Following the removal of the tumor by mohs surgery, Dr. Gladstone will perform the repair of the defect. Dr Gladstone will discuss with you which types of reconstruction are appropriate and which option he believes will give you the best scar. There are definite principles of reconstruction that Dr Gladstone follows, and has taught many colleagues around the country and world. Some mohs defects can be closed in a line; other defects may need to be closed by moving adjacent skin (flaps); others may be repaired with skin from behind or in front of the ear (grafts). In less common instances, a piece of skin from the forehead or cheek may be attached for 1-3 weeks to the defect, and then removed.
For most reconstruction on the head and neck, Dr Gladstone uses all absorbable sutures which do not need to be removed. You will be given directions on how to take care of your wound. Your body is amazing in terms of healing, but it is still a process that can take several months. When human skin is cut via surgery, there will be a scar. The key is reducing the scar as much as possible.
There are several methods to minimize your scar, and Dr Gladstone will go over them with you. In rare instances, some scar revision may be needed—usually with either a laser or spot dermabrasion in order to optimize your results.
*Results may vary from person to person