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November 25, 2009
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Mohs Surgery (cont.)

What is reconstruction? Will I have a scar?

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, moving a flap of skin, and plastic-surgery closure.

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.

In general, 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. You may want to discuss ways to help minimize scarring with your doctor at your stitch-removal appointment.

Intra-op wound
Sutured wound
Healed post-op site
From top: (top) intra-op wound; (middle) sutured wound; (bottom) healed post-op site


Next: What are alternatives for Mohs surgery? »

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