Wound Treatment


Are you dealing with the frustrations of an acute or chronic wound that won’t heal? Phoenix Plastic Surgery can provide you with the compassionate care and effective treatment options you need to get back on track. Our skilled plastic and cosmetic surgeon, Dr. Roni Prucz, is an expert in the treatment of wounds.

Understanding Wound Reconstruction: A Multifaceted Approach

Wound reconstruction involves a range of techniques and approaches tailored to the specific characteristics of the wound. These techniques are essential for both acute wounds, such as those resulting from trauma or surgical procedures, and chronic wounds, which may be caused by conditions like diabetes or vascular disease.

1. Excision and Closure: Precision and Healing

  • Excision: The first step in wound treatment often involves the removal of damaged tissue, which can impede the healing process and increase the risk of infection.
  • Closure: Once the wound is clean and healthy, it can be closed primarily, meaning the edges of the wound are brought together. This promotes faster healing and reduces the risk of complications.


Arizona Society of Plastic Surgery Award for Best Plastic Surgery

2. Wound Treatment with VAC (Vacuum-Assisted Closure) Therapy

  • Wound VAC: This specialized therapy involves the application of a vacuum-assisted dressing over the wound site. The negative pressure created by the system removes excess fluid, reduces swelling, and promotes the formation of healthy tissue.


3. Skin Grafts: Bridging the Gap

  • Skin Graft: In cases where there is a significant loss of skin tissue, a skin graft may be necessary. This procedure involves taking a piece of healthy skin from one part of the body (the donor site) and transplanting it to cover the wound. Skin grafts can be full-thickness or split-thickness depending on the depth of the wound.


4. Adjacent Tissue Transfer: Localized Solutions

  • Adjacent Tissue Transfer: Sometimes, healthy tissue located adjacent to the wound can be mobilized and transposed to cover the wound. This technique is particularly valuable for small- to medium-sized defects.


5. Muscle Flaps: Complex Wound Treatment

  • Muscle Flaps: In situations where wounds are large, deep, or complex, muscle flaps may be used. Muscle flaps involve transferring a section of muscle, along with its blood supply, to the wound site. This provides robust tissue coverage and facilitates healing.


Choose Precision and Healing: Phoenix Plastic Surgery

When acute or chronic wounds disrupt your life, trust the hands of an experienced expert. At Phoenix Plastic Surgery, we take a comprehensive approach to wound care, focusing on addressing the underlying issues that are preventing the wound from healing. With years of experience and top-notch training, Dr. Prucz is the number one rated Plastic Surgeon in Phoenix, Scottsdale Top Plastic Surgeon, and a Paradise Valley Top Plastic Surgeon. Click here to schedule your consultation now!

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Financing Options

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Cherry Payment Plans

Cherry introduces an exciting and hassle-free approach to accessing your desired services without immediate payment. Embracing an instant financing program, Cherry conducts a soft credit inquiry, ensuring there's no impact on your credit score. Afterward, you have the freedom to book and pay for your service right away, with flexible rate and payment plan options that you can customize according to your preferences (with some aspects influenced by your credit score).

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CareCredit is your dedicated healthcare companion, tailor-made to cater to your well-being aspirations. It serves as your passport to managing expenses for a wide range of treatments and procedures, all while ensuring your budget stays on track with convenient monthly payment options. Our commitment to your healthcare journey extends to proudly offering CareCredit, which is accepted by an extensive network of over 250,000 providers nationwide, to assist you in achieving your paramedical goals.

Related Procedures


Artificial Joint Infections

Artificial joints (i.e. arthroplasty) of the knees, hips, and shoulder can become exposed or infected.  Our team works closely with Orthopedic surgeons to cover exposed hardware to minimize the risk of amputation.  We perform more joint salvage procedures than any other reconstruction team in the Valley.

Brachial Plexus Repair

The brachial plexus is a network of nerves that control motion and sensation of the arm and hand.  Nerve transfers, nerve grafts, and nerve decompression can improve these symptoms.
Cosmetic Reconstructive

Breast Implant Removal

Breast implants are removed for a variety of reasons including infection, capsular contracture, and implant sickness syndrome.  Depending on the clinical scenario the breast implant may be replaced.
Reconstructive Cosmetic

Breast Implant Illness

Breast Implant Illness, also known as Breast Implant Sickness Syndrome, is a complex phenomenon that some individuals may experience. It involves a range of symptoms, including fatigue, joint pain, memory issues, and more. Treatment requires breast implant removal.
Cosmetic Reconstructive

Breast Implants

Breast augmentation is when a silicone or saline implant is placed beneath the breast tissue or the pectoral muscle to improve the size and shape of a breast.  Breast implants are also used for breast reconstruction.

