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Vincent C. Hung, MD, MOHS Surgery, Reconstructive Plastic Surgery, Cosmetic Surgery

Category: Mohs Surgery

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Top Cosmetic Reconstruction Techniques After Skin Cancer

| The Office of Dr. Vincent Hung

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:

female touching her face with both hands

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.

 


What Should You Know About Nose Reconstruction After Mohs Surgery?

, | The Office of Dr. Vincent Hung

5 Minute Read:

Mohs surgery is one of the most effective and least invasive methods for treating many forms of skin cancer. Yet, Mohs surgery is still surgery, and it will leave scarring. For some, this will be small; for others, it can be significant. It all comes down to the size of the skin cancer, the type of cancer, and how much tissue needs to be taken.

Beautiful, young woman smiling as she touches her nose with her finger

And while skin cancer can develop anywhere on the body, it often develops on the face and neck. This is because these areas are the most exposed to the sun.

One of the most common areas to develop skin cancer is the nose. And since the nose is central to your face, reconstruction following Mohs surgery must be handled delicately to ensure the best cosmetic result possible.

Below, we’ll explore Mohs surgery, especially on the nose, and how nose reconstruction can help you achieve a cancer-free, beautiful nose.

What Is Mohs Surgery?

Mohs surgery is a revolutionary approach to removing skin cancer. With Mohs surgery, the goal is to remove all cancer from the skin while preserving as much healthy skin tissue as possible.

For Mohs surgery, Dr. Hung will remove the cancerous tissue and a very thin rim of skin surrounding the tumor (the margin). This thin rim will be analyzed. If cancer is present, then another thin rim will be surgically removed and analyzed. This process will continue until all cancer cells are removed from the area, meaning the skin is cancer free.

In addition to being extremely successful with permanently removing cancerous tissue, Mohs surgery allows patients to keep the most healthy skin possible, limiting the size of resulting scars.

How Is Nose Reconstruction Performed?

While a scar is preferable to cancer on the skin, which can become aggressive and cause serious health concerns, many people still worry about what their scars will look like.

The good news is that nose reconstruction can be performed on women and men after Mohs surgery. Ultimately, nose reconstruction surgery aims to limit visible scarring and create a natural aesthetic.

To achieve optimal results, Dr. Hung has four different techniques to choose from, including:

  • Direct linear closure, which takes two edges of the wound and creates a single closure to limit the extent of visible scarring
  • Local flaps, which use surrounding skin to stretch and cover the open wound that was created during Mohs surgery
  • Full-thickness skin graft, which uses a large skin graft taken from another part of the body to cover the wound on the nose
  • Distant flaps, which use harvested skin from another part of the body (including the center of the forehead) to cover the wound; this graft is smaller in size than a full-thickness skin graft

The specific nose surgery technique depends on the extent of correction needed and the particular patient. During your consultation, Dr. Hung will evaluate your condition to create a surgical plan specific to you and your needs.

Why Choose Dr. Hung for Your Nose Reconstruction After Mohs Surgery?

Dr. Hung is one of only a few surgeons in the world who is triple-board certified in internal medicine, dermatology, and plastic surgery.

Because of his extensive education, knowledge, and experience, you can feel confident that Dr. Hung will dedicate himself and his talents to helping you achieve the appearance you desire. Additionally, because he performs Mohs surgery and nose reconstruction himself, Dr. Hung can approach both aspects of this procedure with a singular vision for your results.

Do You Have Questions?

If you want to learn more about skin cancer removal, Mohs surgery, and/or nose reconstruction, please contact Dr. Hung at his Pasadena office at 626-432-5032 or his Newport Beach office at 949-574-8292.


What Is Mohs Surgery, and Does It Leave Scars?

| The Office of Dr. Vincent Hung

3 Minute Read: 

There’s no question about it: the word “cancer” is terrifying. And while any form of cancer is serious and requires immediate attention, the good news is that there are many ways to treat and stop skin cancer before it progresses to truly dangerous stages. 

Dermatologist wearing blue latex gloves examines a mole on a woman's neck with a magnifying glass

One of the most successful treatments for skin cancer is Mohs surgery; however, many women and men do not fully understand what Mohs surgery is or how it can help treat skin cancer. 

Below, we’ll explore Mohs surgery by taking a look at how it’s performed and what you can expect (both before and after the procedure).

How Is Mohs Surgery Performed?

