However, other factors at play affect the health of our skin. This blog discusses how skin tone, moles, lifestyle choices, and other factors can impact your risk of developing skin cancer.

9 Minute Read:

What Is Skin Cancer?

Skin cancer is the most common type of cancer in the United States. According to the American Academy of Dermatology, at least three million people are being affected by non-melanoma types of skin cancer every year. It occurs when abnormal cells in the epidermis (outermost layer of the skin) grow uncontrollably due to unrepaired DNA damage, leading to mutations.

What Are the Different Types of Skin Cancer?

The three most common types of skin cancer include the following:

• Basal Cell Carcinoma (BCC): uncontrolled growth of abnormal cells from the basal cells in the epidermis (outermost layer of skin) that typically develops on areas of the skin exposed to the sun
• Squamous cell carcinoma (SCC): uncontrolled growth of abnormal cells from the squamous cells in the epidermis (outermost layer of skin) that typically develops on areas of the skin exposed to the sun

• Melanoma: the most dangerous type of skin cancer that occurs when melanocytes (pigment-producing cells) in the skin become cancerous.

Can Skin Picking Cause Cancer?

Although frequent picking or scratching of the skin can cause damage to the skin, researchers have not discovered a causative link between this unhealthy habit and skin cancer.

Is Skin Cancer Only Caused By the Sun?

We are constantly warned that sun exposure causes skin cancer, and it is true that ultraviolet (UV) light from the sun is responsible for more skin cancer cases than anything else. However, the sun is not the only threat to the health of your skin.

What Is the Most Common Form of Skin Cancer Which Is Not Related to Sun Exposure?

Melanoma is a common form of skin cancer that can appear in locations of the body areas with little to no exposure to the sun or UV rays.

Can You Get Melanoma Without Sun Exposure?

Yes, melanoma can develop anywhere on the body, even in locations not heavily exposed to the sun, such as the bottom of the hands and feet, inside the mouth, and even under the nails.

Common Risk Factors and Possible Causes of Skin Cancer Other Than the Sun and UV Rays

Skin cancer has many causes and types, including the risk factors discussed below. It’s essential to educate yourself about skin cancer to protect your health and the health of your loved ones. Below are four common risk factors and possible causes of skin cancer besides the sun and UV rays.

1. Skin Tone

Skin cancer can affect people regardless of skin tone; however, those with less pigment (melanin) in their skin are at a higher risk of developing skin cancer. It is estimated that Caucasian men over 50 have the highest risk of getting melanoma due to a reduced amount of pigment in the skin.

How Is Skin Tone Related to Sunburn?

We know to proceed with caution when basking in the sun’s rays, but the risk doesn’t end when our day in the sun is over. Many misconceptions exist about the relationship between sunburn, skin tone, and skin cancer.

Sunburn is an inflammatory skin reaction that occurs after prolonged exposure to sunlight. Anyone can get a sunburn, but those with fairer skin and freckles are more prone to them.

It’s important to note that while darker skin tones are less likely to get sunburn, it is still a possibility–and it’s less visible on darker skin. Additionally, skin cancer is often noticed in its more advanced stages in darker skin, when it’s much more difficult to treat. If you have darker skin, be sure to monitor your skin regularly and report any changes to your doctor immediately.

Does Sunburn Cause Skin Cancer?

Sunburn damages the skin, and cell damage can contribute to the development of cancer. Although one sunburn doesn’t immediately spell skin cancer, even one instance of sunburn can increase your risk of developing skin cancer.

Prevention is key. Limit your time in the sun and protect your skin whenever you’re outdoors. Wearing clothing and hats with an ultraviolet protection factor (UPF) of 30 or higher is one of the best ways to protect your skin from the sun. In addition, apply a broad-spectrum sunscreen with a sun protective factor (SPF) of 15 or higher to exposed skin—regardless of season (summer, winter), weather (hot, cold), or sky conditions (sunny, cloudy).

Does Sunscreen Cause Skin Cancer?

Some people have concerns about chemicals in sunscreen. Remember, chemicals are just molecules and aren’t inherently good or bad. Currently, there is no scientific evidence that sunscreen can cause skin cancer. If anything, it’s the inactive ingredients in sunscreen, such as fragrances and preservatives, that can cause sensitivity or an allergic reaction. It’s a good idea to test for sensitivity to new products on an inconspicuous area of the body before use.

People who use any type of sunscreen can still develop skin cancer, often because of sun exposure earlier in life. Using sunscreen can reduce the risk of melanomas and carcinomas by almost half. Find a sunscreen that works for you, and apply it 15–30 minutes before going outside.

