Expert Reconstruction at Palm Beach Plastic Surgery Institute

Skin cancer treatment, including Mohs surgery, can leave visible defects on the face, scalp, torso, or limbs that affect both appearance and function. At Palm Beach Plastic Surgery Institute, we specialize in advanced reconstructive procedures that restore your natural appearance while preserving critical structures. Led by board-certified plastic surgeon Dr. Edward H. Davidson, our hospital-based concierge practice delivers elite care rooted in safety, personalization, and excellence. Dr. Davidson is fellowship-trained in craniomaxillofacial surgery and brings decades of experience in complex reconstructive surgery to every procedure. As Chief of Plastic Surgery at St. Mary’s Medical Center and Palm Beach Children’s Hospital, and Voluntary Associate Professor at the University of Miami, he is recognized nationally for his surgical leadership and academic contributions. If you are facing skin cancer-related surgery or considering post-Mohs reconstruction, trust your care to a leader in plastic and reconstructive surgery. Book your consultation today.

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Understanding Post-Mohs Surgery Reconstruction

Mohs surgery is a highly effective method for removing skin cancer, particularly in areas where preserving healthy tissue is essential. While this technique is precise, it can leave wounds that impact both function and appearance. Post-Mohs reconstruction corrects these defects, restores balance and structure, and minimizes scarring.

Depending on the complexity of the case, reconstruction may involve skin grafts, local flaps, or intricate tissue rearrangement. Our objective is to deliver results that are both medically sound and aesthetically seamless across all areas of the body.

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What Is Post-Mohs Reconstruction?

  • Elite expertise: Dr. Davidson is a nationally recognized leader in reconstructive surgery, with fellowship training in craniofacial reconstruction and extensive experience across multiple anatomical regions.
  • Hospital-based safety: All procedures are performed in a fully equipped, state-of-the-art surgical facility with comprehensive monitoring and emergency readiness.
  • Concierge patient experience: From initial consultation to final follow-up, our team ensures a seamless, supportive experience tailored to your needs.
  • Natural results: We strive to preserve your unique appearance and provide subtle, confident outcomes that reflect the highest standards in reconstructive surgery.
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Aesthetic and Medical Benefits

  • Restoration of natural body or facial contours
  • Protection and preservation of critical anatomical structures
  • Improved healing and reduced complication risk
  • Minimized scarring and refined aesthetic appearance
  • Enhanced confidence and emotional well-being
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Who Qualifies for Post-Mohs Reconstruction?

Post-Mohs reconstruction may be appropriate for you if:

  • You have had Mohs surgery or skin cancer excision involving the face, body, or extremities
  • You have a visible defect affecting appearance or function
  • You are in generally good health and able to undergo surgery
  • You seek natural-looking results from a board-certified plastic and reconstructive surgery specialist

"Dr. Davidson was phenomenal. He transformed my face by essentially erasing a deep existing one-inch scar from the middle of my chin (from Mohs surgery by a different doctor). Despite the depth, length, and irregular shape of my scar, he surgically minimized it to the point that unless you were looking for it—you would not know it had ever been there.

If you have a scar that you think could look better, have Dr. Davidson assess it. He truly gave me the best gift ever—my self-confidence back. I now look and feel like I used to and no longer dread photos, mirrors, or meeting up with someone who knew me pre-scar."

— H.W.

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The Reconstruction Process

Your reconstructive journey begins with a comprehensive consultation, during which Dr. Davidson will assess your defect, review your health history, and discuss your goals. Depending on the case, reconstruction may occur immediately following Mohs surgery or be planned as a staged procedure.

Surgical options include:

  • Local tissue rearrangement: Nearby skin and tissue are repositioned to close the defect while maintaining natural contours.
  • Skin grafting: Healthy skin is transferred from another area to cover the wound.
  • Regional or free flaps: Larger sections of tissue, sometimes including blood vessels, are used for more complex or extensive reconstructions.
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Post-Procedure Care and Expectations

Recovery time varies based on the procedure and extent of reconstruction. Most patients experience mild to moderate swelling, bruising, and temporary discomfort. Sutures are usually removed within one week.

