Skin Graft of the ear from MOHS Surgery

Question

I am having MOHS Surgery on the inside flap of the ear. The surgeon is sending me to a plastic surgeon directly after she finished for the skin graft. Approximately how long does a skin graft take from behind the ear

Raffy Karamanoukian, MD, FACS · Answer

Moh’s surgery on the face often requires surgical repair and reconstruction to reapproximate the skin edges. Flaps or direct closure techniques are used. It is important that you optimize scar healing during this phase in order to reduce longterm scars. For red scars, we use Vbeam laser, followed by fractional laser for scar topography and contour. We recommend Plato’s Scar Serum twice daily for the immediate postoperative period. Fractional laser is safe for scar laser therapy. 
There are treatments for swelling and edema of the scars. If there is residual sutures or edema, we advise you to follow a scar treatment protocol that can minimize the time to recovery. Our office specializes in scar revisions for Moh’s surgery. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Steven Hacker, MD · Answer

Frequently we need to use a skin graft on the ear, as side to side closure or even flap will have too much tension. I recommend you to discuss specific issues regarding your questions with your dermatologist.

Robert S. Bader, MD, FAAD · Answer

For defects that are inside the ear after Mohs', two options are commonly used. First, no closure/repair can be chosen, especially for defects that are in the conchal bowl--the cavity in front of the ear canal. This site heals well on its own,.but can get tender. Secondly, a skin graft can be used. The graft must be kept dry for one week and usually heals within 2-3 weeks, but there are restrictions during that time.Good luck!drbader

Skin Graft of the ear from MOHS Surgery

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