Skin Cancer Reconstruction

Thoughtful Skin Cancer Care From Diagnosis Through Reconstruction

A diagnosis of skin cancer can be overwhelming, but choosing the right treatment team can make the experience far less stressful.

For more than 26 years, Dr. David Branch has reconstructed skin cancer defects involving the face, nose, eyelids, lips, ears, scalp, hands, and other areas where both appearance and function are critically important.



Successful treatment begins with complete cancer removal—but it does not end there. The quality of the reconstruction often determines how natural you look and how well the involved area functions for years to come.

A Collaborative Approach

Dr. Branch believes patients deserve both the highest level of cancer treatment and the highest level of reconstructive expertise.

For many patients with basal cell carcinoma, squamous cell carcinoma, or melanoma in situ, this means close collaboration with a fellowship-trained Mohs dermatologist.

Mohs micrographic surgery provides the highest cure rates for many skin cancers by examining 100% of the surgical margins while preserving as much healthy tissue as possible. Once the cancer has been completely removed, Dr. Branch performs the reconstruction using techniques developed through decades of training and experience in plastic and reconstructive surgery.

For patients who prefer to remain under anesthesia throughout their treatment, or whose medical circumstances make that approach appropriate, Dr. Branch also performs complete skin cancer excision and reconstruction in the operating room when indicated.



The treatment plan is individualized based upon the type of cancer, its location, your medical history, and your personal preferences.

The CosMOHs Philosophy

Dr. Branch developed the CosMOHs concept from a simple question:

"If I were the patient, what would I want?"

The answer was a truly coordinated approach that combines:

• The highest cure rates through meticulous cancer removal.
• Reconstruction performed by a board-certified plastic surgeon with extensive training in restoring both appearance and function.
• Collaborative treatment planning between specialists.
• Care provided under one roof whenever possible.
• The option of more than local ("needle") anesthesia alone for patients who desire or require additional comfort.

Whenever possible, patients benefit from consultation, cancer removal, and reconstruction coordinated on the same day, reducing delays while providing a seamless treatment experience focused on both cure and cosmetic outcome.

Reconstruction Is More Than Closing a Wound

Every skin cancer defect is unique.

Some wounds can be closed directly. Others require local tissue rearrangement, skin grafts, cartilage support, or more advanced reconstructive techniques to restore both appearance and function.

The face is especially unforgiving. Small differences in contour, skin color, eyelid position, nasal support, or lip movement can have lasting functional and cosmetic consequences.



For that reason, reconstruction is carefully planned to preserve normal anatomy whenever possible while minimizing visible scarring and maintaining natural facial expression.

What to Expect

Many skin cancer reconstructions are performed on an outpatient basis. Depending on the size and location of the defect, reconstruction may be performed under local anesthesia, intravenous sedation, or general anesthesia.



During your consultation, Dr. Branch will discuss the expected reconstruction, recovery, scar maturation, and any staged procedures that may be necessary to achieve the best long-term result.

Our Philosophy

The successful treatment of skin cancer requires more than removing a tumor.

It requires restoring confidence, preserving function, and helping patients look like themselves again.



Whether your treatment involves a small facial skin cancer or a more complex reconstruction following Mohs surgery, our goal is always the same: complete cancer treatment, thoughtful reconstruction, and compassionate care delivered by specialists working together in your best interest.

Have Questions? Reach Out To Us Today.

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