middle aged woman touching her face while consulting with male physician regarding reconstructive surgery

Plastic & Cosmetic Surgery

Reconstructive Surgery

Below is a list including our most requested reconstructive services. This list does not include cosmetic procedures. Please click on the links to the right to view more of our services. If you are interested in a procedure not listed, please call our office at 317.421.1980.

Dermatology

  • Basal cell and squamous cell skin cancer excision with reconstruction: These extremely common cancers are removed either in the office or in the operating room, with low rates of recurrence.
  • Melanoma excision and reconstruction including sentinel node biopsy: Not all melanomas are the same; some require minimal, others, extensive surgery. We will review your pathology and provide the appropriate care for your specific sub-type.
  • Post-Mohs' reconstruction: If you have had Mohs’ surgery by a dermatologist and have a soft tissue wound, we can reconstruct the wound with surrounding tissue.
  • Pre-cancerous actinic keratosis: Effectively treated with non-surgical techniques.
  • Non-cancerous lesions (mole/atypical nevus): Non-cancerous lesions are often removed in the office; all removed lesions are evaluated by a pathologist.
  • Benign skin lesions including angiomas and skin tags
  • Scar revision/repair: Scar revisions are typically done 1-2 years after the original surgery and can improve scar appearance.
  • Hypertrophic scars: Not all difficult scars are ‘keloids’. Hypertrophic scars are more easily managed, often with non-surgical techniques.
  • Keloids: Multiple treatments exist for this difficult condition ranging from steroid injections to surgery plus radiation.
  • Tissue transfer and skin grafting
  • Hidradenitis suppurativa: Chronic infection of sweat glands. Often requires removal of affected skin and skin grafting.

Oncology

  • Breast implant and flap reconstruction after mastectomy: Breast reconstruction after mastectomy can restore the sense of femininity that surgery takes away. Multiple reconstructive options exist and can be individualized to personal goals. Techniques using implants and the body’s own tissues are used.
  • Melanoma excision and lymph node evaluation with reconstruction
  • Nipple/areola reconstruction and tattooing
  • Oncoplastic breast reconstruction in conjunction with lumpectomy: Lumpectomy surgery can lead to significant breast distortion after radiation is applied. In appropriately selected patients, breast reduction surgery at the time of lumpectomy can dramatically improve the overall appearance of the breasts and minimize lumpectomy related distortion.
  • Reconstruction after skin cancer excision

Oncology

  • Abdominal wall reconstruction: Hernia surgery is typically performed with mesh, however, if mesh fails, direct movement of abdominal muscles can be used to durably close the hernia.
  • Breast contour deformities - fat grafting: Breast surgery can sometimes lead to contour irregularities. Fat grafting – or transplanting fat – from abdomen or back, can improve these areas.
  • Breast development in a male (gynecomastia): Male breast development is an embarrassing condition, often causing teen boys to conceal their breasts in order to avoid ridicule. This condition is usually treated very effectively with one or two treatments of liposuction.
  • Breast reduction: Excess breast size can lead to chronic back and neck pain, rashes, difficulty exercising or finding a comfortable bra. Breast reductions can eliminate this problem, with a very high percentage of overall patient satisfaction.
  • Panniculectomy (tummy tuck): Excess abdominal skin is most effectively addressed with abdominoplasty, or tummy tuck. In some people, however, simple removal of excess skin can help with local hygiene problems.
  • Repair of abdominoperineal or pelvic resection wounds: Pelvic wounds that result from pelvic gynecologic or rectal cancer surgery can be reconstructed with abdominal muscles.

Ortho

  • Hand fractures: Extremely common, these are treated with fracture reduction and use of pins, but may require placement of fracture plates.
  • Flexor and extensor tendon repair: Tendon repairs require extensive therapy but can restore function that is lost from a hand injury.
  • Fingertip injuries
  • DeQuervain's disease: A painful condition of tenderness above the base of the thumb, this is treated with steroid injections or surgery.
  • Dupuytren's contractures: Functionally limiting scarring of the palms is treated with surgical scar release and wound repair.
  • Ganglion cysts
  • Infectious flexor tenosynovitis: These severe hand infections require prompt surgical drainage for a good outcome.
  • Trigger finger: A painful locking of the finger, this is easily addressed with steroid injections or surgical release.
  • Nerve entrapment decompression (carpal tunnel, guyon canal, pronator syndromes): Nerve compression syndromes cause numbness and pain. We treat these with both injection and surgical therapies.
  • Nerve repair: Hand nerve repairs are performed with an operative microscope and can restore sensation or movement.
  • Hand - soft tissue reconstruction with flaps and skin grafts: Wounds that result from trauma or cancer removal can be treated with skin grafts or flaps.
  • Soft tissue coverage for olecranon bursistis: Most elbow infections require drainage procedures alone, but when severe, can require reconstructive surgery. Muscle flap coverage is used to provide durable resolution to these chronic wounds.

Trauma/Wounds

  • Maxillofacial fracture (Repair of nasal, orbital, mandibular, maxillary, zygoma fractures)
  • Laceration repair
  • Minor burns
  • Necrotizing fasciitis repair: Severe soft tissue infections are treated with debridement and skin grafting.
  • Post-burn reconstruction and scar release
  • Post-radiation wounds: Difficult to heal radiation wounds are treated with the use of muscle flaps.
  • Pressure ulcer debridement and reconstruction: Pressure wounds can be treated with muscle or other flaps, once pressure conditions are improved. This can result in the closing of a wound that has been open for years.
  • Scar release after burns: Some scars are functionally limiting. Scar release procedures can restore function.
  • Spinal wounds: Breakdown of spinal wounds after surgery can result in exposed hardware. These wounds require coverage with use of back muscles.
  • Chronic wound repair reconstruction