Mohs micrographic surgery is a highly effective technique for removing skin cancer while preserving as much healthy tissue as possible. After the cancer is removed, a defect (wound) remains, which needs to be repaired for functional and cosmetic reasons.
A Mohs closure procedure involves reconstructing the affected area using techniques such as:
Linear Closure: Closing the wound with simple sutures for smaller, straightforward incisions.
Flap Reconstruction: Using adjacent tissue to cover the wound, ideal for areas requiring more flexibility, such as the face or nose.
Grafts: Transferring tissue from another area of the body to cover larger wounds when local tissue is insufficient.
The approach used depends on the size, location, and depth of the defect, as well as the patient’s individual needs.You may be an excellent candidate for Mohs closure if you:
Have undergone Mohs surgery with your dermatologist to remove skin cancer.
Require repair of a defect on the face, neck, or other visible areas.
Desire a natural, aesthetically pleasing reconstruction.
Are in good overall health and have realistic expectations.
This procedure is particularly beneficial for areas like the nose, eyelids, cheeks, and lips, where precise reconstruction is crucial.
Mohs closure may not be suitable for individuals who:
Have untreated infections in or around the surgical site.
Have uncontrolled medical conditions, such as diabetes or hypertension, that may affect healing.
Are prone to poor wound healing or keloid scarring.
Have unrealistic expectations about the outcome.
Dr. Schwarcz will assess your unique needs and recommend the most appropriate approach during your consultation.
Proper preparation ensures a smooth recovery and the best possible results. Key steps include:
Timing: Mohs closure is often performed immediately after Mohs surgery. If delayed, it should be scheduled as soon as the wound is stable.
Medications: Avoid blood thinners, aspirin, and supplements like vitamin E for at least two weeks prior to the procedure to minimize bleeding.
Lifestyle Adjustments: Quit smoking and reduce alcohol consumption to support optimal healing.
Support: Arrange for transportation and assistance on the day of surgery if necessary.
Dr. Schwarcz will provide detailed pre-operative instructions tailored to your situation.
Mohs closure is performed in our Manhattan office’s JCAHO-certified surgical suite under local anesthesia with sedation or general anesthesia, depending on the complexity of the repair. The procedure typically takes 1-3 hours.
Here’s what to expect during the process:
Before Surgery: Dr. Schwarcz will evaluate the defect, discuss your goals, and determine the best reconstructive technique.
During Surgery: The wound will be carefully reconstructed using the chosen technique, whether direct closure, skin grafting, or flap reconstruction. Sutures are meticulously placed to minimize scarring.
After Surgery: You’ll rest in our recovery area before heading home with detailed aftercare instructions.
Dr. Schwarcz’s precision and artistry ensure natural-looking, functional outcomes.
Recovery from Mohs closure is typically straightforward but varies based on the complexity of the reconstruction:
First Few Days: Swelling, bruising, and mild discomfort are normal. Use prescribed medications and cold compresses to manage symptoms.
1-2 Weeks: Sutures are usually removed within 5-14 days, depending on the repair. Healing continues as swelling and redness subside.
1-3 Months: Scars begin to fade, and the area takes on a more natural appearance.
6 Months+: Final results are visible as the tissue fully heals and scars mature.
Our team will provide detailed aftercare instructions to ensure the best results.
The results of a Mohs closure procedure are transformative, restoring both the function and appearance of the treated area. Dr. Schwarcz’s expertise ensures minimal scarring, natural contours, and an aesthetically pleasing outcome. With proper care and sun protection, you can enjoy long-lasting results.
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With over 20 years of experience in reconstructive and facial plastic surgery, Dr. Robert Schwarcz is a trusted expert in Mohs closure procedures in NYC. His precision and dedication to achieving natural-looking results ensure you leave feeling confident and restored. Whether you visit our Manhattan or Rye office, you’ll receive personalized care and unparalleled expertise.
Ready to restore and refine your look after Mohs surgery? Click the Request an Appointment button below and take the first step toward healing with confidence.
Mohs closure is a reconstructive surgical procedure performed after Mohs micrographic surgery to repair skin defects caused by the removal of skin cancer. The goal is to restore both the form and function of the treated area while achieving aesthetically pleasing results. Performed by Dr. Robert Schwarcz in our Manhattan office’s JCAHO-certified surgical suite, Mohs closures are carefully tailored to ensure natural-looking results and optimal healing. Consultations and follow-ups are available in both Manhattan, NY, and Rye, NY. If you’re searching for expert Mohs closure in NYC, Dr. Schwarcz’s meticulous techniques and artistic approach ensure seamless outcomes.