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Mohs Reconstruction NYC

Mohs Micrographic Surgery is the most advanced and effective treatment procedure for skin cancer available today. The Mohs technique can precisely identify and remove the entire malignant lesion layer by layer while leaving the surrounding healthy tissue intact.

As the damaged skin layers are removed, each tissue layer is examined under a microscope for signs of cancer. When a cancer-free sample is reached, the procedure is complete. This layer-by-layer removal of cells helps ensure that the healthy tissue surrounding the cancerous lesion is preserved and scarring is minimized.

Although Mohs surgery can help reduce the chances of permanent scarring, some individuals may develop a notable defect after excision. Patients with large cancerous lesions and certain skin types tend to be more prone to scarring. For those who have a high risk of scarring, New York-based facial plastic surgeon Dr. Richard Westreich can perform Mohs reconstruction in NYC, a specialized procedure that can improve the appearance of a post-surgical disfigurement.

How is the procedure performed?

Mohs reconstruction surgery is a coordinated effort between Dr. Westreich and the patient’s dermatologist. The reconstruction method will depend on the extent of the cancer and the severity of the post-surgical wound. Sometimes a straight-forward closure of the wound will suffice.

In more complex cases, Dr. Westreich will employ sophisticated reconstruction techniques. He may rearrange the tissue, using a local skin flap or graft skin. The choice of flap or donor site for a skin graft can have a significant impact on the quality of the reconstructive outcome.

What is the recovery process?

In most cases, Mohs reconstructive surgery does not require a hospital stay. Although patients can return to normal activities within a couple of days, they are advised to refrain from strenuous activity until the sutures are removed (within 5-7 days). The skin will continue to heal over the course of a few weeks.

Mohs Reconstruction FAQ

What is Mohs reconstruction?

After Mohs surgery is complete, the reconstruction of the area can occur. Dr. Westreich helps his patients restore areas of the face or body that have been impacted by the removal of cancerous or pre-cancerous skin tissue.

Should I plan for Mohs reconstruction after my Mohs surgery?

For some areas of the body that are hidden, a patient may choose to live with any remaining scars. For facial areas, it is typically very important to treat the area and restore a natural-looking appearance. That is when you want the most highly-trained, talented surgeon to perform the reconstruction. Dr. Westreich is recognized as a highly-skilled facial plastic surgeon who has performed many Mohs reconstruction surgical procedures. We invite you to speak with us about your concerns on post-surgery damage and scarring.

What is Mohs Surgery?

This surgical technique involves removing cancerous cells in stages, with one tissue layer removed at a time. It is typically an out-patient procedure requiring only local anesthetic. One of the most powerful reasons to treat skin cancer with this surgical technique is that the tissue removed is processed after removal, allowing your surgeon to map the cancerous area accurately and precisely. When cancer cells are identified, the next layer of tissue can be removed. This process preserves more of your natural skin than other traditional surgical techniques.

How long will Mohs surgery take to perform?

This advanced surgical technique requires more time than traditional surgery in some cases, due to the added time for tissue staining of samples. You can predict several hours for the procedure to be completed. As every person is different, it is difficult to predict exactly how long the surgery will require. Our surgeon can advise about what to expect in your case.

Will I be left with a scar after Mohs surgery?

Although the removal of a skin cancer leaves a scar, the size of the removed tissue is typically far smaller and the scar less visible than older, traditional surgical methods. At New Face NY, Dr. Westreich helps his patients with scar reduction techniques, and these can be discussed with you prior to your treatment.

Will I need several surgeries?

One of the benefits of this advanced technique is that most patients need only one surgery, rather than undergoing multiple treatments. The procedure includes repairing the wound as part of the process. Rather than undergoing several surgeries, the entire process can be more cost-effective than traditional skin cancer treatments.

Is Mohs surgery a recently developed procedure?

No – Mohs surgery has been performed for several decades. There are some significant advances in recent years that make the process faster and more effective, with high-tech systems bringing an even higher level of accuracy and precision to the procedure.

Is Mohs surgery covered by health insurance?

Most health insurance providers cover Mohs surgery to treat skin cancer. How much of the cost will be paid by your health insurance varies, depending upon the type of plan. We can help you find out what portion of the cost could be covered by your insurance.

What is basal cell carcinoma (BCC)?

This a skin cancer condition that is related to sun exposure. Along with squamous cell carcinoma (SCC), these are very common in people who have had extensive exposure to the sun’s rays. The condition does not tend to spread, but will advance if left untreated. It is critical that these conditions are treated as early as possible.

How do I prepare for Mohs surgery?

When preparing for the procedure, dress in comfortable, loose clothing. Wear a top that buttons in front for easy removal without disturbing any treated area. Plan to have transportation home afterward from another person. The person transporting you can wait for you during surgery, or arrive later to take you home. You will have bandages that can restrict motion or vision (depending upon the surgical site).

Do I need to stop eating and drinking after midnight like standard surgery?

No – you can eat breakfast and snack during the day if you have a longer procedure. There is some waiting time during the time when the removed skin tissue is evaluated, so bring a book, magazine, laptop, or other form of relaxing activity.

mohs reconstrction

Mohs Reconstruction Surgery with Dr. Westreich, NYC

Dr. Westreich is recognized nationally as a top plastic surgeon who specializes in Mohs reconstruction in NYC and skin surgery. If you are concerned about a post-surgical damage and scarring after skin cancer removal, contact Dr. Westreich to schedule a comprehensive consultation.


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