Breast Reconstruction

After lumpectomy (i.e. partial breast removal) or mastectomy (total breast removal) for the treatment of breast cancer there are many options available for reconstruction.  These options include breast implants, local muscle flap (i.e. latissimus muscle), and free tissue transfer (i.e. microsurgery/DIEP).  Please click the specific procedures to learn about each of these options.
Cosmetic Reconstructive

Breast Revision

Breast surgeries can be complicated by infection, capsular contracture, and unwanted cosmetic results.  Our surgical team specializes in correcting these deformities to restore the breast size and shape you desire.

Burn Reconstruction

Burns can be severe injuries causing significant deformities, contractures, and limiting mobility.  A variety of options including skin grafts, tissue expanders, and flap reconstruction can be used to improve these injuries.

Carpal Tunnel Release

Carpal tunnel syndrome causes numbness of the hand, pain, and weakness.  Surgical decompression of the median nerve improves these symptoms.

Cubital Tunnel Release

Cubital tunnel syndrome causes numbness of the hand, pain, and weakness.  Surgical decompression of the ulnar nerve improves these symptoms.

DIEP Flap Breast Reconstruction

A DIEP (i.e. deep inferior epigastric perforator) flap reconstruction uses the patient’s own abdominal tissue to reconstruct the breast.  The skin and fat is lifted off of the abdominal muscle and transferred to the breast.  With this advanced technique, which is performed by only a few surgeons in the Valley, the patient’s breast are reconstructed without implants using her own abdominal tissue.  As an added bonus since the transferred tissue is from the belly the patient gets a tummy tuck! Also, unlike a TRAM (i.e. transverse rectus adipomyocutaneous) flap reconstruction, the abdominal muscles are not removed decreasing hernias and bulges.
Cosmetic Reconstructive

Ear Surgery

Otoplasty is a surgical tool used to correct prominent ears and improve the appearance of other common ear deformities.   Tears or large holes from ear piercings can also be corrected.

Facial Fractures

Fractures of the face often require surgery to return the bones to their normal position.  Plates and screws are often applied to keep the bones in the correct position.  Treatable fractures include injuries to the mandible, orbit, cheek (i.e. zygoma), and nose.
Cosmetic Reconstructive

Fat Grafting

Fat grafting is a safe and permanent alternative to synthetic fillers that uses liposuction to harvest your excess body fat and transfer it to areas needing soft tissue augmentation.  This powerful technique can be used to reduce wrinkles, correct dark eyes, and large fat transfers can also be used for breast surgery.

Hand Dislocations

Dislocations of the joints of the hand often require surgery to return the bones to their normal position.  Wires and screws may be need to keep the joints in their normal position.

Hand Fractures

Fractures of the hand often require surgery to return the bones to their normal position.  Plates and screws are often applied to keep the bones in the correct position.  Treatable fractures include injuries to the fingers, wrist, and forearm.
Cosmetic Reconstructive

Hernia Repair

Hernias occur when there is an opening or weakness in the muscle or tissues of your abdomen creating abnormal bulges, pain, and possible GI symptoms.  Commonly treated hernias include umbilical and ventral hernias.  Mesh is often used to restore integrity to the abdominal wall and to eliminate bulging that cannot be improved with exercise alone.

Latissimus Muscle Flap

The latissimus muscle is a back muscle and one of the largest muscles of the body.  The muscle can be transferred for reconstruction of the breast or torso.  The latissimus can also be transferred as a free flap for reconstruction of extremity wounds.

Limb Salvage

Traumatic injuries and cancer may require that a limb be amputated.  Our team is one of the most experienced groups in the Valley with a high success rate for limb salvage.  Advanced surgical techniques are routinely offered to preserve functional limbs whenever possible.
Reconstructive Cosmetic

Lipomas and Cysts

Lumps and bumps are due to a variety of abnormal growths including lipomas (i.e. benign growths of fat) and cysts.  They can cause disfigurement, pain, and infections. Only removal by a skilled surgeon that completely excises the abnormal tissue can ensure these lesions do not recur.
Cosmetic Reconstructive


During a mastopexy (i.e. breast lift) procedure droopy nipples (i.e. breast ptosis) and deflated breasts are reshaped to create a more perky appearance.  This procedure is similar to a breast reduction although minimal breast tissue is removed.  A mastopexy is also commonly performed after breast implant removal to remove excess skin.


