I had MOHs to remove basal cancer on my left nostril. Surgeon suggested it heal in for 2 weeks, does this make sense? (Photo)
Doctor Answers 3
You should discuss your concerns with the surgeon.In general, in this location, a flap from nearby skin is often useful in producing a closed wound. On occasion a secondary procedure may be needed to get the best, most natural result. Skin grafts are not usually used in this location.
Second intent healing of Mohs defect
There are many ways to "repair" a Mohs surgical defect, including doing nothing at all. The ala and alar crease can heal very nicely, so long as caution is taken to ensure that the lower portion is sturdy enough to retain its shape. I assume that he/she is following you closely to watch this. To answer your question quickly, yes it can be a great way to let this heal in...there are many ways to correct this. Like everyone, many Mohs surgeons have their unique and favorite ways to reconstruct various defects...options for this may include allowing it to heal via second intent, skin graft, bilobed flap, 1 or 2 stage interpolation flaps, etc...there are many ways to fix this and so long as it heals nicely then they can all be right.You should have strict instructions on how to care for this as that can greatly affect the healing process. As I tell my patients, if you are anxious then you should always be able to go back in to ask and discuss. You can always change your mind also and have it repaired should you decide.
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