The truth is, the term “skin cancer recon” is an awfully vague term. Aside from differences in referral patterns, geographic location, private vs academic, etc There are large differences in anatomic location, type of malignancy, and structures involved. I’m in PRS. At my hospital (2000 bed tertiary refers center), we do 75% of melanoma, including both resection and recon. Basal cells are mostly done by derm, unless the tumor involves deeper structures or patient requests plastic surgery involvement. SCCs vary a little more depending on who diagnosed it. This is just one example. One can do “skin cancer recon” in derm or PRS. With PRS one will have vastly more tools at his or her disposal and can probably expect more complicated recons / bigger whacks.
In terms of your original question — there probably aren’t “big players” anymore because medical literature advances so quickly now with epubs and so many journals. Rather than waiting for one surgeon to publish their 500 nasal recons accrued over 30 years, people are constantly publishing small incremental differences in techniques etc