Most cases of skin cancer can be successfully and thoroughly removed through an excision procedure that removes the entire tumor and any roots. Despite its high level of efficiency, skin cancer excision often leaves behind large wounds or scars in prominent areas such as the face or hand. These deformities can be emotionally upsetting and a constant reminder of the skin cancer that once existed there. Fortunately, plastic surgery can be performed to repair the wound and restore your skin to a more healthy and natural appearance. While complete tumor resection is the main goal, New York City plastic surgeon, Dr. Dana Khuthaila, also takes the patient's appearance into consideration by leaving as much healthy tissue as possible. Reconstruction uses this remaining healthy tissue to carefully restore the area for both effective and aesthetic results.
"24 and Baby Faced - I went to Dr. Khuthaila for "facial slimming botox" - it's a procedure where botox is injected into your masseter muscles (your jaw) and gradually paralyzes the muscle causing the muscle to atrophy overtime. For my first session i had 40 units put in, Dr. Khuthaila used a vibrating tool as a distractor as she administered the injection. It was completely painless and it was done in what felt like under two minutes. There was some slight bruising on the side of my face which I promptly covered up with makeup and went back to work right after. I have to preface this with this. I have a theory that I have especially hypertrophied masseters because I used to chew gum while I lifted weights. I've also always had a round wide-ish face and I've been looking into invasive asian cosmetic procedures for years. I decided to try this to see if I could go about it differently. I'm a personal trainer, fit, at my goal weight, 20% body fat and I know this is the smallest my face is going to get. You can make your face appear smaller by reducing your body fat, and I had just hit my ceiling. The first week really didn't garner a noticeable difference in my eyes. My face was still pretty round and not "v'd". I went back for a touchup (10 units) a week and a half later because Dr. Khuthaila noticed a bit of asymmetry with my jawline. (Probably because I chew with my right side, also a theory) About two weeks out I woke up and noticed that my chin looked especially prominent and I could not stop staring at myself throughout the day. It really was working. In fact, I felt like I had a new face. So all and all the procedure works, but it takes time and the changes are subtle. "- J. / RealSelf / Apr 08, 2017
"22 Year Old Unhappy with Profile of the Nose - I always felt that my profile was missing something but I didn't know what I wanted to correct. I realized after taking countless profile selfies that the tip of my nose was lacking perky-ness (If that any makes sense). I've thought about having a rhinoplasty to correct it but I didn't want to break my nose in the process being that all I wanted was structure to the tip. Dr.Khuthaila recommended we try a non surgical temporary treatment and we proceed from there. I was amazed with how quickly and instantly the results were! My nose has the perfect uplift I was looking for and she saved me from going under the knife when it truly was not necessary. The result is exactly what I wanted and I cannot thank her enough for all her help and support. <3 "- S. / RealSelf / Apr 06, 2017
"Best Plastic Surgeon in NYC! Love my Botox! - Dr Dana Khuthaila is amazing! After turning 30 I was interested in less invasive procedures to spruce up my face. I started to get annoyed at the lines starting to become permanent on my forehead. Dr Khuthaila suggested I try Botox in the forehead and between my eye brows to smooth everything down and get rid of those lines...(I also have thick forehead muscles that bulge up when I squint). Being a professional and expert injector she used the perfect amount of the Botox that gave my eye brows a nice little lift and totally smoothed out my forehead, I still have movement and I certainly do not look "overdone" which was one of my main concerns. Everyone keeps complimenting me on how refreshed and rejuvenated I look, even my husband can't quite figure out why I am looking exceptionally awesome these days! The injections were painless and she even used a really cool vibrating gadget that helped distract me from any pain (which I did not feel at all). She took her time, explained everything in detail and gave me great post op care instructions. Her office is spectacular with overlooking views of Central Park...million dollar view for sure! Her staff is warm,welcoming ,always smiling and so amazing at confirming appointments AND they even called me the next day to see how I was feeling after the injections...totally thoughtful follow up care, they make you feel like family! Hands down she is the best, her surgical work as well is beyond incredible. I will be back for more Botox and her injectable filler work is flawless as well."- M. / RealSelf / Mar 31, 2017
