Expert Reconstruction for Skin Cancer Defects on the Face, Head, and Neck
Skin cancer is one of the most common forms of cancer, and when it affects the face, scalp, or neck, it presents unique challenges due to the aesthetic and functional importance of these areas. Mohs micrographic surgery is the gold standard for removing certain skin cancers, offering high cure rates while preserving as much healthy tissue as possible. However, the removal process can leave behind complex wounds that require skilled reconstruction.
At The Hilger Face Center, we specialize in reconstructive surgery following Mohs surgery, working closely with dermatologic Mohs surgeons to coordinate your care and restore both form and function after skin cancer removal. Our expertise in facial anatomy and aesthetics ensures that your reconstruction is handled with precision, artistry, and care.
What Is Mohs Surgery?
Mohs surgery is a highly effective technique for removing skin cancers, especially basal cell carcinoma and squamous cell carcinoma which are the most common forms. Performed by fellowship-trained dermatologic surgeons, Mohs surgery involves the careful, layer-by-layer removal of cancerous tissue while preserving as much surrounding healthy skin as possible and at the same time has the highest rate of complete tumor removal and lowest recurrence rate.
The result is a wound or defect that varies in size and depth, depending on the extent of the cancer.
Reconstructive Surgery After Mohs: Why It Matters
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After the cancer is removed, reconstruction becomes the next critical step—especially when the defect is located on the nose, eyelids, lips, ears, cheeks, or forehead, where appearance and function are closely intertwined. Reconstruction is not one-size-fits-all; it must be customized to your specific anatomy and the size, shape, and location of the wound.
Key goals of Mohs reconstruction include:
- Restoring natural appearance and facial symmetry
- Preserving essential functions like breathing, speaking, or blinking
- Minimizing visible scarring and promoting proper healing
Why Choose a Facial Plastic Surgeon for Reconstruction?
Reconstruction following Mohs surgery is not simply about closing a wound—it’s about restoring the unique features of the face with the highest level of care. Here’s why a facial plastic surgeon is the ideal choice for this type of surgery:
1. Specialized Training
Facial plastic surgeons undergo extensive training focused exclusively on the face, head, and neck. This includes deep knowledge of facial anatomy, skin reconstruction, and advanced surgical techniques.
2. Aesthetic Expertise
In addition to medical reconstruction, facial plastic surgeons are also trained in cosmetic principles. This means your results will not only function well but look as natural and discreet as possible.
3. Experience with Complex Repairs
From small closures to intricate flap or graft techniques, facial plastic surgeons have the tools and experience to address a wide range of defect sizes and complexities—even in high-visibility or delicate areas like the nose, lips, and eyelids.
4. Collaborative Care
We work closely with your Mohs surgeon to ensure seamless care. In many cases, reconstruction is performed shortly after your skin cancer removal to reduce downtime and promote better healing.
Our Approach to Mohs Surgery & Reconstruction
At The Hilger Face Center, we believe every patient deserves a thoughtful, individualized approach. During your consultation, we’ll evaluate the defect, discuss reconstructive options, and create a personalized surgical plan to optimize both cosmetic and functional outcomes.
We routinely perform:
- Primary closures for small defects
- Skin grafts and local flaps for moderate to large defects
- Complex reconstruction of the nose, eyelids, lips, ears, and scalp
- Staged reconstruction for larger or more intricate repairs
Your Care Is Our Priority
Whether you're facing skin cancer on a visible part of your face or undergoing your first reconstructive procedure, you can trust our team to guide you with compassion and expertise. We’re here to help you heal with confidence—restoring not just your appearance, but your quality of life.