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What Type of Repair Is Used After Mohs Surgery According to Size of Defect?

asked 7 months ago by Fido44
Latest answer by Adam J. Mamelak, MD
Question viewed 287 times
Tags: nose, basal cell carcinoma, repair, scarring, technique

What different forms of reconstructive surgery are performed for different size defects after mohs surgery? I have a BCC on my nose and will not know the ultimate size until the procedure is done, leaving little time to absorb the info and make a decision on type of repair. If the final defect is 1.5 cm or less, what procedure, if the defect is greater than 1.5 cm, what procedure? Which procedure leaves one with the least amount of consequential scarring? Forehead Flap leaves large scar extendin

4 answers to What Type of Repair Is Used After Mohs Surgery According to Size of Defect?

+1

How to repair the skin after Mohs surgery

This is an excellent question, without a simple answer. Reconstruction after Mohs surgery depends a a number of factors: the size of the defect, the location of the surgery, the surrounding skin, the vicinity to other anatomic structures (ex. nose, eyes, lips) and others. As well a variety of techniques can be used to repair the skin including letting it heal be itself (A.K.A. secondary intention healing), a side to side or linear closure, a skin flap, and a skin graft. Mohs surgeons receive... more
Adam J. Mamelak, MD

Austin Dermatologic Surgeon
+1

Recon after Mohs

There are actual an infinite number of reconstructions since not only are there numerous techniques but every person is different and each body part is different. In order to perform a simple reconstruction of the nose (actually a very complicated area), plastic surgeons need to perform thousands of surgeries over many years of intense surgical training. Do yourself a favor and have your reconstruction performed by a board certified PLASTIC AND RECONSTRUCTIVE surgeon. more
Jacob Freiman, MD

Miami Beach Plastic Surgeon
+1

MOHS surgery designed to maximize cure, minimize scar

The repairs done post MOHS surgery are determined by the size of a defect and the location on the body. Defects regardless of where they are located on the body should be closed in the best aesthetic manner possible to ensure the natural contours are correct and will not cause the patient any discomfort. There are several types of closures that are commonly used by trained cosmetic dermatologists to minimize scarring which include: grafts, flaps and more. I recommend having any MOHS... more
Timothy Jochen, MD

Palm Springs Dermatologic Surgeon
+1

Bcc on nose

This is a good question, but as you can guess when writing it, there are no right answers and there are multple defects, locations, sizes and closures. If you go to a board certified Mohs surgeon, you will not only get the best type of surgery for the BCC of the nose, they most likely will be able to close it in the best possible way .
Purvisha Patel, MD

Germantown Dermatologist

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