The Skin Cancer Foundation reports that over 3.3 million people are diagnosed with skin cancer every year. Luckily, most cases of skin cancer are treatable and do not cause serious health risks, as long as they are detected and addressed early. This is one reason why regular self-checks of your skin are so important. 

Mohs surgery is one of the most effective and trusted treatments for removing skin cancer. With Mohs surgery, the thin layers of skin around the cancerous tissue is surgically removed. 

Once this skin is cut away, it is examined to see if there are any signs of cancerous cells. If so, additional thin layers of skin are removed and examined. This process is continued until there are no signs of cancer in the removed tissue, which signals cancer-free skin. 

What Are the Benefits of Mohs Surgery?

In addition to successfully removing cancerous cells from the body (thereby stopping the spread of cancer), Mohs surgery is effective with preserving as much healthy skin tissue as possible. 

Because the removal of skin around the cancer is so small, Dr. Hung can remove only the needed amount of skin. This process allows you to keep as much of your natural, healthy skin as possible, which is a major improvement to older skin cancer treatments

Other benefits of Mohs surgery include the fact that this procedure is performed under anesthesia (meaning that you will not feel any pain during the procedure), and most patients only need one Mohs surgery procedure to be free of their skin cancer. 

What Should You Expect After Your Mohs Surgery?

After your Mohs surgery, you will likely have some bruising, swelling, and discomfort in the surgical area. These side effects should dissipate within a week or two, and over-the-counter medication can be taken to alleviate any pain you may experience. You will be required to wear a bandage over the surgical area for the first several days; this bandage protects the sutures and promotes healing. While it is important that you refrain from strenuous activity until you are cleared by Dr. Hung, many patients are able to return to work and many of their normal, daily activities the day following their procedure. 

One of the biggest concerns that women and men have about Mohs surgery is scarring after their procedure. Because Mohs surgery requires the removal of skin from the body, scarring is inevitable. However, the extent (size and visibility) of the scar is dependent on various factors, including the location of the skin cancer, the amount of cancerous tissue removed, and the depth of the cancerous tissue. 

The good news is, Mohs surgery removes the cancerous tissue only, meaning that the resulting scar will be as small as possible. 

Skin reconstruction techniques can be performed to repair the area. When the cancer removal was small, the wound can often simply be closed; however, when larger, a skin graft may be necessary. 

Want to Learn More About Mohs Surgery? 

If you have questions about Mohs surgery in Southern California, including whether you are a candidate for this procedure, please feel free to contact Dr. Hung at 626-432-5032 (Pasadena) or 949-574-8292 (Newport Beach).


​​Skin Cancer FAQs: What Should You Know Going Into Your Treatment

, | The Office of Dr. Vincent Hung

3 Minute Read: 

Skin cancer is the most common type of cancer in the United States. It is estimated that about a fifth of all Americans will develop skin cancer at some point in their lifetime. 

Below is a rundown of the frequently asked questions about skin cancer.

​​Woman's mole being checked under a magnifying glass.

What Is Skin Cancer?

Skin cancer can be understood as an abnormal growth of cells on the skin. This issue usually occurs as a result of overexposure of the skin to ultraviolet radiation from the sun.

What Are the Common Types of Skin Cancer?

There are three main types of skin cancer: squamous cell carcinoma (SCC), basal cell carcinoma (BCC), and melanoma

BCC is the most common of the three. It affects the basal cells of the skin, which are essentially the cells responsible for making new cells to replace the dying ones. BCC usually develops in areas that are most exposed to the sun, including the face, neck, head, and hands.

SCC is the second most common form of skin cancer. It usually affects the outer surface of the skin in areas such as the head, face, and neck. It also occurs in areas such as the genitals and the mucus membranes.

Melanoma is not as common as BCC and SCC, but it happens to be the most dangerous — even life-threatening. It usually affects the cells responsible for making the skin pigments and can spread rapidly through the lymph nodes.

What Are the Signs of Skin Cancer?

Each form of skin cancer is associated with some unique warning signs. 

BCC is associated with signs such as:

  • A small shiny bump
  • A scaly, red flat patch
  • A black or brown bump
  • A lesion that bleeds
  • A non-healing sore

Squamous cell carcinoma is associated with signs such as:

  • A scaly red patch that looks like a rash
  • A persistent small ulcer on the lips
  • A crusted open sore
  • A raised scaly lump on the scalp, hands, legs, ears, or forearm

Melanoma usually presents itself as a mole that changes shape, size, and color. The mole might also bleed, itch, or cause pain.

