Scalp Reconstruction After Mohs Surgery

Given your lack of scalp laxity and previous surgeries, tissue expansion is one option for covering the bald spot after Mohs surgery. It involves stretching the skin over time to cover the wound, but it does carry some risk of tissue necrosis, especially in areas with scarring or reduced blood flow.
Other possibilities include local flaps, though limited laxity might make that tricky, or skin grafts from another part of your body, though they won’t look or feel the same as scalp skin.