Mohs Reconstruction Surgery

Mohs Reconstruction is a procedure that allows a surgeon to reconstruct the skin of the face, scalp or neck after a defect is created by Mohs surgery. Mohs surgery is an advanced technique done by specially-trained dermatologic surgeons to remove skin cancer. Skin cancer occurs most frequently on the face, scalp, neck, and particularly the nose. An unfortunate byproduct of Mohs surgery is the formation of a skin defect.

That is where Dr. Furze steps in. Dr. Furze skillfully and artistically reconstructs the area of the face, head or neck, with several methods that depend on the size of the defect. Some patients may have procedures which require one stage to reconstruct while others may require multiple stages. This procedure can be done in-office depending on the location and the size of the area that needs reconstruction. Dr. Furzes extensive training in Mohs reconstruction allows him to excel in functional and aesthetic reconstruction of the area. Additionally, Dr. Furze’s training in Facial Plastic and Reconstructive Surgery allows him to reconstruct the area with optimal aesthetics and beauty in mind.

If patients have defects in parts of their nose, face, scalp, neck, or ears, Dr. Furze can recreate that area to make it appear flawless. For example, Dr. Furze’s comprehensive knowledge with nasal anatomy, which has allowed him to become an expert in Rhinoplasty, enables him the opportunity to not only reconstruct the nasal defect, but to do so with elegance, thus restoring the natural beauty of the area.

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Mohs surgery–considered the single most effective method for treating common types of skin cancer–has been widely-used for decades. A multi-step process in which the damaged, cancerous skin is removed layer by layer, Mohs surgery is often preferred because it spares much of the surrounding healthy tissue from excision–unlike some other skin cancer removal methods. Although Mohs surgery is a highly precise technique that can minimize the chance of scarring, the procedure–like all surgical procedures–has the potential to leave a visible scar.

The primary goal of Mohs surgery is to remove cancerous skin cells. The size of the cancerous lesion, its location and an individual’s skin type all play a role in the development of a post-surgical scar. In cases where the risk of a marked post-procedure defect is high, Dr. Furze can perform Mohs reconstruction surgery to promote optimal healing and improve the appearance of the skin.

If you need Mohs surgery, it is highly recommended that you coordinate the removal of the cancerous skin with both your dermatologist and a qualified plastic surgeon. As a specialist in facial plastic surgery, Dr. Furze has extensive training and experience in post-surgical skin repair–from straight-forward wound closure to complex tissue rearrangements. Dr. Furze employs different reconstruction methods after Mohs surgery, depending on the size and severity of the post-procedure defect. He will choose the most appropriate technique according to the individual case. Some options include:

  • Local skin rearrangements (referred to as flaps)
  • Skin grafts
  • Tissue transfer (skin, bone, cartilage)

Minor tissue reconstruction can be done immediately after the removal of the lesion. For more extensive skin cancers, the treatment and care process will be more involved and may take several days.

During a Mohs reconstruction procedure, anesthesia is given to ensure patient comfort. Usually intravenous sedation (twilight anesthesia) is administered, although some cases may require general anesthesia.

Mohs Reconstruction Surgery Recovery Process

Mohs reconstruction surgery does not typically require extensive downtime and most patients can resume their normal routines within a day or two. However, it can take several weeks for the skin to fully heal. In most instances, strenuous activities should be avoided for the first week and, in some cases, longer. Specific instructions will depend on the nature of the reconstruction. In general, sun exposure should be minimized–not only to limit the possibility of permanent discoloration of the skin, but also to reduce the risk of additional skin cancer.

FAQs for Mohs Reconstruction Surgery

Q Who is a good candidate for Mohs reconstruction surgery?

Individuals with larger cancerous lesions and a history of recurrent skin cancers may be candidates for Mohs reconstruction surgery. If the cancer appears in sensitive areas, such as the nose, ears, lips or eyelids, involving a plastic surgeon immediately after the tumor has been removed can be advantageous.

Q Are there any risk factors associated with Mohs reconstruction surgery?

Like any surgery, Mohs reconstruction surgery carries some risks. Underlying health issues can affect the healing of the wound. However, Mohs reconstruction is considered a safe procedure.

Q What should I do to prepare for Mohs reconstruction surgery?

Dr. Furze will provide complete pre-operative instructions. During your consultation it is important that you provide a full report of past and present medical conditions. Depending on your medical history, he may require you to avoid certain medications and/or supplements; if you are a smoker, you will be advised to quit.

Q Does Mohs reconstructive surgery require a hospital stay?

In the majority of cases, Mohs reconstructive surgery is done on an outpatient basis and does not require an overnight hospital stay. Because the procedure requires anesthesia, you should arrange for a family member or friend to accompany you home after your surgery.

Q Are stitches required after Mohs reconstructive surgery?

Because Mohs reconstructive surgery is performed in cases where there has been significant tissue loss, closure of the wound requires sutures. The sutures will be removed within 7 days.

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