A fellowship-trained Mohs surgeon's expertise is in the complete removal of skin cancer and the best possible cosmetic surgical repair of the wound. We treat these defects on the face, and in other delicate and sensitive areas, every day. We use local anesthesia and have this procedure down to a science. The Mohs technique has the highest cure rate for skin cancers, so the risk of recurrence is minimal.
Plastic surgeons do have different training. They spend some time on these small wounds, but much of their training is in very large reconstructions of body parts off of the face, or in reconstructing bony and soft tissue problems under the skin. They do not have the same laboratory process to ensure removal of skin cancer that is used for Mohs, so they have to take larger margins and leave a larger wound and scar.