How Is Skin Cancer Diagnosed?

When you notice an unusual spot on the surface of your skin, you need to see a dermatologist. 

The dermatologist will examine the spot to determine if you have skin cancer. To this end, your dermatologist will remove the spot or a part of it and study it using a microscope to see if there are any cancer cells. 

If cancer cells are present, your dermatologist will write a biopsy report and highlight the kind of skin cancer you have.

How Is Skin Cancer Treated?

Skin cancer can be treated in several ways depending on the type of cancer in question and its stage of development. 

Some common treatment options include:

  • Mohs surgery
  • Excisional surgery
  • Cryotherapy
  • Radiation therapy
  • Photodynamic therapy

Once you have been diagnosed with skin cancer, your dermatologist or surgeon will explain your options and advise you on the best steps to take.

Can Skin Cancer Be Prevented?

Since skin cancer is often caused by overexposure of the skin to the sun’s UV radiation, the best way to prevent it is to take measures that reduce your exposure to the sun. 

Some examples of such measures include:

  • Using a broad-spectrum sunscreen
  • Seeking shade whenever possible
  • Wearing sunglasses to protect your eyes
  • Wearing hats with wide brims
  • Wear long-sleeved shirts and pants

It is also important to keep an eye on all moles and other skin lesions to make sure they look healthy.

Need to Learn More About Skin Cancer Concerns or Treatment?

Get in with Dr. Vincent C. Hung’s practice today to learn more about skin cancer and how it is treated.

Give us a call at (626) 432-5032 or fill out our online contact form.


Will I Have Hair After Skin Cancer Removal on My Head?

, | The Office of Dr. Vincent Hung

Whenever a patient undergoes skin cancer removal surgery, many worries can go through their minds. One of the first is about the success of the operation and whether all of the cancer will be removed.

But after the cancer is taken care of, patients’ worries usually move onto the lasting results and impacts on the body, including future hair growth if the skin cancer was removed on the head.

 Close-up shot of a bald man with his hand on his head

Many worry that they will be forever bald after Mohs surgery, unable to grow hair. Unfortunately, whether you will have permanent hair loss issues after skin cancer removal on your head is not an easy Yes or No answer.

The extent of hair loss depends on the size of the surgery, its location, and the method used for closure. Removing skin affected by cancer, especially when larger areas are excised, may lead to permanent hair loss. However, in many cases, hair loss is only temporary.

The specific degree of hair loss and whether it is temporary or permanent would best be addressed by your surgeon. They can provide the best insight into what you can expect regarding hair regrowth and what techniques and aftercare measures you can take to minimize hair loss related to Mohs surgery.

What Is the Most Common Skin Cancer Removal Method?

Medical science has come a long way in successfully treating skin cancer. Mohs surgery is now the most common procedure for removing skin cancer while causing as little aesthetic harm as possible.

What Is Mohs Surgery on the Scalp?

Mohs surgery is designed to preserve tissue and minimize scarring by removing the cancerous area one layer at a time. Each tissue layer is examined to check for any remaining cancer cells, and the process is repeated until none remain.

When performed on the scalp, tissue preservation is critical. This procedure follows the standard Mohs surgery technique but focuses on scalp lesions and preventing excessive scars from developing.

What Are the Methods for Repairing the Scalp After Skin Cancer Removal?

During Mohs surgery, your surgeon will remove as much of the cancerous tissue and skin as needed to make sure that you are cancer-free. While it is best to let the skin of the scalp heal itself naturally, this is not always possible.

Sometimes, skin reconstruction is necessary, especially if the surgical site is large or deep. In this case, there are two methods for repairing the scalp. The extent of the cancerous area (size of the cancer) plays a part in which repair method is best for you.

Skin Flap

A skin flap is used if the follicles are removed, but the skin cancer is contained to a smaller area on the head. A skin flap uses the tissue surrounding the Mohs surgery site to cover the surgical area and heal.

This technique often allows for a smoother healing surface with similar coloration and texture and less chance of scar contracture (shrinking). This method preserves as many hair follicles as possible, though the pattern of the hair will change.

Skin Graft

While a skin flap offers many positives, especially in allowing hair to regrow, if the cancer excision site is large, a skin graft may be required.

