What happens to Mohs surgery scar when healed by itself?

What can I expect after Moh's surgery if I let the scar heal on its own? I was told by a plastic surgeon that I could let it heal on its own, do a skin graft or nasal flap. I am curious as to how the body would heal on its own and what would the results look like?

Because of large pores on my nose, I am afraid a skin graft would be very obvious. If it healed on its own, would it be more likely to match the adjacent skin? I am 84 years old and feel a nasal flap is too much surgery.

3 answers to “What happens to Mohs surgery scar...”

A: Usually not the ebst choice: Nasal skin is thicker

Stephen Prendiville, MD

Although I agree with other posts which state that healing by secondary intention of a Moh's defect is sometimes appropriate, it is generally in the minority of situations.  The reason for this is that nasal skin is thicker and more sebaceous than other area of the face. In addition, it is supported by... more

A: What happens to Mohs surgery scar when healed by itself?

Peter A. Aldea, MD

Some parts of the nose heal well without surgery of any kind (healing by secondary intention). Others heal poorly since the scarring process pulls and distorts the adjacent tissues. We often recommend the simplest procedure that would do the job and this is especially true in older patients in whom we are... more

A: Mohs surgery wound healing

Bryan K. Chen, MD

Skin cancer surgical defects in certain locations on the nose can heal with a nice cosmetic result. These locations include smaller defects of the tip of the nose, the ala or "wing" of the nose and in some cases, the nasal sidewall. If a reconstruction is required, I usually will elect to go with a flap... more

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