Mohs reconstruction begins after the skin cancer has been removed and the final defect is known.
The reconstructive choice depends on the defect’s size, depth and location; exposed structures; nearby skin; and the functional requirements of the eyelid, nose, lip, ear or other affected area.
Reconstructive options
Depending on the defect, options may include healing by secondary intention, primary closure, a skin graft, a local flap or a staged reconstruction. No method can promise “little or no scar”; the goal is to restore coverage, contour and function while placing scars as thoughtfully as possible.
For broader reconstructive resources, see reconstructive surgery resources.