Mohs Surgery and Skin Cancer | Johns Hopkins Facial Plastic and Reconstructive Surgery

When you are facing Mohs surgery for skin cancer, you may be concerned about effectively addressing skin cancer, but also the impact of the procedure on your appearance.

With both goals in mind we offer a unique team approach, with the Mohs skin cancer dermatologic surgeon treating the cancer, and our facial plastic surgeons restoring the natural contours of your face. Our expertise ensures the best possible aesthetic result for your surgery and repair.

Mohs Surgery and Skin Cancer: Before and After Pictures

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Mohs Surgery

Treatment: Skin cancer removed with a rotational flap repair. Note: Early post-op result.

Mohs Surgery

Treatment: Full thickness nasal defect treated with paramedian forehead flap and internal nasal reconstruction.

Mohs Surgery

Treatment: Nasal tip defect treated with a paramedian forehead flap.

Mohs Surgery

Treatment: Large defect of the forehead repaired with local flaps.

Mohs Surgery

Treatment: Skin cancer removed and defect repaired with local flaps.

Mohs Surgery

Treatment: Full thickness defect repaired with paramedian forehead flap, cartilage grafts and internal nasal reconstruction.

Mohs Surgery

Treatment: Nasal ala defect repaired with a melolabial flap.

Mohs Surgery Treatment: Skin cancer removed and defect repaired with local flaps.

Mohs Surgery and Skin Cancer: Why Choose Johns Hopkins Facial Plastic Surgery?

The team offers unique skills in the reconstruction of the nose, face, ears, neck and scalp after Mohs surgery for skin cancer
The large number of patients we see and the experience of our faculty offer you a rare degree of skill and expertise in even the most complex procedures
From surgeons to staff, our entire team focuses on your health and well-being, and will support your experience with knowledgeable care, clear communication and compassion

Mohs Surgery and Skin Cancer: What to Expect

Our team will work with you to plan your microsurgical reconstruction, starting with a detailed evaluation. This is essential to helping you understand what to expect, including the potential impact on the appearance and function of your facial features.

Your surgeon will assess you for potential donor skin sites that are likely to produce the best results with minimal loss of function. The doctor may close the surgery area by using surrounding tissue (local flap), or graft skin from another area of the body (skin graft). Your team may recommend a staged procedure that uses tissue expanders to grow more tissue to cover the incision.

Learn more about a nasal reconstruction after Mohs surgery.

Follow-up Care

Follow-up care is vital to monitor healing. Anything unusual should be reported to your surgeon immediately, and you should be sure to keep your follow-up appointments with your surgeon: one day, one week and one month after surgery.

Read more about what you should do before and after your Mohs procedure.

Our Physicians

Our doctors are board certified in both otolaryngology—head and neck surgery and facial plastic and reconstructive surgery, which gives our team a unique and comprehensive level of expertise.

Shaun Desai, M.D.

Assistant Professor of Otolaryngology - Head and Neck Surgery

Lisa Ishii, M.D.

Professor of Otolaryngology - Head and Neck Surgery

Kofi Boahene, M.D.

Professor of Otolaryngology - Head and Neck Surgery

Patrick Byrne, M.D.

Professor and Director - Division of Facial Plastic and Reconstructive Surgery

Nasal Tip Surgical Reconstruction: Options After Mohs Surgery

Learn about three options for nasal tip reconstruction following Mohs surgery: local flap, skin graft and forehead flap, from Johns Hopkins facial plastic and reconstructive surgeon Patrick Byrne.