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.