Mohs Surgery

  • Medical Author:
    Gary W. Cole, MD, FAAD

    Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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What is reconstruction? Will I have a scar after Mohs surgery?

Reconstruction is repairing or fixing the wound.

Repairing or closing the wound may involve having your surgeon stitch the wound closed side by side. Sometimes an area may heal best by letting the wound heal by itself naturally without stitches. Additional reconstruction options include using a skin graft or, moving a flap of skin.

Shared decision-making is very important with this issue and it can help if you are involved by reviewing how you prefer to repair the wound. Your Mohs surgeon may make some recommendations on how to close your wound.

The main goal with Mohs surgery is to remove the skin cancer first. Once the cancer is cleared out, then your Mohs surgeon will look at options of how to best fix the area. The goal of Mohs is to clear skin cancer, achieve the smallest scar, and preserve normal tissue.

When you cut the skin, there will be some type of scar. Some people heal easier than others. Some scars are more noticeable depending on the location and skin type.

There are many options for treatment of surgical scars, including lasers, scar creams and gels, cortisone injections, and many other choices depending on the scar. However, do not expect these treatments to completely remove the scar. You may want to discuss ways to help minimize scarring with your doctor at your stitch-removal appointment.

Intra-op wound
Intra-op wound
Sutured wound
Sutured wound
Healed post-op site
Healed post-op site
Medically Reviewed by a Doctor on 6/8/2015
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