Mohs Reconstruction

Mohs reconstruction surgery is a procedure to repair skin defects after Mohs micrographic surgery, which removes skin cancer with precision. It involves reconstructing the wound using techniques like skin grafts or local tissue flaps to restore function and appearance.
FACIAL PLASTIC SURGEON VIRGINIA
Mohs Reconstruction Surgery

What You Should Know About Reconstructive Work After Mohs Surgery

Facial plastic surgeon Dr. V repairs cosmetic and physical defects after Mohs surgery using techniques that are designed to improve the appearance of the surgical site while preserving the patient's natural facial structure.
Mohs reconstruction surgery

Mohs Surgery

The skin cancer treatment known as Mohs micrographic surgery involves surgically removing layers of cancerous skin cells until only healthy, non-cancerous tissue is reached (referred to as 'clear margins'). Although widely recognized as an effective treatment option for most forms of skin cancer, the Mohs procedure does involve removing a significant amount of skin and tissue, and has the potential to create a prominent or disfiguring scar, which can be particularly problematic for patients who have had Mohs surgery performed on their face. In addition to scarring issues, Mohs surgery can also create facial defects that detrimentally impact the functionality of the facial structures (nose, eyes, lips etc.).

Addressing Facial Defects

Because skin cancer removal can result in disfiguration, it is beneficial to have a facial plastic surgeon such as Dr. V work together with your dermatologist performing the Mohs micrographic surgery, in order to ensure that the surgical scarring is as inconspicuous as possible and to minimize the risk of post-surgical functional or aesthetic complications.

The Mohs Reconstruction Procedure

  • Your Mohs reconstruction will be performed at Dr. V's office, and will likely be scheduled for a few hours after your Mohs micrographic surgery - typically performed at your dermatologist's office.
  • Mohs reconstruction can be performed under local anesthesia and usually takes less than an hour to complete. The exact time frame may vary depending upon the extensiveness of the scarring and reconstruction required.
  • During the procedure, Dr. V will employ either a local flap technique or a skin graft to repair the defect. The local flap method utilizes skin adjacent to the scar for coverage, while the skin graft procedure entails the removal and subsequent transplantation of skin from the base of the neck or around the ear.
  • Complex defects in or around the nose region may require more than one surgery to achieve optimal reparative results.

Mohs Reconstruction Recovery

  • The recovery period following Mohs reconstructive surgery is approximately one week, during which time, any discomfort can be managed with over-the-counter medications.
  • Your sutures will be removed within one week, and you will advised to use proper sun protection and medical-grade scar cream in order to facilitate proper healing.
  • You should notice visible improvements in the appearance of your scar within 14-21 days, and these results will continue to improve gradually over the next 9-12 months.