"I LOVE Dr Khuthaila. She is one of the very few doctors that will not only do an amazing and meticulous job, but will take her time to explain the procedure and answer all questions along the way, and do it with the integrity of a true professional and with the best interest of the patient in mind first and foremost. I saw many plastic surgeons before I found her, at the recommendation of a very close friend, and once you meet her, you will immediately understand why her patients love her so much. She's treated me and my mom, I've recommended her to friends and will keep going back to her. She is 5 star all around. As an added bonus, her gorgeous office overlooks Central Park and is close to wonderful restaurants and the nice shops on 5th and Madison. Thank you Dr Khuthaila!!!"- S.M. / Yelp / Aug 23, 2016
"Excellent experience - I am very picky, before the procedure I had 7 consultations with 7 different drs. She was by far the most detailed, honest and explained exactly what shall I expect. The procedure was very smooth, I didn't feel a thing, healing process was much faster than my friends who did it with other Drs I was able to go out 2 days after the procedureToday I am 2 weeks after And I have no visible scared or bruises Oh and the most important thing is She phoned to check on me and they have me a number to text or call if I have any questions and I did text many times and they reply fast and efficient Excellent experienceHighly recommended"- K. / RealSelf / Mar 30, 2017
Reconstruction can often be performed the same day or the day after the removal procedure. Reconstructive procedures are performed on an individualized basis, depending on each patient's wound, and can involve a skin graft, flap of skin, stitching or surgical closure. Dr. Khuthaila will discuss the various options with the patient and together they will choose the best method or methods of treatment. Dr. Khuthaila will work with the doctor performing the patient’s skin cancer removal to perform reconstruction either immediately after the removal or later if the patient chooses.
Patients may be put under local or general anesthesia depending on the location and size of the area being treated. Once the skin cancer lesion is removed, Dr. Khuthaila will begin reconstruction using the techniques she and the patient decided on during the initial consultation. Once the reconstruction is completed, Dr. Khuthaila will close and dress the wound before the patient is allowed to leave. Dr. Khuthaila will give every patient post surgical instructions, including how to care for the surgical wound, what topical medications to apply, and other tips to help with the patient's recovery. Avoiding sun exposure and using sun protection will help the wound heal quicker and without irregularities, like raised, red, or darker skin. It may take up to 1 year for patients to see the final results of their skin cancer reconstruction. If needed, Dr. Khuthaila will discuss a secondary surgery to further refine the results.
Plan Your Procedure
- Recovery Time
- 3-4 Weeks
- Average Procedure Time
- Procedure Recovery Location
Skin Reconstruction FAQs@headingTag>
Will There Be Scars?@headingTag>
While Dr. Khuthaila does her best to keep her incisions small and the wound closures clean and neat, there will be some degree of scarring. Scarring can be minimized by following Dr. Khuthaila’s post surgical wound care instructions. Dr. Khuthaila also performs surgical scar revision if the patient would like to further reduce the visibility of the scarring.
Why A Plastic Surgeon?@headingTag>
Even if a dermatologist removes the skin cancer growth, it is beneficial for patients to have a plastic surgeon performing the wound closure and/or skin reconstruction. Plastic surgeons, like Dr. Khuthaila are specially trained to preserve the appearance of the skin and they are more practiced at closing incisions cleanly and evenly.
When To Have Reconstruction?@headingTag>
It is best if patients make an appointment with Dr. Khuthaila before their skin cancer removal so she can consult and coordinate with the doctor and facility performing the skin cancer removal. Patients may chose to have their skin reconstruction performed right after their removal surgery or they can wait to see how the wound will heal naturally. During the initial consultation, Dr. Khuthaila will listen to the needs and concerns of the patient and then help them determine their best timeline and treatment plan.