As Mohs surgeons trained in the most effective technique for skin cancer removal, we see and treat the most difficult skin cancers. Removal of these cancers may at times necessitate removal of large or significant portions of the skin. Then complicated reconstructive surgery may be needed. At the other end of the spectrum, many of the cancers which we remove may be relatively small, but if they are located in an area where there is minimal nearby tissue to allow the wound to be simply closed (for example the nose or the ear), then reconstructive surgery may be necessary.
When we talk about doing plastic reconstructive surgery, we are referring to the freeing up of nearby skin (a skin flap) or the transferring of skin from a distant donor site (a skin graft). To do this, we use our skills in plastic surgery obtained during our dermatology residencies and advanced reconstructive techniques learned during our fellowship training.
Advances in surgical technique and care have allowed the vast majority of these procedures to be done in an outpatient setting using only a local anesthetic. Cosmetic and functional outcomes are as a rule excellent.