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Mohs Surgery Repair

The most common cause for development of skin cancer is damage from sun exposure. Frequent types of skin cancer are: Basal Cell Carcinoma, Squamous Cell Carcinoma and Melanoma. Mohs micrographic surgery is the accepted technique for removal of basal cell and squamous cell skin cancers on the face. The Mohs technique minimizes the extent of tissue removal and the risk of cancer recurrence. Dr. Khosh works closely with Mohs dermatologists-surgeons to repair facial defects following cancer removal.

Various techniques like skin grafts, skin flaps or skin/muscle flaps can be used in repair of facial defects. Dr. Khosh prefers to see patients in consultation for skin cancer reconstruction prior to the excision. In this way, the reconstructive options can be more fully discussed and the excision and repair procedures can be better coordinated. In most cases, the repair can be performed under local anesthesia in our offices. Occasionally, skin cancer reconstruction needs to be done in the operating room, where sedation or general anesthesia can be offered.

Skin Cancer Repair

We understand that surgery on the face can be quite daunting from a patient’s perspective. We strive to make the process less foreboding by addressing your concerns in regards to the aesthetic effects of the surgery on your face. Dr. Khosh is an expert in reconstruction of cancer defects on the face. He has published and lectured extensively on this subject. Many patients travel from other regions of the country for consultation and secondary reconstruction of old skin cancer defects.

Skin cancer reconstruction can be categorized according to the various facial areas. In our website you can learn more about skin cancer reconstruction of the scalp, the forehead, the eyelids, the nose, the cheeks, the lips, the chin, the ears and the neck. Secondary procedures such as laser treatments, scar revisions and steroid injections can help improve the reconstructive results. Please contact our office to schedule a private consultation to discuss primary or secondary repair of a skin cancer on the face.

Mohs surgery New York, NY

Case Study

This 76 year old lady requested consultation for nasal repair in Manhattan. She had removal of a Basal Cell Cancer from her nose which resulted in the loss of the majority of her nostril rim. A two stages naso-labial flap was used to restore her nostril.

  • Patient: 76 year old female candidate for nose repair after cancer removal
  • Problem: 0.5 x 0.75 inch defect of the nostril rim
  • Procedure: Naso-labial flap repair of the nose

Disclaimer: These are actual results for patients of Dr. Maurice Khosh. Plastic and cosmetic surgery results can vary between patients.

Frequently Asked Questions

Small skin cancer defects are easily repaired under local anesthesia during an office procedure. Larger skin defects on the face, which require complicated flaps, require sedation or general anesthesia.

A full thickness skin graft implies the harvest of all layers of skin. During a partial thickness graft harvest, skin is only removed at the depth of papillary dermis while leaving the deeper dermis intact. Partial thickness skin graft harvest sites can regenerate the skin that was removed. Full thickness harvest sites need to be reconstructed, as the skin cannot regenerate. Full thickness skin grafts usually provide a better aesthetic result.

Skin grafts are pieces of skin that have been completely detached and require growth of new blood supply to survive. Skin flaps are prices of skin that remain attached to a source of blood supply while transferred to a new site. In general, skin flaps provide a superior aesthetic result in skin reconstruction.

Forehead flaps are quite useful in repair of large skin cancer defects on the nose. A vertically oriented flap of skin, extending from the central brow to the hairline, is rotated down to cover the nasal defect. The blood supply at the base of the flap, at the level of the eyebrow, is left intact for two weeks. In a secondary procedure, the base of the flap is cut and the flap is completely inset.

Nasal defects that involve the nostril rim can be repaired with a skin flap that is harvested from the fold of skin extending form the nose to the corner of the lip. The skin and its intact blood supply are rotated to the site of defect. In certain cases, a secondary procedure is necessary for final inset of the flap.

Related Procedures

The results of Moh’s reconstruction may be enhanced with secondary procedures such as scar revision and laser skin resurfacing. Repair of cancer defects of the nose may require harvest of cartilage from ear or the nose for structural repair. In eyelid repair, lower eyelid tightening or blepharoplasty may be necessary to improve the tone of the eyelid or improve symmetry between the two sides.

Dashed black lines on a male profile - preparing for surgery.

Click Here to See Moh’s Skin Cancer Reconstruction Photo Gallery

What Dr. Khosh's Patients Say


Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.
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