Reconstructive Surgery after Mohs

Reconstructive surgery can involve a variety of techniques depending on the location and size of the defect, as well as the patient’s individual needs and preferences.

Some common techniques include:

1. Primary Closure: In some cases, the wound can be closed side to side with sutures or stitches immediately after the cancer is removed and allow it to heal on its own. This technique is often used for small defects that are located in areas of the body with plenty of loose skin.
2. Skin Grafts: A skin graft involves taking a piece of skin from one area of the body (usually from a hidden area like behind the ear, overlying the collar bone or the back of the arm) and using it to cover the defect. This technique is often used for larger defects or those in areas with less loose skin.
3. Local Flaps: A local flap involves moving a section of nearby healthy tissue to cover the defect. This technique is often used for wounds that are too large for a primary closure. It is often used for defects in areas with plenty of skin and tissue nearby, such as the face or scalp.
4. More advanced reconstruction: For larger and more complex repairs, Dr. Stees may refer you to a plastic surgeon to have the surgical defect repaired. Additionally, it is always an option to have your surgical defect repaired by a plastic surgeon once Mohs surgery is completed. This can be discussed before or on the day that you undergo Mohs surgery.

The type of reconstruction used will depend on the size, location, and extent of the skin cancer, as well as the patient’s individual needs and preferences. Dr. Stees will explain each procedure and help you determine the best course of treatment for your specific situation.

In most cases, reconstructive surgery will be performed on the same day as your Mohs surgery. However, for larger or more complex defects, the reconstructive surgery may need to be delayed until a later date to allow for proper planning and preparation. In these cases, your Mohs surgeon may perform the reconstruction themselves or refer you to a plastic surgeon who can perform the reconstruction surgery at a later time.

It’s important to keep in mind that the decision about when to perform reconstructive surgery will depend on the specific details of each case, including the size and location of the defect, as well the patient’s overall health and any other medical conditions they may have.