While a skin flap maintains blood flow (since the skin is not removed from the body and reattached), a skin graft does not have continuous blood supply because it is skin that has been taken from another part of your body, moved, and attached to the Mohs surgery site.

A skin graft allows for more significant coverage and helps protect the surgical area; however, due to the nature of skin grafts, they usually do not allow hair to regrow in the reconstructed area without further treatment.

What Causes Hair Loss After Skin Cancer Removal?

Whether or not you will lose the ability to regrow hair after Mohs surgery depends on its effect on the hair follicles.

If only a few layers of cancerous tissue and skin were removed during surgery, the hair follicles can survive, and your hair should regrow without surgical intervention.

However, if the follicles were removed or directly affected during Mohs surgery (because the cancer was deeper and more layers of tissue and skin were removed), then the hair would not be able to grow back naturally, leading to baldness in that area.

It’s important to note that the nature of Mohs surgery is to preserve as much of the skin (including the hair follicles) as possible, but some cancers grow more deeply than others.

Is Losing My Hair After Mohs Surgery Like Alopecia?

Hair loss after Mohs surgery typically occurs due to the surgical removal of skin cancer and the subsequent closure of the wound. Alopecia, on the other hand, refers to various factors that cause hair loss, such as genetics, autoimmune issues, hormonal changes, or other health conditions.

Mohs surgery-related hair loss, in most cases, is localized to the area where the surgery was performed and is not related to the conditions associated with alopecia.

How Long Is Recovery After Mohs Surgery on the Scalp?

After Mohs surgery on the scalp, recovery timelines vary widely depending on the extent of the procedure and individual healing abilities. However, you can expect the following sequence of events:

1. Immediately Following Surgery

Right after Mohs surgery on the scalp, the wound might be covered with a bandage or dressing. Mild pain, tenderness, and swelling around the surgical area are expected during the initial days.

2. During the First Week

It’s normal to experience some discomfort, swelling, and possibly bruising for the first week after surgery. Stitches and other wound closure methods will dictate the care required. Patients are typically advised to keep the area clean, dry, and protected per the doctor’s instructions.

3. The Next Few Weeks

The scalp wound will gradually heal, and if non-dissolvable stitches or sutures were used, they will need to be removed.

4. Longer-Term Healing

Complete healing after Mohs surgery on the scalp can take several weeks to a few months, with the wound improving and scars fading over time.

5. Follow-Up Visits

You will be scheduled for follow-up appointments with your surgeon so they can monitor the healing progress and address any concerns about the surgical site.

Throughout the recovery period, following your doctor’s post-surgical instructions is crucial. This includes proper wound care, avoiding strenuous activities, protecting the area from direct sunlight, and directions to ensure optimal healing.

Want to Learn More?

Feel free to call 626-432-5032 to Dr. Hung in Pasadena, CA, if you have questions about skin cancer removal or how Mohs surgery will affect your hair growth. If his Newport Beach, California office is more convenient for you, he can be reached at 949-574-8292.


How Effective Is Mohs Surgery?

, | The Office of Dr. Vincent Hung

2 Minute Read: 

Any cancer diagnosis can be disorienting and frightening. Over 5 million cases of skin cancer are diagnosed each year in the United States. However, there is good news. Most cases of skin cancer are treatable, especially if they are caught early.

Stethoscope next to a clip board reading 'Mohs Surgery' on desk

When Is Mohs Surgery Recommended?

Mohs surgery is recommended for certain types of skin cancer, such as basal cell carcinoma or squamous cell carcinoma. Other factors that make Mohs surgery the best option include aggressive or large cancers and cancers affecting areas with very little underlying tissue, such as the eyelids, noses, ear, scalp, genitals, hands, or feet. 

Previously treated cancers that reoccur may be eligible for Mohs surgery too.

What Happens During Mohs Surgery?

Mohs surgery is a specialized technique for treating skin cancer, named for the surgeon who first developed it. The technique has evolved and improved over the years and is now considered one of the most advanced skin cancer treatments available.

The Mohs Surgery Procedure

A surgeon removes visually cancerous cells first, then carefully removes very thin layers of skin, one at a time. Each layer is examined to detect any sign of cancer. 

The person undergoing surgery is usually awake and alert, and the surgical site is numbed by anesthesia. 

Most procedures take place in a doctor’s office or clinic. The wound is bandaged after each layer of skin is removed while the surgeon examines the skin under a microscope. The procedure continues until no signs of skin cancer are present.