You will receive detailed recovery instructions, and our team will guide you through every stage of healing. Final results improve gradually over weeks to months, and additional treatments such as scar therapy or laser refinement may be recommended to enhance the outcome.

FAQs

What types of anesthesia are used for skin cancer reconstruction, and are there associated risks?

Can reconstruction be delayed after Mohs surgery, or must it be immediate?

Are there non-surgical options available for skin cancer defect correction?

Will I need to stop any medications before my reconstruction procedure?

Is there a risk of cancer recurrence after Mohs and reconstruction?

How is nerve damage avoided during reconstruction?

Can previous surgeries or radiation affect my reconstruction plan?

Will insurance cover any part of my reconstructive surgery?

Can multiple defects be repaired in a single surgery?

Are there long-term side effects or risks of post-Mohs reconstruction?

What types of anesthesia are used for skin cancer reconstruction, and are there associated risks?

Anesthesia options depend on the complexity of the reconstruction and patient health. These may include local anesthesia with sedation or general anesthesia. While modern anesthesia is generally safe, risks may include allergic reactions, nausea, or temporary confusion, particularly in older patients.

Can reconstruction be delayed after Mohs surgery, or must it be immediate?

Reconstruction does not always need to happen immediately. In some cases, especially if pathology results must be reviewed or if there's concern about margins, a short delay allows for better planning. However, timely reconstruction typically leads to better aesthetic outcomes.

Are there non-surgical options available for skin cancer defect correction?

While surgery is the gold standard for structural restoration, minor defects may benefit from adjunct non-surgical therapies such as dermal fillers, laser resurfacing, or medical-grade skincare to improve appearance. These options may be discussed during consultation based on the individual case.

Will I need to stop any medications before my reconstruction procedure?

Yes, certain medications—especially blood thinners, anti-inflammatories, and supplements like fish oil or vitamin E—may need to be paused to reduce bleeding risk. Dr. Davidson will provide a personalized medication plan before surgery.

Is there a risk of cancer recurrence after Mohs and reconstruction?

Mohs surgery offers the highest cure rate for most skin cancers, but recurrence is still possible. Reconstruction does not affect cancer outcomes but may mask early signs if follow-up is inconsistent. Regular dermatological checkups remain essential.

How is nerve damage avoided during reconstruction?

Avoiding nerve injury is a critical part of reconstructive planning. Dr. Davidson uses precise anatomical knowledge and advanced techniques to preserve important motor and sensory nerves. Nonetheless, minor temporary numbness or tingling is a potential risk.

Can previous surgeries or radiation affect my reconstruction plan?

Yes. Prior surgeries, scarring, or radiation can alter tissue quality and blood supply, potentially requiring modified surgical approaches. A detailed review of your medical history will guide the safest and most effective plan.

Will insurance cover any part of my reconstructive surgery?

Many insurance plans cover medically necessary reconstruction following skin cancer excision. However, coverage varies based on your provider and policy. Our team can assist with documentation and preauthorization where applicable.

Can multiple defects be repaired in a single surgery?

Yes, multiple defects may be reconstructed during a single procedure, depending on their location, size, and your overall health. Combined reconstruction may streamline healing and reduce anesthesia exposure.

Are there long-term side effects or risks of post-Mohs reconstruction?

Most patients heal without significant issues, but potential long-term risks include visible scarring, skin contour irregularities, or persistent numbness. In rare cases, revision surgery may be recommended to improve function or aesthetics.

Begin Your Reconstructive Journey with Confidence

When it comes to restoring your appearance after skin cancer, expert care matters. At Palm Beach Plastic Surgery Institute, you are in the hands of a nationally respected surgeon and a team dedicated to your well-being.

Let us help you move forward with strength, confidence, and clarity. Schedule your personalized consultation with Dr. Davidson today.

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