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Is plastic surgery a must following Mohs surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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?

Please help.

Answered by Dr. Suvash Sahu

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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.

Medically reviewed by iCliniq medical review team
Published At June 3, 2016
Reviewed At October 14, 2024

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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Prep / Recovery Guide

Mohs Surgery Wound Closure Options: Plastic Surgery Prep and Recovery Guide

How it works

Mohs surgery can leave a wound that requires careful consideration for healing. This guide helps you understand your options and what to expect.

1

Mohs
Wound

2

Compare
Options

3

Secondary
Intention

4

Flap
Reconstruction

5

Timeline
Scarring

6

Post-Care
Healing

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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