Reconstruction After Mohs Surgery
When a dermatologist or Mohs surgeon removes the skin cancer, reconstruction can be coordinated after the margins are clear. The repair is planned around the final surgical defect.
Learn About Mohs Reconstruction →Aesthetic Eye & Surgical Arts
Eyelid & Facial Reconstruction
Specialized reconstruction of the eyelids and facial structures.
Reconstruction of the eyelids and facial structures requires thoughtful planning to restore function, contour, and appearance while respecting the unique anatomy of each patient.
Eyelid & Facial ReconstructionActual patient. Individual results vary.
Reconstructive Care
Reconstruction begins after the true defect is known
Skin cancer removal can leave a defect that is larger or more complex than the lesion initially visible on the skin. The size, depth, location, and surrounding anatomy all influence how the area should be repaired.
Dr. Brannan performs reconstruction after Mohs surgery and also treats selected skin cancers with non-Mohs excision when appropriate. The reconstructive plan is individualized after the final defect is evaluated.
The objective is to restore normal function and contour while placing incisions and moving tissue as thoughtfully as possible.
Two Pathways to Care
Mohs and non-Mohs skin cancer treatment
Skin Cancer Removal & Reconstruction
For selected lesions, Dr. Brannan can perform non-Mohs excision and reconstruction. The appropriate approach depends on the diagnosis, location, clinical circumstances, and patient needs.
Learn About Skin Cancer Treatment →Skin Cancer Treatment
Selected cancers may be removed and reconstructed without Mohs surgery
For selected lesions, Dr. Brannan can perform non-Mohs excision when appropriate. The recommended approach depends on the diagnosis, location, size, surrounding anatomy, and individual clinical circumstances.
When non-Mohs excision is selected, cancer removal and reconstruction can be coordinated as part of the same treatment plan. Reconstruction is designed after the true defect is known, with attention to function, contour, and scar placement.
Other cancers are better treated with Mohs surgery. In those cases, reconstruction is coordinated after the Mohs surgeon confirms that the cancer has been removed.
Eyelid Reconstruction
Protecting eyelid function while restoring appearance
The eyelids protect the eye, distribute tears, blink, and maintain a precise position against the ocular surface. Reconstruction therefore involves more than simply closing a skin defect.
Planning may need to account for the eyelid margin, tear drainage system, inner and outer corners of the eye, eyelid support, and adjacent facial structures.
Explore Eyelid Reconstruction →Reconstructive PrioritiesEye protection and eyelid closureEyelid position and supportNatural contour and symmetryThoughtful scar placement
Understanding Reconstruction
The repair may extend beyond the visible cancer defect
Nearby skin is often moved into the defect to recreate normal contours and distribute tension. As a result, the area involved in reconstruction may be larger than the original defect.
These educational overlays help explain the relationship between the cancer defect and the tissue used for reconstruction.
Actual defectReconstruction footprintDirection of tissue movement
Patient Results
Reconstruction tailored to the defect and surrounding anatomy
Selected examples of eyelid and facial reconstruction. Individual results vary.
Before
After
Eyelid Reconstruction
Before
After
Facial Reconstruction
Our Approach
Thoughtful planning for each individual defect
Frequently Asked Questions
Common questions about skin cancer reconstruction
Do you reconstruct defects after Mohs surgery?
Yes. Reconstruction can be coordinated after the Mohs surgeon has removed the cancer and confirmed clear margins.
Do you also remove skin cancers?
Yes. Selected skin cancers may be treated with non-Mohs excision when appropriate. The recommended approach depends on the diagnosis, location, and individual clinical circumstances.
Why can the reconstruction be larger than the original cancer?
The visible lesion may be smaller than the final defect after complete removal. Reconstruction may also require movement of nearby tissue beyond the defect to restore contour and function.
Why is eyelid reconstruction different?
The eyelids must protect the eye, blink, distribute tears, and maintain precise position. Reconstruction therefore needs to consider function as well as appearance.
When is reconstruction performed after Mohs surgery?
Timing is coordinated according to the defect and clinical circumstances, typically after cancer removal is complete and the final defect is known.
Consultation
Specialized care for eyelid and facial reconstruction
If you have been diagnosed with an eyelid or facial skin cancer, are planning Mohs surgery, or already have a defect requiring reconstruction, treatment begins with careful evaluation and an individualized plan.