Revision After Moh's Surgery

asked 1 year ago by Winki in Idaho Falls, ID
Latest answer by Steven Hacker, MD
Question viewed 336 times
Tags: options, pulled, revision, upper lip

My Moh's Surgeon has had very limited experience with revisions which is good for how great his results are and perhaps not so good for me if I need a revision. The end of my nose and my upper lip were pulled to the right in order to close the hole. A V-Y flap (Island Pedicle) was used. We communicate amazingly well. I am having a difficult time learning about successful revisions in the area between the nose and upper lip. Where do I turn if needed? My doctor will be my advocate.

7 answers to Revision After Moh's Surgery

Revision following Mohs surgery

Your first and your last sentence would suggest that the doctor whom performed the surgery will not be doing the revision if necessary. Cosmetic and functional result is dependent upon multiple factors including lenght of post op period, type of repair performed, complications afterwards, surgeon's experience in performing the repair, etc. I would recommend that you see a fellow of the American College of Mohs Surgery or the American Society of Plastic Surgery. Check to make sure that... more

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon

www.dermatology-center.com

Revision issues following Mohs surgery

The best course of action would be to discuss your revision with your surgeon. He or she can explain to you why they chose to approach your reconstruction in the manner that they did.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Pulling of nose and lip after reconstruction after Mohs surgery

You would need to see a physician for a consultation. Your description unfortunately is lacking many details and there is not a photograph attached. If your surgery was just done in the last couple of weeks, you can still expect significant shifting of tissues from the extra skin that grows in reaction to the constant tension. Massaging can help but this can't be done until the wound is strong and that can be six weeks after surgery. When flaps are designed the free... more

Ronald Shelton, MD
Manhattan Dermatologist

Revision after Mohs

Mohs surgeons are guided by the microscopic identification of cancer in a pathology specimen rather than a need to create a smaller defect for simpler reconstruction. Such microscopic mapping takes the guess work out of surgical cancer treatment inherent in simple excisions performed by non-Mohs surgeons. A fellowship-trained Mohs surgeon has significant experience with reconstruction of various areas of face, head/neck, and etc as well as revision of... more

Larisa Ravitskiy, MD
Columbus Dermatologist

Need Mohs reconstruction revision? Consult an experienced Facial Plastic Surgeon or Plastic Surgeon

Need Mohs reconstruction revision? Consult an experienced Facial Plastic Surgeon or Plastic Surgeon. It's impossible to suggest exactly what will be required to improve your result as no pictures were provided. Typically, scar revision, local tissue rearrangement or debulking excess soft tissue are adequate to optimize Mohs reconstruction results. You should be well cared for by any plastic surgeon with facial Mohs reconstruction experience. It sounds like you've received great... more

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

Reconstruction VS. Revision After Moh's Surgery

It became axiomatic that for best results in eradicating a skin cancer and then reconstructing the defect it would be best if the patient had 2 surgeons; One to remove the cancer and one to reconstruct the resulting defect. The reason is very natural ; if the surgeon removing the cancer knows that he/she also has to reconstruct the defect, they may naturally lean towards removing less, to make the reconstruction easier, and thereby potentially leave skin cancer behind. While... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Revision after mohs

A picture here would have been helpful to see what kind of revision could be performed. Scar revision is a broad term that could entail a z-plasty to redirect the scar to lessen pull/tension and break up an incision line, to dermabrasion to blend in an incision line. With the guidance of your Mohs surgeon you can locate either, another Mohs surgeon from the Mohs college website or a plastic surgeon that would be able to look at you, see the function of the upper lip and determine the type of... more

Purvisha Patel, MD
Germantown Dermatologist

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