Mohs Reconstruction

The Mohs reconstruction procedure is a highly advanced method of skin cancer removal. It uses micrographic surgical techniques to remove skin cancer layer by layer, examining each layer microscopically. This ensures that the entire tumor is completely removed, and results in a higher success rate than other procedures.

Who Can Benefit from Mohs Reconstruction?

  • Mohs reconstruction is ideal for most types of skin cancer. It is commonly used to treat basal cell carcinoma.
  • Most frequently, Mohs reconstruction surgery is performed on the face. This is the most common area to develop skin cancer, particularly on the nose.
  • The extent of the procedure and the final results depend on the severity and type of cancer involved.
  • Being in good overall physical and mental health will help provide the best recovery and aesthetic results.

Mohs Reconstruction in Orange County: What to Expect

  • Local anesthetic is first administered for patient comfort. In some sensitive areas, general anesthetic may be appropriate.
  • The visible portion of the tumor is then surgically removed, followed by an additional thin layer of surrounding tissue.
  • The additional tissue layer is microscopically analyzed for the presence of cancerous cells. Any remaining cancer is excised layer by layer until analysis shows complete removal.
  • The incision site is reconstructed, using various techniques such as skin grafting or skin flaps to recreate the initial appearance. This may be done in the same procedure or over several surgeries.

What Happens After Mohs Reconstruction?

  • Following Mohs reconstruction, the treatment area will be covered with a bandage or dressing. These may often be removed in 7-10 days.
  • There may be some redness, swelling, bruising or discomfort during the first few days. Pain may be managed with medication.
  • A follow-up appointment will be scheduled to help monitor proper healing and ensure minimal scarring.
  • Normal activities may be resumed in a few days, though the treatment area should be kept out of the sun for several weeks as it heals. It may be necessary to also avoid strenuous activity during this time.

Alternatives to Mohs Reconstruction

  • There are several alternatives to Mohs surgery, and Dr. Krugman will help you determine exactly which procedure is right for you.
  • Traditional surgical removal may be an option in straightforward cases. Curettage and desiccation or cryosurgery may also be appropriate for your condition.
  • Other possible treatments may include chemotherapy injections or creams, as well as photodynamic therapy.

Schedule your consultation

Dr. Mark E. Krugman is a board-certified plastic surgeon serving the Tustin/Santa Ana area and Orange County. If you are interested in setting up a consultation or learning more about Mohs reconstruction with Dr. Krugman, please call our office at 714-972-1811.