Mohs Reconstruction General Information
Conveniently located near Houston, Bellaire, Memorial City & Cypress.
Mohs Reconstruction General Information
What Is Mohs Surgery?
Mohs surgery is a highly effective technique for treating skin cancer, particularly on the face and other sensitive areas. It involves the precise removal of cancerous tissue layer by layer, examined microscopically until only healthy tissue remains. This method ensures the complete removal of cancer cells while preserving as much healthy tissue as possible.
Procedure Details
Once Mohs surgery is completed, the next step is often reconstruction to address any defects left by the cancer removal. Joseph Baylan MD specializes in various reconstructive techniques to restore the affected area. The procedure starts with a thorough assessment of the surgical site to determine the most suitable method for repair. Options include flap reconstruction, cartilage grafting, and skin graft surgery, depending on the size and location of the defect.
Common Techniques for Post-Mohs Reconstruction
Flap techniques
This is the most commonly used Mohs reconstruction technique and involves borrowing nearby skin and fat as a unit, or a flap, and transferring the defect. Often, these “flaps” may need to be staged and will require two to three surgeries to complete the reconstruction.
Cartilage grafting
Cartilage may need to be borrowed from the ear or rib to provide support in places such as the nose.
Bone grafting
Bone may be taken from the skull, hip, or jaw in order to provide support.
Tissue expansion
If there is not enough adjacent or nearby tissue, then expanding areas of the face may be required. This is in a small percentage of people and is similar to the process of tissue expansion most commonly seen in breast reconstruction after mastectomy.
Skin grafts
Skin grafts may be required if there are limited options for reconstruction or as a part of a staged approach.
Anesthesia
Anesthesia requirements will depend on the size of the defect and the type of reconstruction that may be required. Surgery may be able to be performed under local anesthetic while the patient is awake. Most times, it requires the patient to be placed under general anesthesia with the aid of an anesthesiologist.
Timing
The lesion or skin cancer will be removed by the Mohs dermatologist. Typically, the lesion can be closed the same day by the dermatologist. If the patient is referred to a plastic surgeon, then your reconstruction may take place in a couple of days. This is often due to operating room availability at a surgery center or hospital. It is acceptable for reconstruction to take place within one week’s time.
Appearance
Regardless of the techniques used, plastic surgeons will take care, whenever possible, to position the resulting scar along the natural creases and curves of your face. It helps minimize and camouflage the appearance of your scar. In addition, follow-up surgeries may be required to improve the appearance of the scar, such as dermabrasion—“sanding” down of the scar to improve contour.
Aftercare
You will be observed for a while after your surgery has been completed, and then given instructions for returning home. Some people, especially those who have a flap procedure, may be given a prescription for antibiotics to take at home. Dr. Joseph Baylan will provide written directions for your aftercare in a clear and well-defined manner.
Smoking
One of the most important things you can do for yourself and to maximize the outcome of your surgery is to not smoke. Smoking, through many mechanisms, can decrease blood flow, increasing your chance of infection and wound healing issues.
Risks and Considerations
As with any surgery, Mohs skin cancer reconstruction carries some risks. These may include infection, bleeding, and adverse reactions to anesthesia. It’s important to discuss any concerns with Dr. Baylan during your consultation to understand the potential risks and how they will be managed.
Recovery and Result
Recovery from Mohs reconstruction at the Houston practice varies depending on the complexity of the surgery. Most patients can expect some swelling and bruising initially, which gradually subsides. Dr. Baylan provides detailed post-operative care instructions to achieve a smooth Mohs surgery recovery. With time, the surgical site will heal, and scars will diminish, blending with the surrounding skin.
Cost of
The cost of Mohs reconstruction surgery varies based on the extent of the procedure and the techniques used. Joseph Baylan MD offers flexible financing options to help manage the expenses. During your consultation, we will provide a detailed cost estimate and discuss available payment plans to suit your budget.
FAQs for Mohs Reconstruction
Who is a candidate for Mohs reconstruction?
Mohs reconstruction is suitable for patients who have undergone Mohs surgery to remove skin cancer and are left with a wound that might benefit from specialized surgical repair. This procedure helps restore the appearance and function of the skin in the affected area.
What are the benefits of Mohs reconstruction?
The primary benefits of Mohs reconstruction include minimized scarring and preserving healthy tissue surrounding the surgery site. This technique offers precision in repairing the area affected by skin cancer removal, which can lead to better cosmetic and functional outcomes.
What can I expect during Mohs reconstruction recovery?
During recovery from Mohs reconstruction, patients typically experience some swelling, bruising, and discomfort, which can be managed with prescribed medications. It’s important to follow all post-operative care instructions provided by Dr. Baylan to promote optimal healing and minimize potential complications.
How long does Mohs reconstruction surgery take?
The duration of Mohs reconstruction surgery varies depending on the complexity and size of the area being repaired but generally ranges from one to several hours. Dr. Baylan will provide more specific time estimates based on your unique case.
Will I need multiple Mohs reconstruction sessions?
Some patients may require multiple sessions to achieve optimal results, especially in cases of extensive skin removal. The need for additional sessions largely depends on the wound’s size, the location that needs Mohs surgery repair, and desired aesthetic outcomes. Dr. Baylan will discuss whether multiple reconstruction sessions are necessary for your situation.
Will there be visible scarring?
While some scarring is inevitable, Dr. Baylan uses advanced techniques to minimize visibility and improve the aesthetic outcome over time.
Is Mohs reconstruction an outpatient procedure?
Yes, most Mohs reconstructions are performed outpatient, allowing you to return home the same day.
Interested in a Mohs Reconstruction?
If you’re from Houston, Bellaire, Memorial City, and Cypress and want to explore the benefits of Mohs reconstruction and discuss your individual needs, contact Joseph Baylan MD at our Houston clinic. Dr. Baylan is currently booking consultations for Mohs Reconstruction. Consult with us to discuss your specific needs and learn how we can help you restore both function and appearance after skin cancer treatment. Fill out the form below, and we’ll contact you to set up your personalized consultation.
Real Patients, Real Results
Real Patients,
Real Results