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Mohs Reconstruction Overview
|GOALS||Skin cancer removal and facial reconstruction, Restore facial appearance, Minimize cosmetic deformity related to skin cancer treatment|
|ANESTHESIA||Local anesthesia alone or in combination with sedation|
|LENGTH||Most cases of reconstruction range from 30-90 minutes in duration|
|AFTER PROCEDURE||Dressings removed after 1 day. Most sutures are removed by day 7|
|RECOVERY||Most activities may be resumed after a couple of days. Swelling and bruising generally subside by day 10. Return to work in 1-2 weeks|
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Skin cancer is the most common type of cancer in the U.S. and its incidence is increasing. Each year, there are 3.5 million cases of skin cancer diagnosed. In the course of a lifetime, 1 in 5 Americans will develop skin cancer. Of all body locations, the head and neck region is the most commonly affected area. Treatment of skin cancers usually involves surgical excision. Reconstructive surgery may be indicated to minimize any resulting deformity. Reconstruction involving the face and facial structures is particularly delicate given the visibility of this area and its impact on one's appearance and social interaction.
Dr. Pearson's practice offers skin cancer reconstruction as well as diagnosis and treatment of suspected or confirmed skin cancers on the face, neck and scalp.
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A patient describes her experience with skin cancer reconstructive surgery performed by Dr. Pearson.
Mohs surgery allows for the removal of a skin cancer with a very narrow surgical margin and a high cure rate. Because the Mohs procedure is micrographically controlled, it provides precise removal of the cancerous tissue, while healthy tissue is spared. In anatomically important areas (eyelid, nose, lips), tissue sparing and low recurrence rate makes it a procedure of choice by many physicians.
Advantages of Facial Skin Cancer Reconstruction by a Facial Plastic Surgeon
- Minimize the deformity resulting from skin cancer removal
- Patients benefit from the cosmetic expertise of a plastic surgeon
- Surgical scars that are better concealed and less noticeable upon healing
Dr. Pearson is considered an expert in facial reconstruction and has extensive experience in facial reconstructive procedures. You may view some of his surgical results here. Dr. Pearson has recently published a chapter on this topic in a recently-released and highly-regarded Plastic Surgery textbook, entitled Advanced Therapy in Facial Plastic & Reconstructive Surgery
You may be a candidate for Mohs reconstruction any time you will be undergoing surgery for the removal of a skin cancer. Call for a consultation with Dr. Pearson for the following:
- Any suspicious skin lesion located on the face, neck or scalp
- You have been diagnosed with a skin cancer located in this region
- Any recurrent skin cancer located in this region
- A skin cancer located in a cosmetically or anatomically important area such as the eyelids, nose or lips
A biopsy may be undertaken in the office, and takes only a few minutes to perform. If your biopsy demonstrates a skin cancer, Dr. Pearson will discuss with you treatment options including referral to his team or your choice of Mohs surgeons for evaluation and treatment. Mohs surgery is a microscopically-controlled procedure used to treat common types of skin cancer. In these cases, Dr. Pearson performs facial reconstructive surgery following skin cancer removal by the Mohs surgeon.
Dr. Pearson is also available to perform facial reconstruction from skin cancer surgery based entirely on your preference or request. Call our office to arrange for a consultation and we will coordinate with your dermatologist or Mohs surgeon to accommodate your treatment.
Skin cancer reconstruction is performed either in the office or an operating suite on an outpatient basis. Reconstruction is performed under local anesthesia alone or in combination with sedation based on your preferences. Patients are able to return home shortly after the procedure.
Some patients choose to undergo additional procedures at the same time while they are under anesthesia. During your consultation with Dr. Pearson, complementary procedures that may be available or appropriate in your case can be discussed.
Following skin cancer reconstruction, you can expect a few days of swelling and soreness which is well controlled with oral pain medications. Dressings are typically removed on the day after surgery. Sutures are removed between 5-7 days after the procedure. Makeup can be used at this point to camouflage any bruising or maturing scars. Swelling and bruising generally subside by 7-10 days. You can resume most normal activities after a couple of days, except for intense exercise, which may be resumed at about 3 weeks. Return to work is usually permissible within a few days, although most patients return to work within 1-2 weeks.
Dr. Pearson's recent book chapter on Skin Cancer Reconstruction
Dr. Pearson has recently published a chapter on facial reconstruction after Mohs surgery in a highly-regarded Plastic Surgery textbook.