Mohs Surgery: Q&A

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Should a Skin Graft After Mohs Be Performed by Dermatologist or Plastic Surgeon?

Should a skin graft after Mohs be performed by the dermatologist that performed the procedure or a plastic surgeon? My father had Mohs & I am concerned about having the dr. who performed the Mohs do the skin graft. I just feel it should be done by a plastic surgeon since it is a large crater on the tip of his nose. Also, a little uncomfortable with the facility my dad chose. Dr. was great, but office a bit run down. Dad is older, so is leaning towards going back to the same Doctor.

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4 Doctor Answers | Asked by pachangaboy

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Reconstruction After Mohs Surgery

Fellowship trained Mohs surgeons are trained extensively in surgery and advanced reconstructive techniques, including skin flaps and skin grafts. Physicians that complete this training program possess all the qualifications needed to repair a surgical site after a cancer is removed by the Mohs technique. My recommendation, however, is go to the person you feel most comfortable with. You should have confidence in the physician who is treating your dad, and feel confident that they will give... more

Good Question

That is a very good question. When Moh's surgery is the best for my patients, I typically have the Moh's surgeon do the removal of the tumor and the patient returns to my office for the reconstruction. In the 1970's and 1980's the Moh's surgeons did typically do their own reconstructions, but sent them to a facial or general plastic surgeon for reconstruction. Over the years, most Moh's surgeons have learned how to close most of the defects the... more

Who Should Perform Repair after Mohs Surgery

The best answer is to pick the doctor that you and your father feel will give the best result. In my opinion if you pick a Mohs surgeon, it is best to pick a doctor who has completed a fellowship in Mohs surgery and is a member or fellow of the American College of Mohs Surgery. These doctors have completed a fellowship after their residency in Mohs micrographic surgery which includes study and experience in Mohs surgery, dermatopathology and recontstructive surgery. If you pick... more

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Skin Grafts from Mohs Surgery

Any dermatologist who is a Mohs surgeon has been trained extensively on skin grafts - that's a large part of it. And to be totally honest, many plastic surgeons and dermatologists just don't work well together. So it's hard. If you find an office that has this set up, with both doctors on site and working extensively together, then that's great. I just don't know very many offices like this. Skills are more important than a pretty office, so worry about the expertise of... more

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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.

Mohs Surgery: Q&A