What to Expect with Graft on Face Due to Melanoma?

Melanoma skin cancer on the face can be life threatening. The extent of the reconstruction depends on the size and depth of the melanoma present. The size of the defect also depends on the location and whether or not there are any lymph nodes involved. The thickness of the melanoma will determine final treatment parameters. Most certainly there will be a scar present from the removal and any type of skin grafting necessary to close the defect.

When dealing with cancer reconstruction, it is imperative to keep goals in order. First and foremost is treating the cancer. With melanoma, the depth that the tumor has invaded into the skin will determine the amount of tissue which is to be removed, including normal appearing tissue around the tumor. Second and also important is reconstruction. Unfortunately, even the best reconstructions will produce scars and will not look exactly like things did before surgery. The result will depend on... more

We treat cancer first then do the best and leat noticeable reconstruction possible. It is always best to replace  like with like if possible.  Local tissue is always better if available.

Most common type of melanoma on face is lentigo maligna or melanoma in situ. However, there have been several reports of metastasis even in the case of melanoma in situ on the face so adequate margins should be taken to ensure the highest cure rate. Your surgeon along with your dermatologist may recommend lymph node biopsies as well depending on the depth of invasion of melanoma. Cosmetically, flap almost always looks better than a graft, however, in the case of melanoma in situ or melanoma... more

Melanoma is a very serious disease in which the best chance for cure depends on the thickness of the tumor and on complete removal of the tumor as well as its closest lymph nodes. In the face this means removal of a margin of skin without tumor as well as the superficial lobe of the Parotid (salivary) gland which contains the closest lymph nodes. Depending on the finding of tumor on not in these nodes, further surgery may be needed. The reconstruction depends on the extent of skin removed.... more

This is difficult to say based on the information you have provided. Treatment is based on the thickness of the melanoma. Deeper melanomas require wider excisions. Wider excisions remove more tissue with greater risk for involving surrounding structures. Furthermore this will require a more extensive reconstruction.