{"id":18,"date":"2026-03-10T20:54:56","date_gmt":"2026-03-10T19:54:56","guid":{"rendered":"https:\/\/born-wundkontraktion.de\/?page_id=12"},"modified":"2026-10-26T13:48:48","modified_gmt":"2026-10-26T12:48:48","slug":"gentle-wound-closure-after-skin-cancer-surgery-on-the-face","status":"publish","type":"page","link":"https:\/\/born-wundkontraktion.de\/en\/gentle-wound-closure-after-skin-cancer-surgery-on-the-face\/","title":{"rendered":"Gentle Wound Closure After Skin Cancer Surgery on the Face"},"content":{"rendered":"\n

Following a diagnosis of skin cancer (Figure 1), the priority is the complete removal of the tumor. However, how the resulting wound is subsequently treated can vary\u2014especially on the face and scalp.<\/p>\n\n\n\n

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\"Hautkrebsdiagnose\"<\/figure>\n<\/div>\n\n\n\n
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Figure 1:<\/em> Not every small skin bump is harmless: In sun-exposed areas such as the forehead, it may actually be a form of basal cell carcinoma.<\/p>\n<\/div>\n<\/div>\n\n\n\n

Since tumor cells can spread beyond the visibly affected area, it is sometimes necessary to perform a second surgery to remove additional tissue (secondary resection). As a result, the resulting defect after tumor removal may be larger than originally expected.<\/p>\n\n\n\n

In surgical treatment, the main problem is usually not the removal of the affected area of skin, but rather the subsequent closure of the wound. If the resulting skin defect\u2014depending on its location\u2014is larger than about 1 to 2 cm, the wound often cannot be simply sutured closed.<\/p>\n\n\n\n

In such cases, a plastic flap is required. This involves moving skin from the immediate vicinity or nearby area to close the defect (known as a \u201cflap\u201d). This procedure is referred to as a plastic surgery technique (Figure 2<\/em>).<\/p>\n\n\n\n

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\"Klassisches<\/figure>\n<\/div>\n\n\n\n
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Figure 2:<\/em> The dotted circle indicates the safety margin with which the tumor is removed. The horizontal dashed lines mark the planned incisions and the resulting scars. This allows the skin to be repositioned so that the wound can be closed effectively afterward.<\/p>\n<\/div>\n<\/div>\n\n\n\n

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Below you will find more detailed information:<\/p>\n\n\n\n

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Traditional plastic surgery techniques<\/a><\/div>\n\n\n\n
The basic principle of the minimally invasive alternative<\/a><\/div>\n\n\n\n
In summary<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n
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Standard plastic surgery techniques for tissue coverage\u2014a brief explanation<\/h2>\n<\/div>\n\n\n\n

In standard plastic surgery procedures, the wound is often closed after tumor removal using skin flap or skin transfer techniques.<\/p>\n\n\n\n

In these procedures, skin is detached from adjacent areas and repositioned so that the defect can be completely covered immediately. These techniques are medically proven and, especially for larger defects, typically allow for rapid and stable wound closure in a single session.<\/p>\n\n\n\n

Why Traditional Techniques Can Be Challenging on the Face<\/h3>\n\n\n\n

Traditional plastic surgery techniques may require additional incisions and greater mobilization of the surrounding skin. However, this increased complexity is associated with more scarring and potential complications such as impaired wound healing, postoperative bleeding, etc.<\/p>\n\n\n\n

On the face\u2014specifically the forehead, nose, eyelids, or scalp\u2014the skin is often less mobile and tightly attached to the underlying structures.<\/p>\n\n\n\n

Immediate closure of a large area in these areas can present specific challenges, such as:<\/p>\n\n\n\n