Facial Reconstruction After Mohs Surgery - Fort Lauderdale / Boca Raton / Miami
Many patients request that Dr. Greene repair their Mohs surgery defects. It is very easy to coordinate care with Dr. Greene and the Mohs surgeon. Patients who desire the optimal cosmetic result come to see Dr. Greene at least one week prior to the Mohs procedure. Dr. Greene’s office will then coordinate the repair with the office of the Mohs surgeon. Both procedures are performed on the same day. For patients who do not yet have a Mohs surgeon, Dr. Greene will refer these patients to one of the excellent Mohs surgeons that he works with.
It is very common for patients to request that a plastic surgeon repair their Mohs surgery defect. Any patients who are scheduled to have a facial skin cancer removed can contact Dr. Greene’s office with any questions at 954-651-6600.
Dr. Greene has extensive experience in the reconstruction of Mohs surgical defects, and most of these procedures are performed in his office procedure suite. Mohs micrographic surgery is a procedure that is performed by dermatologists with advanced training in the removal of certain skin cancer types. These procedures are performed in the dermatologist’s office. Following removal of the skin cancer, a surgical defect that almost always requires repair remains. Dr. Greene utilizes highly specialized and meticulous techniques to minimize the appearance of the scar. As a facial plastic surgeon, he seeks to retain the natural appearance of the facial features.
This patient had a Mohs defect below her left eye. An advancement flap was
prevent any lower eyelid malposition. The patient was extremely pleased
with the final appearance of the scar.
This patient had a medium-sized Mohs defect of the nasal tip.
A bilobe flap reconstruction gave the patient an excellent result.
Dr. Greene sees patients in his office after the Mohs surgery has been performed. In the majority of cases, he repairs the defects in his office on the same day as the Mohs surgery. However, if the defect is extensive, he may choose to take the patient to an operating room setting for the repair. Dr. Greene uses a wide variety of techniques to optimize wound healing and final cosmetic result. He typically creates exceptional cosmetic results with all of these reconstructions.
If you plan to have a Mohs surgery performed for a skin cancer of the face, you can ask your Mohs surgeon about the possibility of repair with a facial plastic surgeon. You can also ask your Mohs surgeon if they would like to contact Dr. Greene to discuss your treatment. Dr Greene's office is equipped for Mohs reconstruction procedures on the same day as your Mohs surgery.
To schedule your consultation for reconstruction after Mohs surgery, call 954-651-6600 or email us at GreeneMD@DrRyanGreene.com.
Mohs Reconstruction Before and After Gallery
Click the image to view the Gallery Photos
Mohs Reconstruction Frequently Asked Questions
WHY IS PLASTIC SURGERY NEEDED AFTER MOHS SURGERY?
Mohs surgery is a procedure performed by dermatologists that removes certain skin cancers. Mohs surgery on the face can create large areas of skin and tissue loss that can cause disfiguring scars. Facial plastic surgeons are often asked to assist in the repair of these Mohs surgery defects, in order to achieve the best possible cosmetic result. Any patient who plans to undergo Mohs surgery and is concerned about the appearance of the eventual scar is an excellent candidate for a reconstruction by a facial plastic surgeon such as Dr. Greene.
WHY IS THE CHOICE OF SURGEON IMPORTANT FOR A FACIAL RECONSTRUCTION AFTER MOHS SURGERY?
Mohs surgery can lead to very large and complex defects. These can affect the function of facial structures such as the lips, eyes, and nose. Reconstructing these surgical defects takes a significant amount of skill. Dr. Greene has extensive experience taking care of patients who have undergone Mohs surgery.
WHERE ARE MOHS RECONSTRUCTION PROCEDURES PERFORMED?
The Mohs surgery is typically done in a dermatologist’s office. Dr. Greene is able to perform the majority of his Mohs surgery reconstructions in his office under only local anesthesia. Larger and more complex defects may necessitate a repair in the operating room. The repair is almost always performed on the same day as the Mohs surgery.
WHAT IS THE LENGTH OF THE PROCEDURE?
Small defects can be repaired in under an hour, while larger defects may take slightly longer.
HOW IS A MOHS RECONSTRUCTION PERFORMED?
Dr. Greene utilizes a number of different techniques to reconstruct Mohs surgery defects. He will sometimes use a local flap, in which he uses skin next to the defect for coverage. This involves carefully placed incisions to help move the skin over the defect. At times, a skin graft is used to cover the defect. This graft is taken from the skin around the ear or at the base of the neck. For very complex defects on the nose, multiple surgeries may be necessary.
WHAT IS RECOVERY LIKE AFTER A MOHS RECONSTRUCTION?
Recovery typically takes less than one week. Sutures are removed within one week. Discomfort is usually easily controlled with over-the-counter medication. While final scar maturation can take up to one year, the scar should look well healed within two to three weeks. For most patients, we recommend the use of a medial-grade scar cream. All patients should also apply sunscreen while outdoors to optimize the appearance of the scar.