Facial Reconstruction after Mohs Skin Cancer Surgery
Mohs Micrographic Surgery is microscopically-controlled surgery used to treat common types of skin cancer like basal cell and squamous cell carcinomas. Mohs has come to be accepted as the single most effective technique for removing these two types of skin cancers. Sometimes a surgical defect from the Mohs surgery requires a special closure or is located in a cosmetically sensitive area and requires reconstruction.
Our Facial Plastic Surgeon Dr. David LaPatka often works with our team of dermatologists to provide reconstruction surgery to patients that require it. At Sansum Clinic Facial Plastic Surgery and Aesthetics, teamwork is emphasized and valued, and every member of our team works together to meet our patients’ needs and improve patient outcomes.
FREQUENTLY ASKED QUESTIONS
How is Mohs Reconstruction Performed?
Dr. LaPatka has extensive experience repairing facial defects created by cancer. Mohs reconstruction is performed utilizing different types of grafts and/or flaps to close the defect. The type of repair performed depends on the size and location of the wound.
How long will the reconstruction procedure take?
Most reconstructions are performed under local anesthesia in the office. Larger repairs may be performed under twilight sedation in an outpatient surgical center. Rarely is general anesthesia required. Depending on the size of the defect, repair can average approximately 30 minutes to 2 hours. The vast majority of patients go home immediately after the procedure. When performed in the outpatient surgery center under twilight anesthesia, patients are observed for approximately one hour after the procedure prior to being discharged with a companion.
Does it hurt?
Most patients do not complain of significant pain after the procedure. In fact, the majority only take over-the-counter Tylenol for pain. Most patients can go back to work the day after the procedure. Some patients opt to take more time off depending on the type of repair performed, and all are given specific wound care instruction prior to leaving the office in order to allow for the best possible healing and outcome.