Can You Have Revision Rhinoplasty After MOHS?

I am a 26 year old female and I am 3 months post op rhinoplasty. I am so very disappointed with my results. I have already looked into revision options. My only concern is that now I have a spot on my nose that may be basil cell carcinoma. I have an appointment to get it biopsied in a week. My question is if I have to have MOHS surgery performed, how long do I have to wait to be able to get revision rhinoplasty?

Doctor Answers (7)

Rhinoplasty after Mohs

+2

You can certainly have a revision rhinoplasty after Moh's surgery on your nose. The first thing to note is Moh's deals only with the excision of the malignancy. The area of the excision will need to be closed after the tumor resection or allowed to heal by secondary intention. The extent of the resection and the type of closure will determine the timeline for recovery and potential revision of your rhinoplasty.


Chicago Plastic Surgeon
4.5 out of 5 stars 10 reviews

Rhinoplasty and skin cancer after Moh's

+2

It depends on where the possible cancer is located.  First, get a biopsy to confirm the diagnosis.  Second, get the MOHs if it is indeed cancer.  If it is basal cell, the rhinoplasty may even be done at the same time as the post MOHs reconstruction if the defect is in a very favorable area.  If the defect is not in a favorable area, then you will have to wait probably 6 months.  If the lesion is squamous cell, I would wait a year after the MOHs to do anything.  Best wishes

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

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Rhinoplasty

+2

You need to put revision rhinoplasty on the back burner for the time till you had taken care of the basal cell carcinoma on the nose. Once the basal cell carcinoma is removed either by Moh's chemosurgery or by Frozen section and the defect is reconstructed then one can tell you if the revision rhinoplasty is safe.

Samir Shureih, MD
Baltimore Plastic Surgeon

Revision rhinoplasty and MOHS surgery

+1

A complicated question that only a comprehensive evaluation be a rhinoplasty surgeon can answer. Hopefully, the biopsy is not skin cancer, but MOHS surgery is good option to treat skin cancer of the nose. Some dermatologists may close the open wound immediately after MOHS, while some dermatologists will refer to a plastic surgeon for wound closure. At that point, the plastic surgeon may consider a revision rhinoplasty at the same time as MOHS wound closure, if appropriate.

Generally, most plastic surgeons do not recommend revision rhinoplasty for at least several months or a year from the first surgery. Speak with your plastic surgeon. Only after a comprehensive evaluation can he/she provide appropriate options for you.

Best,

Dr. Chaboki

 

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

Can You Have Revision Rhinoplasty After MOHS?

+1

Yes you can have revision rhinoplasty following Mohs excision. Depending upon the size of the defect you would need to wait 6-12 months. With that said, most Facial Plastic Surgeons will recommend waiting another 9 months (full year following rhinoplasty) before pursuing a revision procedure. This would also depend upon where the skin lesion is located and what portion of your nose you would like addressed with the rhinoplasty revision. If the lesion is on the nasal tip and you want the bridge lowered, you would have to wait a shorter period of time. The first step is to get your nasal lesion biopsied. If that is a basal cell carcinoma you'll want to pursue Mohs. An ignored skin cancer just gets bigger which will jeopardize more of your nasal skin. I hope this information is helpful.

Stephen Weber MD, FACS

Weber Facial Plastic Surgery

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
5.0 out of 5 stars 44 reviews

Revision rhinoplasty after Mohs micrographic surgery

+1

 To make sure full healing has taken place from the rhinoplasty and a Mohs micrographic surgery, it is probably best to wait at least a year for a electing to undergo revision rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

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.