Mohs Reconstruction

Mohs reconstruction is a surgical technique performed after the removal of skin cancer using Mohs micrographic surgery. Mohs surgery is a highly precise technique that is used to treat certain types of cancers, particularly basal cell carcinomas and squamous cell carcinomas.

This procedure involves removing cancerous tissue, layer by layer until only healthy tissue remains. Once the cancer is successfully removed, Mohs reconstruction focuses on repairing the affected area to minimize scarring and restore the skin’s natural appearance.

Following the successful removal of the cancerous tissue, a variety of reconstruction techniques may be used including:

• Primary Closure: For small, straightforward wounds where the edges can be directly sutured together.

• Local Flaps: Nearby skin is stretched and moved to cover the affected area. This method is often used for facial reconstruction to match the texture and color of the surrounding skin.

• Skin Grafts: This technique involves taking skin from one part of your body and grafting it onto another to cover or repair a wound.
• Cartilage Grafts: In cases where the cancer removal affects the structural integrity of the nose or ear, cartilage grafts may be used to rebuild the affected areas.

• Staged Reconstruction: For extensive cases, reconstruction may be done in multiple stages to ensure optimal healing and cosmetic results.

Patients who are undergoing treatment for cancers in visible areas or near critical structures are ideal candidates for Mohs reconstruction. Even if you’ve already had skin cancer removed from your face, ears, nose, or other prominent area, Mohs reconstruction can help to restore your appearance.

Key Benefits of Mohs Reconstruction:

• Precise Cancer Removal: Mohs surgery meticulously removes only cancerous tissue, preserving as much healthy tissue as possible to support better healing and cosmetic outcomes.

• Aesthetic Restoration: Reconstruction aims to restore both the function and appearance of the treated area, especially in cosmetically sensitive areas like the face.

• Tailored Approach: Mohs reconstruction is customized to fit the exact size, location, and depth of the cancer, ensuring the best possible outcome for each patient.

• High Success Rate: Combining Mohs surgery with reconstruction can provide a comprehensive benefit for patients undergoing cancer treatment, reducing the likelihood of recurrence.

Common Reasons for Mohs Reconstruction:

• Skin Cancer on the Face: Critical areas such as the nose, lips, eyelids, and cheeks require precise treatment to maintain both function and appearance.
• Large or Deep Lesions: When the cancer extends deeply or covers a large surface area, reconstruction may be necessary to close the wound and achieve a natural look.
• Recurrent Skin Cancer: Patients with recurring skin cancer may face complex tissue damage, making reconstruction an essential part of treatment.

Recovery from Mohs reconstruction depends on the extent of the procedure and the individual’s healing ability. While most patients can return to normal activities within a few days to a few weeks, there are a few things you can do to optimize your healing.

Post-Operative Care Tips:

• Follow all care instructions
• Manage discomfort with over-the-counter pain relievers or prescribed medications
• Keep the treated area clean and out of direct sunlight
• Make sure to attend all follow-up appointments to monitor healing and address any concerns

Mohs reconstruction is a vital part of cancer treatment, offering both cancer removal and aesthetic restoration. At Greenwich ENT, our team of skilled surgeons is dedicated to providing high-quality care to prioritize your health and improve your appearance.