Mohs reconstruction

Mehryar (Ray) Taban, MD answers: How to repair Mohs surgery wound?

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!


Mehryar (Ray) Taban, MD
2 months ago

It is best to reconstruct the area of the defect soon after Mohs procedure to prevent infection and provide the best aesthetic outcome. This is done best using local flaps, although at times skin grafts can be used. Occasionally, if the defect is very deep, it can be left to granulate partially, before reconstruction.

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