One way to help gauge whether your Mohs surgeon does good reconstructive work is to ask for before and after photographs. You can ask your surgeon how long he or she has been performing Mohs surgery reconstruction.
The reconstructive options depend on the size of your final surgical defect and whether or not the underlying cartilage is involved. Your surgeon may or may not perform all of the reconstruction procedures him/herself. More frequently, however, for more complicated repairs, your surgeon may coordinate with a facial plastic surgeon. The question really becomes, do you trust your surgeon to make decision based on your best interest. I would express all of your concerns to your surgeon who would almost certainly want to know.
Good luck.
