Should I opt for a vertical Mohs incision directly over my eye when previous ones were horizontal?

Horizontal or oblique scars do well on the forehead, depending on whether they are in the central or lateral parts of the face. Glabellar forehead scars do better when they are vertical.  I follow Langers lines for incision placement whenever possible. Best, Dr. Karamanoukian Los Angeles

Thanks for your question.  I agree with the previous dermatologist who is right about both types of closure having good cosmetic outcomes.  Your Mohs surgeon will be very careful about orienting the scar to minimize pulling on your eyebrow.  Keep in mind, it takes a scar a year to fully heal, so try and do your best wound care and follow the post-op instructions.  Best of luck!

It sounds as if you are asking about how the reconstruction of your skin should be done following the removal of the skin cancer with Mohs surgery. Reconstruction of the forehead can be done both vertically and horizontally and it is a case by case determination. I do find myself using vertical closure more often particularly because this does not displace the position of one eyebrow relative to the other. Only small wounds tend to heal well when sown up horizontally. Good luck. Make sure you see a Mohs surgeon that is part of the American College of Mohs Surgery.