2. Tanning Beds

Indoor tanning beds are often promoted as a safer and faster alternative to long hours laying out in the sun. This is not true. Indoor tanning devices increase the risk of developing BCC by 24% and SCC by 58%. In addition, studies have shown a causative link between indoor tanning and melanoma in younger women and men. Using indoor tanning devices before age 20 can increase the risk of developing melanoma by 47%, and that risk continues to increase with each use.

The UV radiation exposure caused by tanning beds is completely avoidable. For the sake of your health, consider embracing your natural skin tone or use a DHA-based spray tan to achieve a safer glow.

Can Infrared Light Cause Skin Cancer?

Different kinds of light waves, including UV, visible, and infrared light, can all impact your skin. On their own, visible and infrared light don’t cause sunburn or skin cancer. In combination, however, all three forms of light waves can penetrate the deeper layers of skin and contribute to cell damage.

3. Moles

In most cases, moles are harmless and will not develop into cancer. However, the more moles you have, the higher your risk of developing cancer.

Many cells in a mole contain cancer-related genes that cause them to grow and multiply. These genes are often dormant, but this may not always be the case.

Can a Mole Become Cancerous Without Sun Exposure?

Although rare, other factors, such as viruses, chemical exposure, and other environmental pollutants, may contribute to the development of melanomas. More research is required to validate these claims, but they serve as a reminder to be mindful of your environment and maintain health checkups.

If you have multiple moles, it’s wise to keep regular appointments with a dermatologist for thorough skin exams.

4. Smoking

Usually, when we think of smoking, we relate it to cancers of the lungs, mouth, or throat. You may be surprised to know that smoking can also have a significant effect on the development of skin cancer.

Smoking can increase the risk of squamous cell carcinoma, especially on the lips. It’s possible that smoking also decreases immune function, which can contribute to an increased risk of cancer.

Smoking has also been linked to cancer metastasizing or spreading—possibly because of the harmful effects that the accompanying chemicals have on DNA. Your best bet is to avoid smoking altogether.

How Can You Help Prevent Skin Cancer?

As the old saying goes, “An ounce of prevention is worth a pound of cure.” Below are a few tips on how you can lower your risk of developing skin cancer.

Stay Out of the Sun

One of the simplest ways to protect yourself from skin cancer is to limit your exposure to the sun’s  UVA and UVB rays. Staying out of the sun is not always possible, so wear a broad-spectrum sunscreen with an SPF of 15 or higher daily. Wearing UPF clothing and hats will also help protect your skin from the sun’s harmful rays.

Avoid Tanning Beds

Studies have shown that UV radiation from tanning beds damages the skin’s DNA cells, which can lead to premature aging of the skin and increase the risk of developing skin cancer. The American Academy of Dermatology (AAD) advises people to avoid using tanning beds.

Maintain Good Health

Living a healthy lifestyle is essential to maintain good health. Don’t smoke, avoid unnecessary harsh chemicals, and limit alcohol, sugar, and fast food. Staying active can boost the immune system and reduce inflammation, and eating a diet rich in nutrients helps your body fight chronic illness. These actions cannot prevent cancer, but together, they can decrease your risk of developing cancer and other chronic diseases.

Self-Checks and Doctor Exams

Routine checkups and self-awareness also play a significant role in prevention and detection. Look for warning signs of skin cancer, such as changes in size, shape, or color of a mole, the appearance of a new growth, or a sore that will not heal.

When performing a self-examination of your skin and any moles or lesions, follow the ABCDE rule:

• Asymmetry: one half of the lesion or mole does not look like the other half

• Border: the lesion or mole has an irregular border

• Color: the color of the lesion or mole is not uniform or has changed (usually darker)

• Diameter: the diameter of the lesion or mole is larger than 6 mm (the size of a pencil eraser)

• Evolving: the lesion or mole has changed in size, shape, or color

If you notice any of the above, be sure to visit a board-certified dermatologist to determine if cancer has developed. If cancer is found, it can often be treated with Mohs surgery. Mohs surgery is a specialized procedure that removes layers of cancerous skin in stages to prevent the unnecessary removal of healthy tissue. In some cases, skin grafts are used to restore the appearance of the skin.

Once a diagnosis has been obtained by a practicing dermatologist, request a referral to Dr. Vincent C. Hung. Dr. Hung is triple-board-certified in dermatology, Mohs skin cancer surgery, and plastic surgery – assuring you the most aesthetically pleasing results following Mohs surgery.

Want to Learn More About Skin Cancer?

If you or someone you love needs more information about skin cancer treatment, please contact Dr. Hung at his Pasadena office at 626-432-5032 or his Newport Beach office at 949-574-8292.

This entry was posted on Monday, April 1st, 2024 | Posted in Mohs Surgery, Skin Cancer.

