Reconstructive Surgery

Face, Scalp, Trunk, Breast, Abdominal Wall (hernia) and Extremity Reconstruction (Grafting and Flaps)

(Including Breast Mass Biopsy and Excision)

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Facial Flap

Facial flap surgery is a reconstructive procedure used to restore lost or damaged tissue in the face due to trauma, tumor removal, or congenital defects. The procedure involves transferring healthy skin and underlying tissue from a nearby or distant area to cover wounds, ensuring both function and aesthetics are preserved.

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Common concerns with facial defects include:

  • Tissue loss and exposure that may affect facial structure and movement.
  • Scarring or asymmetry, impacting appearance and confidence.
  • Impaired healing if the wound is too large to close naturally.

Treatment depends on the severity of the defect and may involve precise surgical techniques, including skin grafting or microsurgery, to ensure a natural and functional reconstruction. Proper wound care and follow-up are essential for optimal healing and long-term results.

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Tram Flap

A TRAM (Transverse Rectus Abdominis Myocutaneous) flap is a reconstructive procedure used primarily for breast reconstruction after a mastectomy. It involves transferring skin, fat, and muscle from the lower abdomen to the chest to create a natural-looking breast. This technique provides a long-lasting result without the need for implants.

Common concerns with TRAM flap surgery include:

  • Loss of abdominal muscle strength, which may affect core stability.
  • Scarring at both the donor site (abdomen) and reconstructed breast.
  • Risk of complications, such as poor blood flow or delayed healing.


The procedure can be performed using a pedicled flap (keeping the blood supply intact) or a free flap (requiring microsurgery). Recovery involves several weeks of healing, with proper post-operative care essential to minimize risks and achieve the best possible outcome.

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Skin Grafting

A procedure in which a piece of skin is transplanted from one area to another.

Purpose of Skin Grafting

Helps patients who have damaged skin from burns, injuries, wounds, disease or infection.

TYPES OF SKIN GRAFT:

  • Autograft (isograft)
  • Allograft (homograft)
  • Xenograft (heterograft)

Source: American Society of Plastic Surgeons (ASPS)

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Skin Grafting (Fractured Arm)

Skin grafting is a surgical procedure used to replace damaged or missing skin, often necessary for severe fractures where the skin has been lost due to trauma or infection. In cases of an open or exposed fracture, skin grafting helps protect underlying tissues, promote healing, and restore function.

Common concerns with skin grafting for fractures include:

  • Tissue loss, exposing bones or tendons.

  • Risk of infection, especially in open wounds.

  • Delayed healing, which may lead to complications.

The procedure involves taking healthy skin from another part of the body (donor site) and transplanting it to the affected area. Proper post-surgical care is essential to ensure graft survival, prevent complications, and improve long-term recovery.

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