Mohs Reconstruction/Skin Cancer Reconstruction

Simple closure or primary closure involves directly stitching the edges of the wound together using the surrounding skin. This method works best for smaller defects or wounds with clean edges that are easy to close. It offers a straightforward solution, allowing for quicker healing and minimal scarring. Simple/primary closure is particularly effective for smaller facial or neck wounds where the skin’s natural elasticity allows for easy closure and optimal results.

Flap reconstruction is one of the most common methods for restoring areas with larger skin defects after Mohs surgery. In this procedure, healthy tissue is moved from an adjacent area to cover the wound, ensuring a natural appearance and smooth integration with the surrounding skin. Flap reconstruction is ideal for regions where preserving the skin’s texture and function is essential, such as the face or neck. The tissue used may include fat, muscle, or skin, depending on the size and location of the defect.

Skin grafts are used when the defect is too large for a flap reconstruction or when there is not enough nearby tissue to close the wound. During a skin graft, a thin layer of skin is harvested from a donor site, typically on the thigh or behind the ear, and carefully placed over the affected area. While skin grafts typically have a high success rate, there may be some variation in the texture or appearance of the grafted skin compared to the surrounding tissue.

For areas requiring more significant coverage, tissue expansion may be an option. This technique involves inserting a balloon-like silicone expander device beneath the skin near the affected area. Over time, the device is gradually inflated to stretch the surrounding tissue, creating additional skin that can be used for reconstruction. Tissue expansion is typically used for larger defects in sensitive areas, such as the scalp or face, where extra skin is needed. It offers an effective solution for large defects.