Surgical Goals

Surgeons undergo fellowship training in Mohs surgery to read slides of skin layers and coordinate microscopic results to the surgical site. The overarching goal of Mohs surgery is to minimize the risk of cancerous cells growing back while preserving as much healthy skin and tissue as possible.

How Is the Site Treated After Surgery?

The preservation of healthy tissue helps surgical sites heal quickly. Some sites don’t even need stitches. Other sites may need stitches, but the wound heals quickly. 

Sometimes the risk of scarring is greater if the surgical site is in a delicate area, such as under the eyes or around the nose and mouth.

Skin Grafts and Wound Care

Skin grafts may minimize scar tissue formation. People with large wounds may be placed under the supervision of surgeons that specialize in wound treatment. Specialized wound care may also be recommended for people with diabetes or other conditions that could complicate healing.

Interested in Learning More About Mohs Surgery?

You can contact Dr. Hung’s office in Pasadena at 626-432-5032 or the Newport Beach office at 949-574-8292 to learn more about Mohs Surgery and possible reconstruction options post-surgery. You can also fill out our online contact form to schedule an appointment.


Is Sun Exposure the Only Cause of Skin Cancer?

, | The Office of Dr. Vincent Hung

3 Minute Read: 

Most people assume that skin cancer is only caused by prolonged exposure to the sun. It’s true, the sun’s UV rays are the leading cause of skin cancer; however, many other lifestyle factors can influence skin cancer development. 

Let’s look at lesser-known causes of skin cancer, so you can work to prevent it.

Women getting a mole on her back checked by a doctor, potentially for skin cancer

What Are the Common Causes of Skin Cancer?

Tanning

The leading cause of skin cancer is exposure to ultraviolet (UV) rays produced by sunlight. 

However, the sun is not the only way to be exposed to UV radiation. Another is tanning beds. 

Like the sun, tanning beds emit both UVA and UVB rays. Both of these penetrate the skin, and both can increase your risk of skin cancer (not to mention premature aging, rashes, and even allergic reactions). 

To make things worse, since indoor tanning does not require good weather, people can use these devices year-round, increasing their exposure to harmful UV rays.

Genetics

Unfortunately, some skin cancer factors cannot be avoided. Your genetics play a huge factor, and there is nothing you can do to change that. This means that you will need to be vigilant and aware of warning signs. 

Although, skin cancer can affect anyone:
  • Studies have shown that men are more prone to melanoma than women, and Caucasian men have a higher risk than other ethnicities. 
  • Certain genetic disorders that affect the pigmentation of the skin make people more prone to skin cancer. 
  • People with fair skin and freckles are more likely to suffer burns from the sun, increasing their risk of damage. 
  • Additionally, people prone to moles have a higher chance of developing skin cancer than those with fewer moles.

Additional Factors

Some people develop skin cancer if they have been exposed to high levels of X-rays or have been in contact with chemicals, such as arsenic, which miners and farmers commonly use. 

Skin cancer can also be caused by hydrocarbons which are present in tar, soot, and oils.

How Can I Reduce the Chances of Developing Skin Cancer?

The best way to reduce the chances of developing skin cancer is awareness and proper sun protection. 

Ensure that you always put sunscreen on and don’t sit or lay in the sun for long periods — especially during peak hours. It’s also best to avoid visiting tanning salons, which can damage your skin and may cause skin cancer in the long run.

People with moles should consider making a mole map. That way, they can keep an eye on their moles and watch for any unusual changes in shape, size, or color.

For more information about how to identify a melanoma, read our blog here

Contact Dr. Hung Today!

If you have any moles that you are worried about or have recently noticed changes to your skin, it’s best to visit a doctor for a check-up. 

Skin cancer affects as many as one in five Americans; however, it is usually very treatable when found early.

If you live in Southern California, don’t hesitate to contact Dr. Vincent Hung. The team can be reached at (626) 432-5032 for more information about skin cancer tests and treatment, including Mohs Surgery.


Your Guide to Skin Grafting in Pasadena

, | The Office of Dr. Vincent Hung

3 Minute Read: 

Most skin cancer patients find Mohs surgery to be the optimal way to remove cancerous growths. While Mohs surgery is known for sparing as much non-cancerous tissue as possible, it can still result in significant surface injury that requires a skin graft. 

Example of a basal cell carcinoma on the face of a women near her eyebrow.

