Mohs Reconstructive Surgery
Can my skin cancer be removed without scarring my face? Dr. Robinson's specialized Mohs technique offers the highest cure rates with maximum preservation of healthy tissue.
When to Consider Mohs Reconstructive Facial Surgery
Can my skin cancer be removed without scarring my face?
Our balmy climate provides the opportunity for Southern Californians to enjoy outdoor activities year-round. While engaging in healthy pursuits like golfing, surfing, hiking, running, playing tennis, working in the garden, walking your dog or riding your bike can keep you physically fit, spending too much time outdoors also increases your risk of developing skin cancer — especially on areas most often exposed to the sun's damaging rays.
Dr. Ernest B. Robinson is a Board Certified Specialist in facial plastic and reconstructive surgery with more than 20 years of experience performing individualized cosmetic and corrective surgical procedures for patients from Aliso Viejo, Anaheim, Costa Mesa, Irvine, Laguna Hills and Santa Ana in Orange County and beyond.
If you have been diagnosed with skin cancer on your face, neck, chest or shoulders, please contact Robinson Facial Plastic Surgery in Aliso Viejo to request an immediate consultation. Call, email or complete this form to schedule an appointment with Dr. Robinson to determine if Mohs reconstructive surgery is the recommended treatment for your skin cancer diagnosis.
Communicating Your Goals for This Procedure
Dr. Robinson has extensive experience performing Mohs micrographic surgery — also called MMS and chemosurgery — on patients with skin cancer. Developed by general surgeon Dr. Frederic E. Mohs in the 1930s, this microscopic surgery became a revolutionary technique for removing common types of skin cancer. Nearly a century later, Mohs surgery still provides the most precise method for removing certain types of cancerous tissue on the face, neck, chest or shoulders, as well as recurrent skin cancers and those with the greatest likelihood of recurrence.
Mohs surgery still offers the lowest recurrence rate and maximum preservation of healthy tissue of any skin cancer procedure currently available.
Documented Cure Rate for Basal Cell Carcinoma
Mohs surgery has been shown to be a highly effective procedure for treating skin cancer, with documented cure rates of up to 99% for basal cell carcinoma — the highest available.
During your consultation, Dr. Robinson will discuss the many factors involved in successfully removing and repairing cancerous growths — including size, depth, location, probable cure rate, and realistic expectations for cosmetic repair. He will also show you before and after pictures of similar procedures he has performed.
- Complete medical history review and skin cancer examination
- Discussion of size, depth, location, and probable cure rate
- Detailed explanation of the Mohs removal and repair process
- Realistic expectations for the cosmetic outcome of reconstruction
- Review of before and after photos of similar procedures
- Determination of the most appropriate repair technique (flap or graft)
- Pre-operative medication prescribed to enhance healing and reduce infection
Surgical Techniques to Achieve Your Desired Outcome
Mohs surgery is the preferred treatment for skin cancers on the face, nose, lips and chest, as the amount of healthy tissue removed is kept to a minimum without compromising the complete removal of cancerous cells. The procedure typically takes 30 minutes to two hours and is usually performed in-office.
Pre-Operative Preparation
Dr. Robinson prescribes medication before and during the course of treatment to enhance healing and minimize the chance of infection. Local anesthesia is used for the procedure.
Removal of the Cancerous Growth
Dr. Robinson removes the visible growth in one piece — carefully excising the cancerous tissue along with a thin margin of surrounding skin to capture any unseen cells that may have spread.
Real-Time Microscopic Examination
The removed tissue is immediately examined under a microscope to ensure no abnormal cells remain at the edges of the excised tissue. If cancerous cells are detected at the margins, Dr. Robinson precisely removes another thin layer — only from the area where cancer remains — and re-examines it. This step is repeated until all margins are completely clear of cancer.
Reconstruction with Flaps or Grafts
Once all margins are confirmed cancer-free, Dr. Robinson uses flaps or grafts — depending on the extent of repair required — to reconstruct the affected area and skillfully restore its natural appearance. His meticulous skin closure techniques create imperceptible scars.
Wound Care Instructions
Prior to leaving, you receive specific instructions for caring for your wound to ensure rapid healing and the best possible cosmetic outcome. Most patients experience minimal post-surgical discomfort, easily managed with mild medication.
Recuperating After Mohs Reconstructive Facial Surgery
Prior to leaving the office, you will be given specific instructions for caring for your wound to ensure rapid healing and the best possible cosmetic outcome. Most patients experience little post-surgical pain, which is easily treated with mild medication.
Dr. Robinson will remove your stitches a week after the surgery. You can go back to work within a few days of the procedure, but depending on the extent and location of the surgery, you may wish to take off a little more time.
Expected Results from This Procedure
The chief purpose of skin cancer reconstructive surgery is to effectively and safely repair the surgical wound, re-establishing the natural form and function of your delicate facial areas.
Dr. Robinson's specialized training in the Mohs technique has made him one of Orange County's most sought-after surgeons for reconstructive surgery — especially among patients with larger defects and those with lesions affecting areas of cosmetic significance such as the eyelids, lips, ears, chest and nose.
He has earned a reputation for his meticulous skin closure techniques that create imperceptible scars and optimal outcomes — factors vitally important to his skin cancer patients.
- Complete removal of cancerous tissue confirmed by real-time microscopic analysis
- Maximum preservation of healthy surrounding tissue — minimizing scarring
- Natural form and function of delicate facial areas restored
- Meticulous reconstruction using flaps or grafts for the best cosmetic result
- Imperceptible scars achieved through Dr. Robinson's refined closure techniques
- One of Orange County's most sought-after surgeons for facial reconstruction
Before & After Results
This website does not contain medical advice and the use of this website does not create a physician/patient relationship between you and Robinson Facial Plastic Surgery. The photographs of models displayed on this web site are for decorative purposes only. See before & after photos for possible results.
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- Phone : (949) 831- 5900
- Email : info@drface.com
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