Mohs surgery wound healing

Bryan K. Chen, MD answers: 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.


Bryan K. Chen, MD
1 month ago

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 rather than a graft, to achieve better skin matching.

Although it can take up to several weeks to heal in, a wound that is left to heal by "secondary intention" often looks better than you might have thought.

Good luck.

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