When Mohs Leaves Scars
- Posted on: Oct 15 2018
Mohs Micrographic surgery is an example of significant advancement in medicine. This microsurgical technique was in development for decades before use became widespread just a short time ago. Today, a large number of skin cancers are removed using Mohs surgery. The minimally invasive nature of the protocol is one benefit; accuracy is another. Ultimately, patients choose Mohs over standard excisional surgery because it can provide the best success at cancer removal coinciding with the least side effects, namely scarring.
How Mohs Works
The Mohs technique can be more time-consuming than tissue excision. The procedure involves careful mapping of the surgical area and meticulous removal of one sheet of tissue at a time. As soon as a single layer of cells is removed, it is mapped and examined under a microscope to observe where on the “map” cancerous cells remain. The removal of layers continues in this manner until microscopic examination reveals cancer-free tissue.
In many cases, Mohs surgery is an excellent option that requires no significant follow-up. However, for larger cancerous lesions on particularly visible or vulnerable areas, such as the nose, cheek, or eyelid, surgical removal of tissue may result in scarring. In our Beverly Hills office, we utilize innovative tissue remodeling methods pioneered by Dr. Raymond Douglas to reconstruct skin cancer defects.
What is Biologic Remodeling?
As an orbital expert, Dr. Douglas is consistently studying methods of care that might help patients return to a state of cosmetic and functional normalcy after necessary surgery such as Mohs. Biological remodeling is a technique developed to stretch scar tissue in a controlled manner, allowing it to rebuild naturally. This method of repair is so efficient that scar tissue often returns to a near-natural state at which visible scarring is virtually unnoticeable to the naked eye.
Tissue expansion may sound somewhat frightening. In this instance, it is anything but. Biologic remodeling consists of conservative injections of hyaluronic acid, the same substance found in many dermal fillers, and 5-Fluorouracil. To reduce the appearance of scars, the tissue is first expanded with hyaluronic acid. Then, a minute dose of 5-Fluorouracil is introduced to facilitate expedited regeneration of fibroblast cells. It is in the fibroblasts where collagen is produced. Rebuilding these cells, then, increases the body’s natural healing capabilities to significantly minimize a scar.
Biologic remodeling is appropriate for many Mohs patients, as well as those who have visible scarring related to traumatic injury.
Patients from around the world visit the International Orbital Institute in Beverly Hills to receive a high standard of care that embraces innovative medical techniques. To learn more about biologic remodeling or to schedule your consultation with us, call (310) 657-4302.
Posted in: Mohs Surgery and Orbital Tumor