when surgical wounds after Mohs micrographic surgery are unacceptable
to the patient and the patient's family, suturing the wound
may be considered. However, we may advise some patients to
allow the wound to heal by itself and then to wait at least
one year before having repair (plastic) surgery.
sometimes advise waiting for two reasons:
Frequently, a repair may be unnecessary and can be avoided
because the cosmetic result without repair surgery may be
equal to that accomplished by repair surgery - and it takes
about a year to determine this. Although repair surgery may
improve scars and other defects, you will not look exactly
as you did before Mohs micrographic surgery. In some patients,
repair surgery may result in an appreciable difference.
Even more important that cosmetic considerations - no method
of treatment for skin cancer, including Mohs micrographic
surgery, is successful in all patients. In those few patients
who do have a recurrence, the tumors usually become evident
within 12 to 24 months after the initial surgery. Resorting
to repair surgery immediately may distort and cover up tissue
that still contains malignancy. If tumor remains after repair
surgery, it may be difficult to treat.