After a skin cancer excision, the treatment site is often left with a gaping and unsightly hole where the affected tissue once was. Known as Moh’s surgery, this is a highly effective technique for removing skin cancer. Unfortunately, it can also cause disfigurement if the treatment site is left unrepaired. Here at Bose Plastic Surgery, we understand how important it is to restore a skin cancer patient’s appearance as closely to the pre-surgery appearance as possible. We offer skin cancer defect reconstruction for patients who have undergone Moh’s micrographic surgery and desire repair of defects in cosmetically sensitive areas, such as the face.
We believe that a well-administered Moh’s reconstruction can help patients feel more confident and make a stronger emotional and physical recovery after being diagnosed with skin cancer. We have patients from all over Valparaiso and the surrounding areas who visit our office for reconstruction on Moh’s defects located on the forehead, scalp, nose, ear, cheeks, and more.
No two patients’ defects are exactly the same. That is what makes Moh’s reconstruction so unique. Dr. Bose will assess each individual’s needs and recommend one of three reconstructive techniques. They include:
Primary closure reconstruction is a basic suturing of the edges of a defect, layer by layer. It is used in Moh’s defects that are very small and isolated to broad areas of the skin, such as the cheeks and forehead. This ensures the procedure will not affect the appearance of more prominent facial features, such as the nose or eyes.
Larger defects and those close to prominent facial structures may require a local flap closure. In this type of repair, healthy tissue from an adjacent area of the skin is freed and stretched or rotated to fill in the defect.
Skin grafting is a technique often used to fill in shallow areas of missing skin. Dr. Bose may peel away only a thin layer of skin or retrieve the full thickness of skin from a donor site. The donor site is sutured shut and typically heals leaving only a small scar.
The nature of the procedure will depend largely upon how complex it is. In many cases, we can perform a Moh’s primary closure reconstruction with only a local anesthetic, and sometimes from the comfort of our office. For larger or more complex procedures, the reconstruction may take place in an outpatient facility with IV sedation.
The vast majority of Valparaiso Moh’s reconstruction patients go home the same day as the procedure. Initial discomfort is typically managed with an over-the-counter pain medication. Dr. Bose will provide instructions for wound care and follow-up. In most cases, patients take only a few days to fully recover, with stitches being removed in about a week, and the wound showing signs of nearly complete healing within just a few weeks. The appearance of the scar will continue improve and fade over the following months.
If you are planning to undergo Moh’s surgery for skin cancer removal, contact Dr. Bose and the team here at Bose Plastic Surgery so that we may coordinate with your Moh’s surgeon to ensure an optimal reconstructive repair. Dr. Bose will discuss options for repairing your defect and address any questions or concerns you may have about the procedure.
If you would like more information about Moh’s reconstruction or would like to schedule a consultation with Dr. Bose, contact the team here at Bose Plastic Surgery. We look forward to serving you soon.