Reconstruction of defects on the face and other sensitive areas after Mohs micrographic surgery, with the goal of optimal aesthetic and functional outcomes.
Mohs micrographic surgery is a specialised technique performed by a dermatologist that allows skin cancers to be removed with very small margins while confirming complete clearance under the microscope. It is commonly used for cancers on the face where tissue preservation matters most.
Once the cancer has been cleared, the resulting defect — which can range from small to substantial — often requires reconstruction by a plastic surgeon. Dr Doherty works closely with referring dermatologists to plan the reconstruction in advance and to perform repair either immediately after the Mohs procedure or on a subsequent day.
The reconstructive method depends on the size, depth and location of the defect, and includes:
Special attention is paid to the aesthetic subunits of the face — the nose, eyelids, lips, ears and cheeks — to optimise scar placement and final appearance.
Most post-Mohs reconstructions are performed under local anaesthetic as a day procedure. Sutures are typically removed at 5–10 days depending on body site. Wound care instructions and scar management are reviewed at follow-up.
Related: See our scar management guide for the post-operative healing timeline, the daily silicone-and-massage protocol, and when to be concerned about a scar.
All surgical procedures carry potential risks and complications, which will be discussed in detail at your consultation.