Reconstructive considerations in the surgical management of melanoma.

Patients with melanoma of the head and neck and distal extremities present demanding challenges to the reconstructive surgeon. Oncologic principles should not be routinely compromised for aesthetic or functional concerns in patients with potentially curable melanoma. A well-planned reconstruction can minimize aesthetic and functional deficits. Reconstruction of the face emphasizes function; aesthetics is an important consideration. Reconstruction of the hands and feet places primary emphasis on the preservation of function; aesthetics plays a secondary role. Proper application of specialized reconstructive techniques is necessary to optimize outcome after relatively radical melanoma excisions.