This graft is vital to the healing process and provides aesthetic benefits by covering the damaged area. 

Skin graft surgery is a reconstructive procedure that replaces the removed skin with donor tissue (harvested from your body). This skin graft guide will cover some of the things patients should know about skin grafting before undergoing Mohs surgery.

Table of Contents

What Are the Different Types of Skin Graft?

How Is Skin Grafting Performed?

What Are the Skin Graft Healing Stages?

Want to Learn More About Skin Grafts?

What Are the Different Types of Skin Graft?

There are two general types of skin grafts: split-thickness and full-thickness. Each type provides different results and benefits.

Split-Thickness Grafts 

Split-thickness grafts involve taking large swaths of the upper layer of skin from a donor site. Because these grafts only comprise the upper layers of skin, they may not look as natural as full-thickness grafts

These wider grafts are ideal for treating broader and more shallow injuries like burns or surface damage. However, these types of grafts are not as commonly used after Mohs surgery. Mohs surgery usually results in smaller but deeper incisions. 

You can learn more about the types of Mohs surgery incisions here

Full-Thickness Grafts

Full-thickness grafts use smaller pieces of skin to treat deeper wounds and surgical incisions. 

These grafts work because full-thickness grafts comprise both the upper and lower layers of the skin. This makes them far more effective at grafting into a wound and providing natural-looking results. 

This type of graft is ideal for smaller and deeper incisions or wounds. Full-thickness grafts are less effective the larger the target area is. 

Full-thickness grafts are commonly used after Mohs surgery to cover the incisions. Donor tissue can be taken from the abdomen, groin area, or arm. The smaller grafts, coupled with the thicker skin, make it more likely for the grafts to appear natural. This is important for patients whose incisions are in prominent locations, like the face.

How Is Skin Grafting Performed?

Skin grafting is usually performed using local anesthesia. The donor site and receiving site are identified, and each area is numbed.

Once the area is prepped, the desired amount of skin is excised from the donor area. The graft is then placed over the receiving site and sutured or stapled in place. Dr. Hung does his best to line up blood vessels between the graft and existing skin. This ensures the graft receives enough oxygen and nutrients during the recovery process. 

What Are the Skin Graft Healing Stages?

It can take up to 36 hours to know if a skin graft has taken or not. During the initial skin graft recovery period, Dr. Hung may place you under observation or ask you to come back for periodic checkups.

After 36 hours, if the graft has taken, you can return home. Dr. Hung usually prescribes medications to help manage the pain. The donor site should heal within a couple of weeks, leaving a small skin graft scar. The graft site may take up to four weeks to fully heal. 

You should avoid any activities that could stretch or strain the graft site for four to six weeks following the operation. 

Want to Learn More About Skin Grafts? 

If you want to learn more about skin grafting, how to treat skin grafts after surgery, or other related concerns, please contact our Pasadena office at 626-432-5032. You can also reach us at our Newport Beach office at 949-574-8292 or fill out our online contact form to schedule an appointment with Dr. Hung.


How Does the Sun Damage Your Skin?

, | The Office of Dr. Vincent Hung

3 Minute Read: 

Many people wish for tanned, glowing skin; however, tanning, if not done correctly, can result in severe skin damage. 

This means that having tan, beautiful skin when you are younger may result in wrinkles and sunspots at an older age. 

In addition to displeasing aesthetic effects, excessive sun exposure can cause skin cancer. Therefore, it is important to avoid harmful tanning, such as tanning beds and sitting in the sun, and switch to spray tans or tanning lotion to maintain your skin’s glowing, youthful appearance. 

Woman in blue bathing suit spending time on the sunny beach.

How Can I Avoid Sun Damage? 

While the sun can damage your skin, it can also be healthy for you. The sun can provide vitamin D, improve sleep, improve mood, and even relieve stress. If you are going to spend time in the sun, you must take the proper precautions. 

1. Wear Sunscreen 

This may seem like an obvious tip, but it is surprising how many people do not wear sunscreen when they are in the sun. Even if you are not going to the beach or sitting by the pool, putting sunscreen on at the beginning of every day can protect you from the harmful UV rays you are exposed to throughout the day. 

Consider keeping sunscreen in your car or your purse for quick access and reapply as needed. 

2. Limit Sun Exposure 

We are constantly exposed to the sun during the day, even if it may seem cloudy outside. However, you should significantly limit your exposure to the sun during its peak hours. This usually occurs in the middle of the day. If you choose to go outside when the sun is brightest, consider wearing sunscreen or protective clothing to protect your skin. 

