No, you should probably have it now

Richard P. Rand, MD answers: Is clinical recurrence required for Mohs Micrographic Surgery?

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?


Richard P. Rand, MD
11 months ago
By Richard P. Rand, MD - Seattle Plastic Surgeon

While this doesn't substitute for a consultation with a qualified plastic surgeon, it sounds as though you might now be a candidate for Moh's. The advantage of this would be to remove all BCC with clear margins and a minimal recurrence risk while sparing as much normal tissue as possible especially on your face. A proper reconstruction can then be done preferably by a plastic surgeon, not the Moh's dermatologist.

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