Skin Cancer Reconstruction

Mohs Surgery in Farmington & Hartford

Learning that you have skin cancer can be difficult news. When the cancer is in a cosmetically sensitive area on your face, preserving normal tissue and restoring a natural appearance is imperative. This can be done with standard excision or Mohs resection. Closure is then performed by Dr. Seeley who is a board-certified facial plastic surgeon.

The size and location of the defect will dictate the recommended closure and repair. The general principle of closure is to borrow extra, unnecessary tissue from other similar or nearby locations. All layers of the defect and all tissue types that are removed must be replaced. Skin grafts and cartilage grafts harvested from other regions of the head and neck or body are often necessary. For defects of the nose, multiple surgeries may be necessary to provide optimal results. Generally, the closure can be done under local anesthesia or conscious sedation.

Repair of facial cancer defects that have been created using the Mohs technique often utilizes healthy adjacent skin flaps or skin grafts. Large facial cancers occasionally need to be repaired using free tissue transfer, ie skin, muscle, and/or bone from a different part of the body brought to fill the facial defect.

Dr. Seeley is a board-certified facial plastic surgeon who performs a wide variety of Moh’s procedures.  His skills in repairing a facial defect are second to none.

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Recovery Process

The recovery process after skin cancer reconstruction (Mohs surgery repair) varies depending on the extent of the surgery and the individual’s health. Most patients can return to their daily activities within a week. Following recovery guidelines are crucial to ensure optimal healing and pleasing outcomes. Swelling and bruising typically go away within the first few weeks, and any discomfort can be managed with prescribed medications. Regular follow-up appointments will be scheduled to monitor the recovery process and address any concerns.

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Expected Outcomes

The goal of skin cancer reconstruction is to restore a natural appearance to the face after the removal of skin cancer. This approach prioritizes aesthetic outcomes alongside cancer treatment. While immediate results may be obscured by swelling and bruising, the outcomes typically show within a few months as the healing process completes. Dr. Seeley’ssurgical technique and expertise ensure that the repaired defects blend seamlessly with the surrounding facial features, offering patients a return to confidence in their appearance.

Candidates for Mohs Surgery Repair

Ideal candidates for skin cancer reconstruction are individuals who have undergone Mohs surgery to remove skin cancer, particularly from cosmetically sensitive areas on the face. This procedure is recommended for patients looking for optimal aesthetic outcomes while ensuring the complete removal of cancerous tissues.

If you are considering this procedure then the ideal is that you be in good overall health, have realistic expectations about the outcomes, and be prepared for the potential need for multiple surgeries to achieve the best results.



Discover why patients trust Connecticut Facial Plastic Surgery for their cosmetic and reconstructive treatment, from rhinoplasty and facelifts to brow lifts, injectables, and laser treatments. Read our Google reviews and experience exceptional care and outstanding results firsthand.
Lauren CasaleLauren Casale
12:23 22 Nov 23
As a nurse working in healthcare I know firsthand how important the relationship is between a healthcare provider and their patient. Dr. Seeley goes above and beyond to ensure both the patient and their families feel comfortable and that their needs are being met. Dr. Seeley is an immensely skilled physician that I recommend to my family, friends and patients in need of ENT services, cosmetic or otherwise. I feel blessed that I found Dr. Seeley, he is truly the BEST!!
Jessica CadoretteJessica Cadorette
21:01 17 Nov 23
I work with Dr Seeley in the operating room. He is one of the most amazing doctors I have ever worked with . He is not just amazingly skilled. He has the best bed side manner I have ever seen and you can tell he truly and deeply cares for his patients and staff . He is truly a pleasure to work with and I recommend him to everyone I know .
Courtney HarmonCourtney Harmon
21:25 15 Nov 23
After years of dealing with congestion I finally made an appointment with Dr. Seeley in May. He was kind, friendly and knowledgeable from the minute I met him. In September Dr. Seeley and his team preformed the balloon sinuplasty procedure on me, which has been successful! Even though I struggled a bit with the procedure, they were so gentle and kind throughout. Follow ups have been great and quick and the whole team is friendly and nice. I actually enjoy coming in to my appointments! Thank you Dr. Seeley and team!!
Stacey FostervoldStacey Fostervold
19:53 15 Nov 23
Dr. Seeley and his team are great - attentive and helpful. Dr. Seeley is very calming, professional, knowledgeable, and kind.
Christine MoscarilloChristine Moscarillo
13:44 14 Nov 23
I highly recommend Dr. Brook Seeley and his wonderful staff. Thank you.
Pradesh RagunauthPradesh Ragunauth
13:41 02 Nov 23
Had surgery on September 15th...from the onset I was kept informed of the process and procedures. The office staff are great. Dr. Seeley is great and provided me with all my options for making an informed decision. The surgical center staff are great and greeted me warmly in morning when my nerves was elevated. A great experience considering....Highly recommend.
Jean SalazarJean Salazar
19:02 29 Oct 23
My experience going to see Dr. Brook Seeley and getting a procedure was honestly the best experience I’ve ever had! From his staff at the desk, to Kim the coordinator, all the way up to Dr. Seelwy himself, I had a great experience even though I was so nervous and not knowing what to expect. He was so beyond professional, kind, friendly, and took all the time in the world to explain everything step by step, answering each and every one of my questions, and not pushing me to get the procedure or any of that fluff that other doctors do. It was an amazing experience. Thank you Dr. Seeley.

Risks and Side Effects

As with any surgical procedure, Mohs surgery skin cancer reconstruction carries certain risks and side effects. Common side effects include temporary swelling, bruising, and discomfort at the surgery site. There is also a risk of infection, bleeding, and scarring. The possibility of graft failure for surgeries involving skin and cartilage grafts is also minimized in Dr. Seeley’s care.

Frequently Asked Questions

Mohs surgery is a highly effective treatment for skin cancer, especially on the face, designed to remove all cancerous cells while preserving as much healthy tissue as possible. Skin cancer reconstruction follows Mohs surgery to repair the area where the cancer was removed, focusing on restoring a natural appearance and function to the affected area.

While the skin does not “grow back” in the same sense as regeneration, Mohs surgery repair techniques, especially on the nose, are designed to restore the area with grafting and reconstructive procedures. These methods can effectively reconstruct the nose’s appearance and functionality by using surrounding tissue or grafts from other parts of the body. Complete healing and the final result may take several months, depending on the surgery’s complexity and the patient’s healing process.

The recovery period can vary significantly based on the extent of the reconstruction and the individual’s health. Generally, patients may return to light daily activities within a week, with more significant recovery milestones occurring over the following weeks to months. Dr. Seeley will provide specific guidelines for care during recovery, and it’s crucial to follow these instructions for the best outcomes.

After Mohs surgery repair, it’s important to follow any skin care and protection recommendations provided by your surgeon, including regular use of sunscreen and protective clothing when exposed to the sun. Regular follow-up visits may be necessary to monitor healing and address any changes over time. Additionally, patients should be vigilant about skin health and report any new concerns.

While Mohs surgery is particularly beneficial for treating skin cancers on the face due to its precision and tissue-sparing approach, it can also be performed on other body parts. The principles of skin cancer reconstruction following Mohs surgery apply broadly, aiming to restore appearance and function while carefully considering the specific needs of the surgery site.

About author - Dr. Brook Seeley

Dr. Brook Seeley

Dr. Brook Seeley has worked in medicine for over 27 years and founded Connecticut Facial Plastic Surgery in Farmington. Dr. Seeley studied at the University of Rochester, is double-board certified, and specializes in cosmetic and reconstructive facial surgeries.

Meet Dr. Seeley