MOHS RECONSTRUCTION

Mohs Reconstruction

Mohs Reconstruction is a procedure to reconstruct the face after a defect is created in the face by Mohs surgery.  Mohs surgery is an advanced technique by specially trained dermatologic surgeons who use this to removed skin cancer.  Skin cancer has the highest propensity of being on the face, and most commonly the nose.

Dr. Shah expertly reconstructs the face depending on the size of the defect.  Some patients may have procedures which require one stage to reconstruct while others may require multiple stages.  Dr. Shah's emphasis in reconstruction is to allow for functional and aesthetic reconstruction of the area.

Examples of Defects Repaired by Dr. Shah:

Cheek defects Lip defects Alar reconstruction
Bilobe flap Rieger flap Rhomboid flap
 

What percent of success does Moh’s have?

98% success rate in basal cell carcinoma on face

Surgical excision vs Mohs' micrographic surgery for basal-cell carcinoma of the face: randomised controlled trial. Lancet. 2004 Nov 13;364(9447):1766-7

Preoperative Mohs Reconstruction Instruction

Postoperative Mohs Reconstruction Instructions

  1. Clean off any crusts with hydrogen peroxide solution (over the counter) with a q-tip. This is to keep maintain your incision and allow for the best healing possible.

  2. Apply topical ointment to incision. Keep covered with ointment at all times.

  3. Apply ice to eyes with an ice pack. Some patients have found frozen peas effective.

  4. Keep head above heart while sleeping by using a few pillows.

  5. A small amount of bleeding around the incision is normal for the first few days

Large Alar defect

Forehead defect

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