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Post MOHS Reconstructive Surgery

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MOHS surgery is the treatment with the highest cure rate for removing common types of skin cancer, such as melanoma, squamous cell carcinomas and basal cell carcinomas.1 Skin cancer is most commonly found on areas of the body most exposed to sunlight and ultraviolet (UV) radiation such as the head and neck, but it can develop on any area of the body.2

The MOHS procedure, also referred to as micrographic surgery, is done in several stages by a MOHS surgeon or dermatologist to ensure complete elimination of all cancerous cells while leaving healthy tissue intact. However, depending on the size of the cancerous lesions that need to be removed, MOHS surgery can sometimes leave a visible hole or divot in the skin. In these cases, the patient may desire MOHS reconstruction surgery.

Senior woman touching skin

MOHS Reconstruction In Houston

MOHS reconstruction is an outpatient plastic surgery procedure that is performed to improve any skin irregularities or deformities that develop following the removal of skin cancer lesions. MOHS micrographic surgery can correct holes, divots, and scarring at the surgical site resulting from skin cancer removal.

For visibly noticeable skin irregularities such as especially deep holes, many dermatologists recommend that a plastic surgeon, such as Dr. Rednam, perform reconstructive surgery to ensure evidence of the MOHS excision is less visible. Dr. Rednam has extensive experience in facial plastic and reconstructive surgery, including advanced dermatologic surgery closure techniques, and is dedicated to achieving the most natural results possible for each patient.

Post MOHS Reconstruction Procedure

The post MOHS reconstruction procedure is generally performed under sedation. There are several surgical techniques that can be used for MOHS reconstruction. Depending on the individual patient’s needs, Dr. Rednam may utilize a local flap technique to move some of the surrounding skin and tissue around to fill in the gaps left by cancer. Alternatively, Dr. Rednam may determine that a skin graft is indicated, which involves taking a piece of skin from another area of the body to fill in the gap. There are a variety of flaps that can be used such as rotational flaps, transposition flaps, and interpolated flaps. At the end of surgery, Dr. Rednam will use sutures to close the wound in the most aesthetically pleasing way possible. Each patient is unique and requires different care. At an initial consultation, Dr. Rednam discusses the options with each patient, to determine the treatment plan and surgical procedure that is best for them.

Post MOHS Reconstruction Results

Results from this reconstructive procedure are both immediate and progressive. While the wound is closed during surgery, swelling, redness and any scarring takes longer to heal. Patients are asked to refrain from strenuous activity for at least a week, to insure proper recovery. Post MOHS patients can also improve any scarring scar treatments such as Biocorneum Scar Cream.

Schedule A Consultation For Post MOHS Reconstruction Surgery

If you are interested in learning more about post MOHS reconstruction surgery or would like to schedule a consultation, please contact us today.


1 Seminars In Plastic Surgery. Mohs Micrographic Surgery: Development, Technique, and Applications in Cutaneous Malignancies. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951690/. Accessed September 2, 2021.
2 Mayo Clinic. Skin cancer. Available: https://www.mayoclinic.org/diseases-conditions/skin-cancer/symptoms-causes/syc-20377605. Accessed September 2, 2021.

Dr. Rukmini Rednam has either authored or reviewed and approved this content.

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