Two Months After Mohs Reconstruction, I Have a Growing Divot on my Nose and Lumps on the Bridge, Revision Normal?
- Asked by Nilsson
- 6 months ago
The plastic surgeon said the divot is where the cartilage needs to be shored up, and the lumps can be repaired with dermabrasion. Why aren't these procedures considered part of the reconstruction process? Medicare covers only that which is medically necessary. I would think that making repairs to an initial surgery would be an extension of a medically-necessary procedure. Isn't it pretty typical for surgeons to do follow-up tweaks?
Skin cancer removal on the nose - Los Angeles
A cosmetic result is attempted during any reconstruction. Discuss the nature of the cosmetic improvements with your surgeon and discuss whether they are feasible as cosmetic treatments in the early or late phase. Once you establish the feasibility, you may then want to discuss whether these are worth the cost. Raffy Karamanoukian, Los Angeles
Revisions after Mohs surgery
What is deemed important by the medical insurance world, and what is deemed important by physicians, are not always the same. Insurance says that the cancer needs to be removed and the area reconstructed as best as possible during that stage of the procedure, and any alterations after that are considered cosmetic, if there are no further cancers there. It's not a fun world trying to balance the two, but speak to your doctor about costs and fees. I do many secondary procedures and "tweaks" as you call them, and I can find ways to make the costs as minimal as possible.
Healing after Mohs surgery.
Revisions for reconstruction of skin cancer defects are not always covered by insurance plans because the insurance company (not the docs) deem it as medically unnecessary. As a practice though, I usually do not charge my patients for minor things like dermabrasion to help improve the cosmetic appearance of the scar but this is a variable practice.