Skin cancer can appear anywhere on the body, but removing the cancer from your face can leave significant scarring. Mohs surgery is the most effective technique for treating many types of skin cancers. It was originally developed in the 1930s by Dr. Frederic Mohs but was not widely known until the 1960s when Dr. Perry Robbins recognized the potential it had in dermatology and brought the technique to New York University.
Although highly effective, this technique can leave a significant open wound. Mohs reconstruction is a type of facial surgery that helps reduce the potential risk of large scar tissue. We encourage you to call our office today for a consultation with Dr. Matthew Steele to discuss how Mohs reconstruction surgery can help Midlothian patients who are trying to move past a cancer scare.
Mohs surgery is highly effective in addressing skin cancer but can leave a significant impact on your appearance. The procedure is typically performed in stages by a dermatologist who is specially trained to remove the cancer and analyze the specimen for clear margins.
During the outpatient procedure, areas of skin cancer are removed sequentially. The skin specimen is then frozen and prepared for examination to identify the extent of the cancer and microscopic roots. If tumor cells are found at any of the margins, the procedure continues.
The surgery stops when the target area is cancer-free. This helps spare the maximum amount of healthy surrounding tissue and ensures that all cancer cells are removed. Depending on the area where the skin cancer was removed, it may or may not require reconstruction.
When skin cancer removal leaves a large wound in a visible or sensitive place (including the nose, lips, eyelids, scalp, neck, or hands), a patient in Midlothian may need Mohs reconstruction surgery to restore its appearance and function. Different reconstruction techniques can be used depending on the size, depth, and location of the wound.
The simplest method is a primary closure. The edges of the wound are meticulously sutured together to lower the potential development of excess scar tissue.
When the wound is larger, you may need a skin graft, local flap, or a complex reconstruction. A skin graft removes skin from another area of your body, called the donor site, which is transplanted to cover the wound area. A skin graft may be used for a larger wound where a primary closure is not possible.
A local flap uses nearby tissue as the donor tissue. It is often used in facial reconstruction because it provides a good match in skin color and texture. During a flap procedure, the blood supply in the donor tissue remains in place, which also helps healing.
In larger or more complicated wounds, Dr. Steele may use a combination of techniques that include a cartilage graft or more advanced flap techniques to get the best possible aesthetic and functional outcome. The goal is to achieve minimal scarring and preserve the natural contours of your face.
Recovery will depend on the extent of the surgery and the type of reconstruction. You will receive instructions on how to care for the incision site for the next several weeks. This typically includes keeping the area clean and dry, applying prescribed ointments, and changing the bandages.
It is common to experience some swelling and bruising, especially if the reconstruction is extensive. These symptoms often peak within the first few days and then gradually improve. You will have follow-up appointments so we can monitor the healing process and remove stitches.
It can take up to one year before the scar fully matures. You can improve the appearance of the scar by avoiding sun exposure and using topical silicone gel. Sun exposure can also increase the risk of skin cancer recurrence, so use sunscreen with SPF 30, wear protective clothing, and avoid direct sunlight on the affected area.
Depending on the location and the extent of the reconstruction, you must avoid heavy lifting or strenuous activities to prevent stress on the incision. Most people can return to normal social activities within a few days to a week, depending on the extent of the reconstruction. If your job involves physical labor, you may need a longer recovery time.
While Mohs surgery is highly effective, it may require reconstruction for optimal form, function, and appearance. Dr. Steele offers Mohs reconstruction surgery to patients in Midlothian who underwent cancer cell removal. We encourage you to schedule a consultation, and learn how we help patients put this part of their life behind them and look towards the future.
