Thank you for your question. As an experienced Mohs surgeon, I believe that a skin graft on the ear after surgery is the best option to achieve not only a nice cosmetic result, but to also prevent a possible infection. However, it truly depends on the location and the size of the skin cancer. It is absolutely your choice whether to have a skin graft or to allow the wound to heal naturally with second intention. All the risks benefits should be explained to you prior to the procedure so you can make the determination as to what is right for you.
Ariel Ostad MD PC