Facelift surgery (rhytidectomy) is a transformative procedure designed to reverse the signs of aging and restore a more youthful facial appearance. While facelift surgery alone can achieve remarkable results, combining it with other facial plastic surgeries can provide even more comprehensive rejuvenation. In this blog, we’ll explore what a facelift can accomplish as well as its limitations and discuss the benefits of adding one or more other facial procedures to achieve optimal results.

4 Min Read:

What Is a Facelift?

A facelift is a surgical procedure designed to correct visible signs of facial aging by tightening loose skin, lifting underlying tissues, eliminating jowls, and adding volume where needed to restore youthful facial contours and smooth out deep wrinkles and creases.

Facelift Procedure Overview

General anesthesia is typically administered for facelift surgery, after which incisions are made within the hairline and around the natural ear folds to minimize visible scarring.

The skin and tissues are then carefully repositioned and tightened, excess skin is removed, and the incisions are closed with sutures.

Depending on the extent of correction needed, additional techniques such as fat grafting or muscle tightening may be incorporated to achieve optimal results.

Benefits of Facelift Surgery

Facelift surgery offers numerous benefits for individuals seeking to rejuvenate their appearance and turn back the clock on aging. Some of what facelift surgery can achieve include:

• Tightening Sagging Skin: Facelift surgery lifts and tightens sagging skin effectively in the mid to lower face for younger-looking facial contours.

• Smoothing Wrinkles and Folds: Facelift surgery can smooth out deep folds and wrinkles, particularly nasolabial folds and marionette lines, by repositioning the skin and underlying tissues.

• Restoring Facial Volume: In addition to lifting and tightening the skin, facelift surgery can address volume loss in the cheeks and midface by repositioning fat and muscle or using fat grafting techniques.

• Enhancing Jawline Definition: Facelift surgery can improve the definition of the jawline by correcting hanging jowls.

• Long-lasting Results: While facelift surgery cannot stop facial aging, the results can last a decade or more, providing long-lasting rejuvenation and improved self-confidence.

Limitations of Facelift Surgery

While facelift surgery can achieve remarkable improvements in one’s facial appearance, it’s essential to recognize its limitations.

• Limited Correction of Fine Lines and Surface Irregularities: While facelift surgery can smooth out deep folds and wrinkles, it does not address fine lines or surface irregularities such as sun damage or acne scars. Additional treatments, such as laser resurfacing or chemical peels, may be needed to achieve a smoother skin texture.
• Minimal Improvement in Eyelid and Brow Position: A facelift primarily targets the lower two-thirds of the face but offers minimal improvement, if any, to the eyelids, brows, or forehead. Patients with significant drooping or sagging in the brow or eyelid area may benefit from combining facelift surgery with eyelid surgery (blepharoplasty) or brow lift surgery for more comprehensive rejuvenation.
• Incomplete Correction of Neck Concerns: Facelift surgery typically includes a neck lift, but patients should discuss their aesthetic neck goals with their surgeon. For those with significant neck laxity or excess fat, ensure a neck lift will also be performed.

Advantages of Combining Facial Plastic Surgeries

When facelift surgery alone will not fully address the individual’s facial aging concerns or achieve optimal results, adding other facial plastic surgeries provides enhanced rejuvenation and comprehensive correction. Some of the key benefits of combining facial procedures include:

• Addressing Multiple Concerns: Simultaneously: Combining facelift surgery with procedures such as eyelid, brow, or neck lift surgery allows for comprehensive correction of multiple aging concerns in a single surgical session.
• Achieving Harmonious Results: By addressing multiple areas of the face and neck simultaneously, patients can enjoy more balanced and natural-looking results that are balanced with their other facial aesthetics.
• Maximizing the Longevity of Results: Combining facelift surgery with complementary facial procedures can enhance the longevity of results by providing more comprehensive rejuvenation and reducing the need for additional procedures in the future.
• Personalized Treatment Plans: Each individual has unique aging concerns and aesthetic goals. By combining facial procedures, treatment plans can be significantly more personalized to address the patient’s unique needs. Skilled facial plastic surgeons can customize treatment approaches to meet each patient’s expectations and deliver natural-looking rejuvenation.

Combining Your Facelift With Other Facial Procedures in Pasadena, CA

Facelift surgery is a powerful tool for rejuvenating the face and offers remarkable improvements in appearance and self-confidence. While facelift surgery alone can achieve significant results, combining it with other facial plastic surgeries such as eyelid surgery, brow lift surgery, or neck lift surgery can enhance facial rejuvenation, provide comprehensive correction, and restore confidence.

Dr. Vincent Hung is a board-certified plastic and reconstructive surgeon with two locations in Southern California. Call 626-432-5032 to schedule a cosmetic facial consultation at our Pasadena office.

