Mohs Reconstruction is a procedure to reconstruct the face after a defect is created in the face by Mohs surgery. Mohs surgery is an advanced technique by specially trained dermatologic surgeons who use this to removed skin cancer. Skin cancer has the highest propensity of being on the face, and most commonly the nose.
Dr. Shah expertly reconstructs the face depending on the size of the defect. Some patients may have procedures which require one stage to reconstruct while others may require multiple stages. Dr. Shah’s emphasis in reconstruction is to allow for functional and aesthetic reconstruction of the area.
Examples of Defects Repaired by Dr. Shah
What percent of success does Moh’s have?
98% success rate in basal cell carcinoma on face.
Surgical excision vs Mohs’ micrographic surgery for basal-cell carcinoma of the face: randomised controlled trial. Lancet. 2004 Nov 13;364(9447):1766-7.
What do you enjoy about reconstructing Mohs defects?
I think it is a challenge on every case to close each defect in a way which returns the patient back to normal. When patients are missing parts of their nose, faces, and ears and you can recreate them it is very gratifying for both the patient and myself.
How is your approach to Mohs repair different than others?
I have a very large aesthetic practice. Aesthetics and beauty influence how I close a lesion. For example, reconstructing a nasal defect, knowledge or nasal anatomy from my rhinoplasty background allows me the opportunity to not only recreate the defect but do so with an elegance.
Does Mohs repair make you a better aesthetic surgeon?
Absolutely. I feel that the reverse holds true as well (performing large amounts of aesthetic surgery has made me a better reconstructive surgeon). To recontour an existing nose is quite different than recreating a nose. Both have challenges but repairing complex Mohs defects always gives a new perspective on rhinoplasty.
Postoperative Mohs Reconstruction Instructions
- Clean off any crusts with hydrogen peroxide solution (over the counter) with a q-tip. This is to keep maintain your incision and allow for the best healing possible.
- Apply topical ointment to incision. Keep covered with ointment at all times.
- Apply ice to eyes with an ice pack. Some patients have found frozen peas effective.
- Keep head above heart while sleeping by using a few pillows.
- A small amount of bleeding around the incision is normal for the first few days