I can’t say enough good things about Dr. Gupta and his team. As a healthcare worker, I strongly feel that, when looking for a good surgeon, you should always ask the surgical nurses who to go to. The nurses I work with all said that Dr. Gupta would be their first choice for a plastic surgeon.
— Verve Patient
Mohs Reconstruction
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What Is Mohs Surgery?
- Mohs surgery will be performed by your dermatologist. Very thin shavings are taken at the site of your skin cancer. After each shaving your dermatologist will look at the removed tissue under the microscope. Subsequent shavings will be performed until there is no skin cancer visualized under the microscope.
- Of all the surgical techniques available today, Mohs surgery offers both the lowest recurrence rate of malignant lesions, and maximum preservation of healthy tissue.
Who Is a Good Candidate for Mohs Reconstruction?
- Your dermatologist will determine if Mohs reconstruction with a plastic surgeon is recommended. This is common if Mohs surgery’s was performed on cosmetically important areas such as the nose, eyelids and lips, and for high risk and invasive lesions (such as near a facial nerve).
The Procedures
- The procedure and incision will vary widely depending on the location, size, and depth of the tumor.
- Typically procedures either require; a flap or a skin graft
- A flap involves transfer of local tissue while maintaining its own blood supply.
- A graft involves transferring tissue without keeping a blood supply attached.
- Depending on the location of your Mohs reconstruction, Dr. Gupta will discuss if you are a good candidate for a flap or a graft and what type would be best for your individual case.
- Resection and reconstruction of more extensive and invasive tumors involves more advanced techniques. These can be discussed in detail during your consultation.
The Incisions
- The incisions will depend on the area Mohs reconstruction was performed.
- You will have a secondary incision in order to reposition your own tissue to cover the defect where your Mohs excision occurred.
- It will also vary if you have had any additional surgery in the surrounding area which can have effect on the blood supply.
Procedure Video
Play Video about VDO Cover Procedure - Moh's Defect Reconstruction
FAQs
What type of procedure needed for reconstruction is typically not known until after Mohs surgery has been performed. Dr. Gupta will discuss possible options for you after we see a photo from your dermatologist following the completion of your procedure.
This can vary a lot depending on the procedure best indicated for you.
Request an Appointment
Schedule a consultation and discuss the surgery in more detail