Mohs skin cancer excision, also referred to as chemosurgery, is a specialized treatment designed to remove diseased tumor cells in layers, allowing the Mohs surgeon to preserve as much healthy tissue as possible. It is named after Dr. Frederic Mohs who invented the technique in the early part of the 20th century. Once the cancer treatment is over, a plastic surgeon may be called upon to treat resulting deformities through Mohs reconstruction. This delicate, precise surgery can dramatically improve the skin cancer patient’s aesthetic appearance, boost their self-esteem, and restore normality to the devastated areas of the nose, eyes, lips or cheeks. If there is a large defect after removal of the skin cancer with Mohs surgery, sometimes more than one procedure may be necessary for reconstruction.

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Why Choose PPSD For Mohs Reconstruction?

Working closely with PPSD’s highly trained Mohs surgeons and other regional dermatologists, PPSD’s team of board-certified, fellowship-trained Mohs surgeons and plastic surgeons possess the skill, innovation and patience to provide truly outstanding outcomes for skin cancer survivors. We work with the most progressive, cutting-edge technology at state-of-the-art facilities and afford each patient the personalized, compassionate care they deserve.

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Taking the First Step Forward

Your procedure begins with a confidential consultation in the warmth of one of our NC based offices in Charlotte, Gastonia, Shelby, Hickory, Lake Norman and surrounding cities. Mohs surgery and reconstruction is performed in our offices in each city.

During the consultation, your doctor will review your medical records, examine the site of your Mohs micrographic surgery, discuss your goals and expectations, and answer any questions or concerns. At PPSD, we match each patient with a caring, knowledgeable surgeon who fits your needs and personality. He or she will explain your treatment plan in clear, easy-to-comprehend language so that you may move forward with confidence.

What to Expect from Mohs Reconstructive Surgery

Wherever possible, it is recommended that Mohs reconstruction be performed on the same day as the Mohs excision, requiring coordination with your Mohs surgeon. This helps to minimize both scarring and downtime. The reconstruction may be performed at one of PPSD’s accredited outpatient surgical suites or rarely at an affiliated hospital, if necessary. Patients typically receive local anesthesia, although sedation may be required in some cases. The reconstructive procedure rarely requires more than 30 minutes to perform. Skin grafting, the use of flaps, and the harvesting of donor tissue from other areas of the body are methods that may be required during the Mohs reconstruction. During reconstruction, your plastic surgeon will perform adjustments to the facial cartilage, bones, skin or muscles, carefully camouflaging any incisions. Skin grafting, the use of flaps, and the harvesting of donor tissue from other areas of the body are all typical methods employed during the Mohs reconstructive procedure.


Because each patient requires a different type of reconstruction after Mohs surgery, recovery will vary significantly. Your doctor will provide a customized aftercare plan tailored to your needs, which includes instructions on hygiene, sleeping, pain medications, and a timeline for resuming exercise and returning to work.

The doctor will schedule several follow up visits in order to confirm that your recovery is progressing swiftly and without incident. In some cases, you may be advised to consider additional non-surgical treatments such as dermabrasion or laser resurfacing, which can greatly complement and enhance the results of reconstruction, further reducing facial scars. As always, if you experience anything out of the ordinary during healing, do not hesitate to contact the PPSD office day or night. We are committed to your complete satisfaction and peace of mind.

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