Surgical excision of skin cancer often results in large disfiguring wounds. This is especially significant in the case of skin cancers of the head and neck, where surgical treatment can significantly alter the cosmetic appearance of the face.  These wounds require reconstructive surgery to restore the normal appearance and function of the area.  Dr. Gupta is well trained and highly experienced in such reconstructive challenges.  If he performs the skin cancer excision, then he will plan to perform the reconstruction at the same time, or in some cases he may recommend delaying reconstruction until after the final pathology results reveal clear cancer-free margins.  Dr. Gupta also works closely with many Mohs-trained surgeons in San Diego County to plan reconstruction of complex defects resulting from their skin cancer removal procedures. The best method of reconstruction depends on the size and location of the defect, and by the individual structures involved. Usually, Dr. Gupta will plan reconstruction in such a way that the resulting scars will hide in the natural skin folds or wrinkle lines of the area.  Dr. Gupta is highly skilled in multiple reconstructive procedures including complex repair, skin grafts, composite tissue grafts, skin flaps, deep tissue flaps, pedicled tissue flaps and complex microvascular free tissue flaps.  Please feel free to browse the Photo Gallery to see examples of all of these procedures.