Atlanta Mohs Surgery doctors
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Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
365 East Paces Ferry Road, NE, Atlanta |
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5 answers |
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Windell C. Davis-Boutte, MD
Atlanta Dermatologist
4650 Stone Mountain Hwy Hwy78, Lilburn |
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Alexander Gross, MD
Atlanta Dermatologic Surgeon
1505 Northside Blvd Suite 1500, Cumming |
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Moises Salama, MD
Miami Plastic Surgeon
21097 NE 27th Ct Suite 335, Aventura |
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Melissa D. Babcock, MD
Atlanta Dermatologist
4890 Roswell Rd NE Suite B-10, Atlanta |
Recent Answers
I have Basal Cell Carcinona (BCC) in the face (upper maxilla ), and it was removed on November 22, 2008. However, the surgeon did an incomplete primary excision and the biopsy showed positive margins for BCC. I did some research, and the Mohs Micrographic Surgery (MMS) is a good option for the recurrent BCC. Do I need to have a clinical recurrence to undergo MMS?
Moh's is not limited to recurrent lesions. It is useful in areas where conservative resection, but complete, aids reconstruction. The lower eyelid is a good example.
I had basal cell carcinoma on my nose, and I had Mohs surgery to remove it. The following day, I had plastic surgery to close it up. The plastic surgeon did a skin flap reconstruction from skin from my nose, and it pulled skin from my left eye. It's extremely tight and looks lopsided and makes my eye really tired. Will it loosen up and even out when the stitches are out?
Most patients look pretty gruesome shortly after reconstruction of a defect left by Moh's micrographic surgery of the nose. Most of the time, the result improves dramatically. This, however, takes time. Too often surgeons get involved with manipulation of the wound healing process and create a bigger problem. Steroid injections and various adjustments should be done rarely.
I had Mohs surgery on 8/14 to remove a basal cell cancer from my forehead. The wound is now open and covered and I'm weighing my options for repair. It's about the size of a silver dollar. It does seem to be closing/shrinking from all sides, albeit ever so slowly.
What are the advantages/disadvantages of waiting for it to continue to close before doing a skin graft or skin flap? Thanks!
Most wounds of the body (including Moh's) will heal by themselves--referred to as healing by "secondary intention". The problems with this is that it may take a long time to close completely and usually, but not always, the scar is worse than if a well-executed surgical closure was performed.
The forehead usually yields very good scars with reconstruction. The surgeon has to plan the operation so that the eyebrows are not asymmetric and the end of the reconstruction and that the scars are properly placed. This can often be done with local anesthesia if cost is an issue. Sutures are out in about a week. The scars fade away over a several months.
I would have opted for closure if I were you, presuming my appreciation of your wound is accurate based on the description.
