BCC removal advice
Doctor Answers 3
Leaving a Mohs site to heal by secondary intention
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Wound Healing Following Skin Cancer Removal
1. Allow the wound to heal by "second intention" healing. This is basically allowing the wound to heal by itself; i.e. let Mother Nature take care of the healing. In many areas including the concave areas of the temple, ears, eyes, nose and on the balding scalp or some areas on the trunk and extremities, this is a good option.
2. Side to side repair or linear closure. If the wound is small enough (i.e. closure doesn't distort), this may be a good option.
3. Flap repair. Tissue from nearby the wound is recruited or moved into the surgical defect. Basically, borrowing from a nearby area and bringing into the wound. This adds additional incisions or scars, but if well planned, the cosmetic results can be excellent.
4. Graft repair. Taking a thin piece of tissue from somewhere else (i.e. donor site), removing it and sewing it into place. Grafts only reconstruct the surface, unlike flaps which reconstruct depth as well.
Your best option is to discuss these options with your doctor. Choice of repair is dependent upon the location, depth, nearby structures, patient factors and of course the doctor's training and experience. If you don't have confidence in the doctor, it doesn't hurt to seek a second opinion. Always best to have the doctor that you feel is "best" able to give you a superior cosmetic result actually perform your surgery. Good luck
I would suggest discussing with a Board Certified Dermatologist with expertise in Mohs surgery.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.