Mohs Reconstruction

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Mohs Reconstruction

Mohs Reconstruction

A diagnosis of skin cancer is a significant life event. Since the face and neck are central to our identity and expression, it is entirely natural to be concerned about your appearance when cancer is located in these areas. Mohs Reconstruction is the specialized art of repairing the surgical site left behind after skin cancer removal. Our aim is to ensure that the final result is not just a healed wound, but a restored feature.

What is Mohs Surgery?

Mohs Micrographic Surgery is a precise surgical technique used to treat skin cancer. During Mohs surgery, thin layers of cancer-containing skin are progressively removed and examined under a microscope until only cancer-free tissue remains. This method offers the highest cure rate while sparing as much healthy tissue as possible. However, the resulting defect can often be larger or deeper than expected, requiring a reconstructive expert to close the wound effectively.

A Collaborative Approach: Partnering with Specialized Dermatologists

We believe in a team-based approach to patient health. We work in close partnership with highly trained and specialized Mohs Dermatologic Surgeons to provide a seamless transition from cancer removal to aesthetic restoration. The dermatologist's singular focus is the complete eradication of the cancer to ensure that margins are clear. Once the cancer is removed, we perform the reconstruction. Because we specialize exclusively in the complex anatomy of the face and neck, we are uniquely equipped to manage the functional and cosmetic nuances of these areas. In many cases, the Mohs surgery and the reconstructive surgery can be coordinated within a short time frame to minimize patient downtime.

What are the Benefits of Specialized Reconstruction?

  • Anatomical Preservation: Ensuring that the tension of a closure does not pull on the eyelid, distort the nostril, or lift the lip.
  • Advanced Flap and Graft Techniques: Using like tissue from nearby areas to ensure the color, texture, and thickness of the repair match the surrounding skin.
  • Discreet Scarring: Meticulously placing incisions along natural skin tension lines so they fade into the shadows of the face.
  • Functional Integrity: Maintaining the ability to breathe, blink, and speak without restriction.

Common Areas for Facial Reconstruction

  • Nasal Reconstruction: Repairing the bridge, tip, or nostril of the nose.
  • Eyelid and Periorbital Repair: Protecting the eye and restoring delicate eyelid margins.
  • Lip and Mouth Reconstruction: Ensuring symmetry and maintaining the natural border of the lips.
  • Ear and Cheek Repair: Using local tissue flaps to fill contours and restore a smooth surface.

The Reconstruction Consultation

If you have a Mohs procedure scheduled, you will typically meet with us beforehand to discuss potential reconstructive options. While the final size of the defect is not known until the cancer is cleared, we can plan for Local Tissue Flaps, Skin Grafts, and Linear Closures using specialized suturing techniques.

Preparation and Recovery

Our team coordinates directly with the Mohs surgeon's office regarding timing. Most patients experience minimal discomfort. We provide specific wound care instructions and a follow-up schedule to monitor the maturation of the scar, and emphasize the use of sun protection and scar gels during the healing phase to ensure the best possible aesthetic outcome.

Frequently Asked Questions

Why is a facial plastic surgeon needed for a Mohs repair? Certain areas — like the nose, eyelids, and lips — require the specialized training of a facial plastic surgeon. Our deep understanding of facial anatomy ensures that the repair does not cause structural distortion or functional issues.

Will there be a scar? Any time the skin is cut, a scar is formed. However, as a specialist in the face and neck, we are expert at hiding scars. By following natural creases and using advanced suturing techniques, our goal is for the scar to be as imperceptible as possible once fully matured.

SCHEDULE A CONSULTATION

Contact us to schedule your consultation at our New York or New Jersey location.

New York Office

101 Richmond Ave Ste 320, Syracuse, NY 13204

Phone: 315-254-2030

New Jersey Office

‍528 Amboy Avenue, Perth Amboy, NJ 08861

Phone: 848-209-6363

reviews

Patient Experience

By far the best experience I’ve had with a Dr. Patient experience to Date. From the staff to Dr. Goyal was a pleasant visit I could have asked for . The care was second to none. I can’t thank Dr. Goyal Enough for everything he has done for me and my care.

Phil D
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
I visited Dr. Lindsey Goyal for lip filler injections. She was so patient and thorough with me. I felt as though she truly cared about the outcome and the look I wanted to achieve. Dr. Goyal has an eye for perfection and is truly meticulous with her work. Not only is she skilled, precise and professional, she is also very personable. You can tell that she is passionate about her patients and the care she provides. I am beyond thrilled with my results. I would highly recommend her and plan to continue seeing her for any aesthetic procedures I get in the future.
Sarah Chen
Brittany D
I recently had an appointment with Dr. Goyal for some chronic sinus issues that I’ve been experiencing. As many others have stated, this office is truly an amazing experience. The office is extremely clean, and his staff is WONDERFUL. They truly go above and beyond to make patients feel comfortable and well cared for. Christine is always so positive and willing to help. My first appointment with Dr. Goyal was a very positive experience. He is extremely knowledgeable, kind and patient. The appointment did not feel rushed at all. Thank you to Dr. Goyal and his team!
Sarah Chen
Tara V
By far the best experience I’ve had with a Dr. Patient experience to Date. From the staff to Dr. Goyal was a pleasant visit I could have asked for . The care was second to none. I can’t thank Dr. Goyal Enough for everything he has done for me and my care.
Sarah Chen
Phil D
I could not be more grateful to have been in the care of Dr Lindsey Goyal! I had a wound that was 3 cm in diameter on my right temple area from MOHs surgery and she made it look like there was nothing there. Very Thankful and she was there for me during my recovery every step of the way.
Sarah Chen
Deb S
Dr. Lindsey Goyal performed a complicated plastic surgery on my nose after a basal cell cancer was removed by a Mohs surgeon. The space was large enough that it required a skin flap from my cheek. She did an unbelievably wonderful job. It was extensive surgery, and in a month or so I don’t think anyone would know that I had anything done.In addition to being a great surgeon,Dr. Goyal is kind and compassionate. The office staff is also very kind.I would strongly recommend Dr. Lindsey Goyal to anyone needing facial plastic surgery.
Sarah Chen
Barbara E
I have continued to be extremely pleased and impressed with the care provided by Dr. Goyal and his staff. Always courteous, prompt, informative and very professional. Dr. Goyal performed surgery on me 2 years ago. Recovery was great and I’ve had no further issues. I would highly recommend Dr. Goyal to anyone in need of ENT care.
Sarah Chen
Mary L
So glad I had this surgery. I can finally breathe normally after years of thinking I had allergies. Dr. Goyal & staff are amazing! Thank you 😊
Sarah Chen
Andrea
Dr Goyal services are the Best! The staff is exceptionally friendly from the office to the surgical room. I’m so happy with my decision to have this surgery. I haven’t slept this good in years. My only regret is not having it done sooner. I highly recommend his services.
Sarah Chen
Jordyn
Dr. Goyal is amazing! He took me in and gave me hope as a chronic sinus infection sufferer! His staff at his office, as well as those at the surgery center are wonderful, caring people who made my 4th surgery as tolerable and comfortable as possible. I am beyond grateful for all of them. Strongly recommended !!
Sarah Chen
Kristie F

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