Is plastic surgery a must following Mohs surgery?

Question

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?

Please help.

Answer 1

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.

Thank you.