3. Wear Sunglasses 

The sun not only affects our skin but our eyes as well. Constant exposure to the sun can cause damage to the cornea, which can eventually cause blurriness and loss of vision. 

4. Wear Long-Sleeved Shirts and Pants 

In many situations, we cannot avoid being out in the sun. In cases where you spend a significant amount of time in the sun, sunscreen may not be enough to protect you. Wearing clothing that covers your arms and legs can help protect against sun damage. Additionally, wearing a hat can block the sun from reaching your face. 

5. Ask Medical Professionals About the Medications You Take 

Believe it or not, certain medications can increase sunlight sensitivity. This means that you are more likely to burn and experience the harmful effects of sun exposure. If you notice the sun is affecting you more than normal, your medication could be to blame. 

Please talk to your doctor to see if your medication is increasing your sunlight sensitivity. 

How Is Skin Cancer Treated? 

Thankfully, when caught early, skin cancer is treatable. 

Dr. Hung offers Mohs micrographic surgery to remove skin cancer and leave as much healthy skin as possible. 

If you have been recently diagnosed with skin cancer, please call Dr. Hung at his Pasadena office at 626-432-5032 or his Newport Beach office at 949-574-8292 to schedule a consultation for Mohs surgery. 


Your Guide to Nose Reconstruction After Skin Cancer

, | The Office of Dr. Vincent Hung

3 Minute Read:

Skin cancer on the nose is an unpleasant experience at best and potentially deforming at worse.

Mohs surgery allows for cancerous growths to be removed with a minimal amount of tissue lost. Unfortunately, that still means that many people with skin cancer on their nose will end up with open wounds on its surface.

woman at the conclusion of a nasal reconstruction procedure.

To correct this, Dr. Hung offers a series of nasal reconstruction options that can reduce the risk of complications and create a new and improved nasal appearance.

What Are Common Nose Reconstruction Techniques?

Nasal reconstruction is based on the specific needs of the patient. No two reconstruction operations are ever the same because no two cancer removal procedures are ever the same.

This means the techniques described below are general techniques applied to most nasal reconstruction operations; however, they may or may not line up with your own.

1. Direct Linear Closure

Direct linear closure is a surgical technique that uses the lax skin above and below the wound to seal the injury. This technique is one of the simplest when it comes to repairing large wounds.

The main issue with it is that it requires a certain amount of skin laxity and can result in a scar larger than the original wound if the skin is not quite right.

2. Local Flaps

Local flap reconstruction stretches nearby skin to cover the open wound. This technique is ideal for patients with smaller open wounds on the nose. This technique’s main advantage is that it begins the healing process faster than most other reconstruction options on this list.

The main disadvantage of this reconstruction option is that it requires the wound to be small. It also requires the skin near the wound to have enough elasticity to cover the wound without damaging the skin itself.

This means that local flaps are not always a viable option. However, when available, this technique is usually a good go-to option.

3. Full-thickness Skin Graft

A full-thickness skin graft is one of the most challenging and complex forms of nasal reconstruction. It takes a segment of skin from another area of the body and grafts it over the open nasal wound. When performed well, this technique can treat the largest post-cancer wounds and help a nose look natural, even after losing significant amounts of tissue. This option is rarely a go-to, but it offers a viable reconstructive solution for patients with larger wounds.

The main downsides to a full-thickness skin graft are its complexity and need for a donor area. Most patients prefer their nasal reconstruction not to require a new wound to be opened elsewhere.

The extra complexity of this procedure can also cause the operation to take longer. This technique is still far better than not getting a nasal reconstruction, but other options are usually recommended first if viable.

4. Distant Flaps

This technique partially removes tissue from the forehead to cover the open wound on the nose and restore lost tissue. This technique is often seen as the go-to option for people with wounds too large for direct linear closure.

It can provide some of the most natural results of all the reconstructive options and is less complicated than a skin graft.

The main disadvantage of this technique is the potential for scarring on the forehead. Ideally, this will not be a concern. However, some patients prefer to choose other options rather than risk an unsightly scar arising due to unforeseen complications.

Want to Learn More?

If you are interested in more information about nasal reconstruction surgery or cosmetic nasal surgery, please contact Dr. Hung at his Pasadena office at 626-432-5032 or his Newport Beach office at 949-574-8292.