Mohs micrographic surgery is a skin cancer treatment that involves the surgical removal of layers of cancerous skin cells until only healthy, non-cancerous tissue is reached (referred to as ‘clear margins’). The Mohs procedure is widely recognized as an effective treatment for most forms of skin cancer; however, it does involve the removal of a substantial amount of skin and tissue, and has the potential to create a prominent or disfiguring scar, which can be particularly troubling for patients who have had the Mohs surgery performed on their face.
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In addition to the aforementioned aesthetic issues, Mohs surgery can also lead to facial defects that impair the functionality of the facial structures (nose, eyes, lips etc.) Plastic surgeons frequently work together with the dermatologists performing the Mohs micrographic surgery, in order to minimize the appearance of the surgical scar and decrease the chance for any post-surgical aesthetic or functional complications. Reconstructive surgery to repair the structural surgical defects and/or cosmetic abnormalities after Mohs surgery requires a specialized set of surgical techniques that are designed to reduce the appearance of the scar while preserving the patient’s natural facial structure.
At Wright Jones Plastic Surgery, located in Atlanta, Georgia, Dr. Wright A. Jones employs his extensive facial cosmetic surgery experience and meticulous surgical techniques to perform complex facial procedures such as Mohs reconstructive surgery. Prior to your initial Mohs procedure, Dr. Jones will collaborate with your dermatologist in order to seamlessly schedule your reconstructive repair at the optimal time to ensure the best possible cosmetic result while safeguarding your physical health and well-being.
MOHS RECONSTRUCTION PROCEDURAL DETAILS
In general, patients have their Mohs micrographic surgery performed at the office of their dermatologist, and their subsequent Mohs reconstruction performed at the office of their plastic surgeon later the same day. Mohs reconstruction generally takes less than an hour and can be performed under local anesthesia. During the procedure, Dr. Jones will either utilize a local flap technique or a skin graft to cover the defect. The local flap uses skin adjacent to the scar for coverage, while the skin graft involves the removal of skin from the base of the neck or around the ear to conceal the defect. Complex defects in the nose region may require more than one surgery to achieve optimal results.
The recovery period after Mohs reconstruction is approximately one week, during which time, any discomfort can be managed with over-the-counter medications. Sutures will be removed within 7 days, and patients will be advised to use medical-grade scar cream and to be vigilant about sun protection in order to facilitate proper healing. You will notice visible improvements in the appearance of the scar within 2-3 weeks, and these results will continue to gradually improve over the next 9-12 months.
CONTACT WRIGHT JONES PLASTIC SURGERY
At Wright Jones Plastic Surgery, Dr. Jones focuses not on changing the core aesthetic components of his patients, but rather on using cosmetic enhancement procedures to help them become the absolute best that they can be. Dr. Jones stays up-to-date with the latest developments and technological advances in the field of cosmetic facial surgery, and he utilizes these cutting edge techniques to ensure naturally beautiful results and the safest possible Mohs reconstruction procedures for his patients.
Dr. Jones believes in the importance of having well-informed patients, and will take the time to explain all of your Mohs reconstruction options and procedural details so that you feel completely comfortable about your surgery. If you would like additional information about having your Mohs reconstructive procedure performed at Wright Jones Plastic Surgery, please do not hesitate to contact our office today. We look forward to speaking with you, and to scheduling your initial consultation with Dr. Jones.