To reach our Newport Beach location, call 949-574-8292.

This entry was posted on Tuesday, March 12th, 2024 | Posted in Facelift.

When successfully treated, skin cancer often necessitates reconstruction to restore the appearance and function of the affected areas. Various techniques are employed based on the location and extent of the damage the cancer has caused. In this detailed guide, we’ll explore the cosmetic reconstruction methods commonly used after skin cancer treatment on the nose, lips, ears, eyelids, extremities, and scalp. We will also provide information on Mohs surgery to treat the cancer itself.

4 Min Read:

Treating Skin Cancer With Mohs Surgery

Mohs surgery is an advanced surgical approach to remove cancerous tissue from the skin. This method offers superior cancer removal results while preserving an optimal amount of healthy tissue, contributing to less scarring and more ideal outcomes after reconstruction or natural healing.

Nose and Lips Reconstruction

The following techniques are most effective for the reconstruction of the nose and lips:

• Direct linear closure: For smaller defects on the nose or lips, direct linear closure is often preferred and involves stitching the edges of the wound together to minimize scarring and maintain natural contours.
• Local flaps: Larger defects may require local flaps. This method involves repositioning nearby tissue with a similar blood supply to cover the affected area. This approach preserves the aesthetic harmony of the nose or lips.
• Distant flaps: In cases where local tissue is insufficient, distant flaps can be used. This technique involves obtaining tissue from a different area of the body while maintaining blood supply to ensure effective coverage for more significant defects.
• Skin grafts: A skin graft may be employed in some instances, especially when tissue loss is extensive. This procedure involves taking a piece of skin from a donor site elsewhere on the body and placing it over the treatment area. Skin grafts can be successful for nasal and lip reconstruction.

Ear Reconstruction

Reconstructing the ear after skin cancer entails the two-step process described below:

• Cartilage and skin grafts: Ear reconstruction typically involves using cartilage grafts to rebuild the structural framework and skin grafts to provide coverage. This combination restores both the shape and outer appearance of the ear.

Eyelid Reconstruction

Two options can be used to reconstruct eyelids:

• Margin skin grafts: After skin cancer excision from the eyelid, margin skin grafts involve taking a graft from the remaining eyelid margins to cover the defect. This technique is precise and aims to maintain the natural eyelid contour.
• Hughes flap: In cases where the defect is more complex, a Hughes flap may be utilized. This involves transferring tissue from the upper eyelid to reconstruct the lower eyelid. The Hughes flap ensures a functional and aesthetically pleasing outcome.

Extremities Reconstruction

For the reconstruction of extremities, natural healing or skin grafts may be employed:

• Split-thickness skin grafts from the thigh: Extremity wounds can be addressed with split-thickness skin grafts harvested from the thigh. This method involves taking a thin layer of skin and placing it over the wound site, where it can adhere to promote healing.
• Natural healing or granulation: Natural healing or granulation may be encouraged in some cases, particularly for smaller wounds on the extremities. This means letting the wound heal on its own and is suitable for wounds with sufficient surrounding tissue.

Scalp Reconstruction

Following skin cancer on the scalp, wounds can also sometimes heal naturally or may require reconstruction:

• Natural healing: Natural healing is often a viable option for superficial wounds on the scalp. The scalp’s rich blood supply contributes to effective healing, and minimal intervention may be required.
• Flaps and skin grafts: In cases where wounds are deeper or more extensive, flaps or skin grafts may be employed for scalp reconstruction. This ensures adequate coverage and promotes optimal healing.

Cosmetic reconstruction after skin cancer involves a range of sophisticated techniques tailored to each patient’s specific needs. Direct linear closure, local flaps, distant flaps, and skin grafts are essential tools for reconstructing facial features, while cartilage and skin grafts prove effective for ear reconstruction.

Eyelid defects benefit from margin skin grafts and Hughes flaps, while extremities may be treated with split-thickness skin grafts or natural healing. Depending on the extent of the damage, scalp wounds can be addressed through natural healing, flaps, or skin grafts.

The key to successful reconstruction lies in the collaboration between skilled surgeons and patients, ensuring both functional and cosmetic restoration.

Expert Reconstruction After Skin Cancer in Pasadena, CA

Dr. Vincent Hung is a highly respected, triple-board-certified plastic surgeon providing Mohs surgery and reconstruction in Pasadena, California. Check out the extensive credentials that make him the best choice for either procedure here, then call our Pasadena office at (626) 432-5032.

If Newport Beach is more convenient for you, Dr. Hung also has an office there, which can be reached by calling (949) 574-8292.

This entry was posted on Tuesday, February 6th, 2024 | Posted in Mohs Surgery.