HomeAnswersDermatologymohs surgeryIs it necessary to get plastic surgery following Mohs surgery?

Is plastic surgery a must following Mohs surgery?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At June 3, 2016
Reviewed AtJune 30, 2023

Patient's Query

Hi doctor,

I am a 36-year-old female. I had Mohs surgery on my temple. My hole is big and it is pretty deep. They went three rounds. My question is, is it better to heal by secondary intention or to have a plastic surgery with a flap in which he would take skin from behind the wound on my head? Will it mean the hair will be placed on my temple? Would I have to shave it? So, in that case, I need to deal with now two wounds. How easily and long will my wound heal naturally considering the depth? And how long do I keep a band-aid with Vaseline on for if I go that route?

Answered by Dr. Suvash Sahu

Hi,

Welcome to icliniq.com.

I have seen your picture (attachment removed to protect patient identity) and history. The wound is quite big and it definitely require plastic surgery. If you wait for healing by secondary intention, then your wound may take around four to six months for complete healing. But, it should be under good antibiotic cover and definitely, it will leave a big scar mark. If you go for flap surgery, then definitely it will be a very good option in your case. Please consult a plastic surgeon for more details.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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