patient for skin cancer removal


Closing Up Your Wound With Cosmetic Expertise

When you have skin cancer removed, the goal is to remove the cancer. Once that has been achieved, our goal is to provide you with the best possible functional and cosmetic results. Mohs closure surgery is a popular procedure among cancer patients with a 95% cure rate. The Mohs surgical technique has proven to be the most effective method of treating certain types of skin cancer.

Mohs Surgery

Mohs surgery is a procedure used by specialized dermatologists to remove skin cancer that has a high risk of coming back after treatment, when the extent of the skin cancer is not known, or when the goal is to save as much healthy skin as possible. This type of surgery is especially important with cancers near the eye or other critical areas such as the central part of the face, the ears or fingers.

The Mohs procedure is done by removing a very thin layer of the skin, including the tumor, and checking the removed sample under a microscope. If Dr. Ghaznavi detects cancer cells, he will remove and examine another layer of skin. This is repeated until the skin samples are free of cancer cells. This is a slow process, often taking several hours, but it means that all of the cancer is removed and more of the normal skin is saved.

Despite only removing the necessary tissue, the patient is often left with large wounds or scars in prominent areas, which require skilled closure by a plastic surgeon. Both procedures can be performed on the same day.

Mohs Closure And Reconstruction

Reconstruction after Mohs surgery can often be performed the same day or a few days after the removal procedure. Reconstructive procedures are individualized depending on each patient’s wound, including its size and location. It can involve a skin graft, flap of skin, stitching or surgical closure.

There are several different methods that can be used to repair your surgical wound:

In some cases, the wound will heal on its own just as well as if it were healed via surgery. There are also times when a wound will be left to heal knowing that if the resultant scar is unacceptable, some form of reconstructive surgery can be performed at a later date.

Basically, this involves sewing the skin edges together to speed the healing and typically offers an excellent cosmetic result.

This procedure involves movement of adjacent healthy tissue to cover a surgical site. When practical, flaps are chosen because of the excellent cosmetic match of nearby skin.

There are two types of skin grafts, which are used to cover a surgical site with skin from another area of the body:

  • A split thickness graft, which takes a thin sample of skin from the thigh.
  • A full thickness graft provides a thicker layer of skin to achieve the desired results. This skin is usually removed from around the ear or collarbone and then stitched to cover the wound.

To ensure the most minimal amount of scarring and to close large wounds left by Mohs surgery, you will need the skills of a plastic surgeon. When scarring must be kept to a minimum or when the natural healing process would be inadequate, reconstructive surgery can be performed on the same day as your Mohs surgery.

Mohs surgery patient


Visit AMG Plastic Surgery to experience compassionate, personalized care from our board certified surgeon.


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