Nodular basal cells generally have a predictable margin. The resulting scars be in the nasolabial folds and in time should be almost invisible.
You should definitely consult with your Mohs surgeon and ask these questions. Most busy Mohs surgeons will repair the majority of the skin cancer defects that are created by their procedures. They also typically do a great job. You can ask to see their before and after photos of patients with similar facial wounds. If your Mohs surgeon feels that a plastic surgeon will create a better result or if the defect is large and might require sedation/ general anesthesia for repair then they will likely not hesitate to refer you to a Plastic Surgeon. I hope this information is helpful for you.
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
It really isn't necessary to have a plastic surgeon with Mohs surgery in most cases, assuming your physician is board-certified for Mohs. There are physicians who perform Mohs who were not certified in it, so they don't have the same amount of training. If this were the case, then yes, I'd perhaps recommend a plastic surgeon be involved. However, for board-certified Mohs surgeons, part of the process is to do rounds of facial and reconstructive surgery. Talk to your Mohs surgeon about his/her certification.
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