Reconstructive surgery can be performed for many reasons. While repair of traumatic injuries first comes to mind, reconstructive surgery is more likely performed in the settings of cancer, malformations, and secondary repair of old injuries or prior surgeries. Dr. Escaravage has been privileged to train under and work with some of the most respected cancer and reconstructive surgeons in the country. With this experience, he applies this knowledge with the perspective of both an ophthalmic plastic surgeon and an eye doctor in an effort to provide optimal results.
Reconstruction of eyelid and facial defects after cancer surgery is a prominent part of Dr. Escaravage’s practice. He is fortunate to have a network of other physicians and surgeons with whom he often coordinates care, including Mohs surgeons, otolaryngologists, oromaxillofacial surgeons, dermatologists, plastic surgeons, facial plastic surgeons, surgical oncologists, medical oncologists, and radiation oncologists. Each person’s situation is unique and the plan for the most effective outcome will be customized.
The various types of skin cancer are the most common cancer for which reconstruction is required, however other eyelid and orbital cancers present relatively frequently and can be managed effectively.
Reconstructive surgery is also sought for developmental abnormalities, old injuries or prior surgeries. An educated understanding of the current problem and the prior situation are important to determining treatment plans. In addition to an evaluation, Dr. Escaravage and his staff will work for you to obtain old records to help develop the most effective approach, whether or not surgery is required.
Even with optimal care, it is important to understand that healing from reconstructive surgery can be slow and unpredictable. Multiple procedures may be necessary. The likelihood of scarring, permanent damage, and additional surgery are much higher than during an initial surgery or repair. The goal of reconstructive surgery is to return the tissues to as close to their normal function and appearance as possible. While every effort will be made to achieve this goal, it may not be possible.