Microsurgery is an advanced surgical technique where a microscope is used to repair nerves and blood vessels.  It is also a powerful tool for transferring tissue from one part of the body to another (i.e. free flap) and reattachment of severed parts (i.e. replantation).  Microsurgery reconstruction is typically reserved for complex problems where skin grafting and local muscle flaps are not an option.

Migraine Surgery

Migraine surgery can reduce headache frequency, duration, and pain by decompressing the sensory nerves and vessels that may be causing your symptoms.  Trigger points can be surgically released.  Botox may also be effective.

Morel Lavallee

Morel Lavallee are a closed degloving soft tissue injury that is caused by abrupt separation of the skin and subcutaneous tissue from the underlying fascia. These often lead to recurrent fluid collections and are very commonly misdiagnosed.

Muscle Flap

Muscle flaps are a powerful tool for reconstructive procedures. By transferring muscle to different parts of the body soft tissue defects can be corrected to cover bone, nerves, vessels, artificial joints, and other hardware.

Nerve Injury

Nerve injuries can cause permanent disability.  Using advanced surgical techniques including microsurgery, nerve grafts, and nerve transfers function can be restored.
Cosmetic Reconstructive


Prominent ears are ears that stick out from the head more than is considered normal. During an otoplasty procedure the ear is reshaped and repositioned by correcting the cartilage and skin deformity.  The surgery takes about an hour to complete and the results are permanent.

Peroneal Nerve Decompression

Peroneal nerve compression causes numbness of the foot, pain, and weakness with ankle extension.  Surgical decompression of the peroneal nerve improves these symptoms.

Sarcoma Reconstruction

Sarcomas are a type of cancer  of the bones and soft tissue.  Surgical removal often creates large defects that require extensive reconstruction.  Our team performs more sarcoma reconstructions than any other medical team in the Valley.

Scalp Reconstruction

Injuries to the scalp from trauma, chronic wounds, or defects from cancer can be reconstructed using a variety of surgical techniques including skin grafts, tissue expanders, and local tissue rearrangement.
Cosmetic Reconstructive

Scar Revision

Scars from injuries or prior surgeries can be improved with non-surgical options such as skin resurfacing or with surgery to create a finer scar.  Contractures, contour deformities, discoloration, and wide scars can often be significantly improved.
Reconstructive Cosmetic

Skin Cancer

Cancers of the skin include basal cell carcinoma, squamous cell carcinoma, and melanoma.  Our team specializes in removing these cancers and reconstructing the affected area to minimize scarring.

Spine Reconstruction

Spine surgeries including decompressions and fusions can become exposed or infected.  Our team works closely with Spine surgeons to cover exposed hardware and reconstruct surgical wounds.  We perform more spine salvage procedures than any other reconstruction team in the Valley.

Sural Flap

A sural flap is an adipofascial flap used to reconstruct wounds of the ankle and leg. It provides thin pliable skin without the need for a skin graft.

Targeted Muscle Reinnervation

Targeted Muscle Reinnervation (i.e. TMR) is a surgical procedure that prevents neuroma formation by transferring an injured nerve to a recipient nerve. The recipient nerve provides a "pathway" for the injured nerve to regenerate decreasing pain allowing an amputee to more comfortably wear their prosthesis.

Tarsal Tunnel Decompression

Posterior tibial nerve compression causes numbness of the foot, pain, and weakness of the ankle.  Surgical decompression of the tibial nerve improves these symptoms.

Tendon Injuries

Tendon injuries result in loss of flexion or extension of the fingers and/or wrist.  Surgery is often needed to repair the tendon to restore function.

Tissue Expander

A tissue expander is an empty implant that is placed beneath skin and fat to stretch tissue.  Expanders are used commonly in breast reconstruction, burn injuries, and anywhere else where additional skin is needed to fix an injury.
Reconstructive Cosmetic

Vascular Malformations

Vascular malformations are abnormal growths of the blood vessels.  These malformations can create painful "lumps and bumps" and resection often requires reconstruction using local tissue advancement techniques.

Wrist and Hand Fractures

Wrist, hand, and finger fractures are common injuries that can cause pain, swelling, and limited mobility. Surgical treatment is often required.