What Is Dr Gene's role after M@headingTag>
Learning you have skin cancer can be a scary experience and deciding your treatment plan means learning about all of the options. Of all the surgical techniques available today, MOHs surgery offers the lowest recurrence rate of malignant lesions and maximum preservation of healthy tissue. It is only performed by specialized dermatological surgeons. However, after the malignant lesion is removed, a depression or hole in the skin often remains. Since obvious scars on the face can be disfiguring and make you feel less confident, which is where double board-certified facial plastic and reconstructive surgeon Dr. Eugene "Gene" Alford offers reconstructive surgery after MOHs surgery. Dr. Gene specializes in carefully reconstructing the facial tissue in his patients at Alford Facial Plastic Surgery in Houston, TX restoring the skin’s natural appearance. This is especially important in such high profile areas as the nose, lips, eyelids, and other areas of the head and neck that draw a lot of attention, and help you make a great first impression.
"This review only contains a rating"- Anonymous / UCompareHealthcare / Oct 10, 2016
"Needed Someone to Fix What Another Doctor Messed Up - Houston, TX - Never have I been fortunate to have been under the care of a physician who values your time and the impact of your health issue on you both physically and emotionally. DR. Eugene Alford does both. His office was always on time, his staff are extremely friendly and caring and he never made you feel like he was in a hurry. With Dr. Alford you feel like you are his only patient. As for expertise, he is exceptional. He sets high standards and achieves them. He is committed to getting you the best outcome possible and you are involved in his plan of care from step one. He takes the time to educate you and wants your feedback. His hands are miracle workers and I have the nose now to prove it. I can never thank him enough for giving me my confidence back. - - I had two previous rhinoplasties performed by another physician for breathing issues NOT cosmetic. Both failed and left me looking visibly disfigured and my breathing issue was worse afterwards. Dr. Alford performed a revision rhinoplasty that gave me my life back. His attention to detail was incredible."- O. / RealSelf / Jan 09, 2016
"Revision Rhinoplasty - Houston, TX - Dr. Alford is excellent in communication and has a great staff. Hardly any wait time. Easy to reach and questions or always answered. Recovery was very easy. - - When I was 15 I had a septoplasty and rhinoplasty along with the removal of an enlarged turbinate to allow me to breathe properly and correct the crooked appearance of my nose. Approximately, 20 years later, I noticed my nose was becoming crooked again and I was having increased breathing and sinus pressure issues. In the past year I also noticed an increase in the frequency of sinus pressure headaches. My internist suspected my nasal passages where collapsing and that my septum could be deviated again. He referred me to Dr. Alford. I'm very glad I took his advice. When I met Dr. Alford, he could tell by just looking at me that my nose was in fact collapsing due to my previous surgery. Too much of my nose foundation had been removed and was causing a narrowing of my nasal passages and collapse of the tip of my nose. Dr. Alford performed my surgery about 5 months ago where he removed fascia and cartilage from my ear to build up my nose bridge and tip. He also aligned my nose so that it is straight once again. I am extremely happy with the results both in appearance and in function. I have experienced only one sinus headache in the past five months. Prior to seeing Dr. Alford I was experiencing at least one a week and it could last 1-3 days. Recovery was quick and surprisingly painless. There was some discomfort within the first two days after surgery but I was sure to follow Dr. Alford's and the nurses' instructions. All went very well. There is no doubt in mind when referring others to Dr. Alford, and, if the need ever arises again, I would definitely be a returning patient."- T. / RealSelf / Dec 14, 2015
"Best in Revision Rhinoplasty Surgery. Houston, TX - After a botched rhinoplasty in the UK I consulted with Dr. Hamilton in Houston, TX. He recommended that he not perform the surgery as it was quite a complex case, and therefore suggested going to a specialist in revision surgeries for the nose, Dr. Alford. Earlier this year Dr. Alford operated on my nose: the bump is gone and the tip is straight. What else could one ask for?"- L. / RealSelf / Dec 11, 2015
"Dr Alford is an amazing surgeon and an even more amazing person. He displays the highest level of integrity, compassion and surgical skill of any doctor. I sincerely admire him and his approach to patient care. He is a remarkable and highly skilled individual."- S.H. / Facebook / Nov 24, 2015
It takes about 2 – 4 hours to surgically remove the skin cancer with MOHS surgery which is done by a dermatologist. The patient then sees Dr. Gene to provide a reconstructive operation for patients who have lost a significant amount of their tissue to cancer.
Following your reconstructive surgery Dr. Gene will have you stay overnight in the hospital so your recovery can be carefully monitored. Dr. Gene will come see you in the hospital the next day to determine if you are able to continue your recovery at home. Depending on the approach for reconstruction most patients take about 1 – 4 weeks for recovery before returning to their normal activities and work.
Because MOHS surgery by itself has a 99% cure rate vs. traditional excision, whose cure rate can be as low as 70%, the accuracy of the reconstruction is enhanced by a lower chance of reoccurrence. This high cure rate allows for immediate reconstruction without the delay of waiting for traditional pathology results.
What Does Reconstruction follo@headingTag>
Since each case is unique, there is no average cost for MOHS reconstruction surgery, but Dr. Gene will go over expense estimates during your initial consultation. MOHS reconstruction surgery is usually covered at least in part by health insurance, so our office will communicate with your insurance company to determine your benefits and coverage.
Plan Your Procedure
- Recovery Time
- 1 - 4 Weeks
- Average Procedure Time
- 2 - 4 Hours
- Post-op Follow-up
- 1 Day
- Procedure Recovery Location
- Overnight Stay in Hospital
Reconstruction following MOHS @headingTag>
- Aggressive skin cancer
- Basal cell carcinoma
- Larger cancers
- Merkel cell carcinoma
- Nonmelanoma skin cancer
- Skin cancer on the head or neck
- Skin cancer with undefined borders
- Squamous cell carcinoma
MOHS reconstruction surgery is best for patients who have areas of skin cancer on their face and neck that need to be removed while leaving as much healthy skin and tissue as possible. Skin reconstruction after the cancer excision should also be performed by a skilled facial plastic surgeon like Dr. Gene to give you the best, most natural results.
Incisions and Scars?@headingTag>
Since the goal of MOHS reconstruction surgery is to fully remove unhealthy tissue and restore your appearance, Dr. Gene makes every effort to place surgical incisions in easily concealed areas of the face and neck. Since the head is a highly visible area, it is important to follow all of Dr. Gene’s instructions and recommendations on scar care management to ensure smooth, flat scars that blend into the normal skin.