While Mohs Surgery requires technical excellence and judgement, reconstruction also requires three dimensional artistry. Dr. Hayes Gladstone performs skin cancer reconstruction surgery at the Gladstone Clinic for patients in San Ramon, Danville, Pleasanton, San Francisco, and the surrounding communities in California.
Following the treatment of the tumor by Mohs surgery, Dr. Gladstone will perform the repair of the defect. Dr. Gladstone will discuss with you which types of reconstruction are appropriate and which option he believes will give you the best scar. There are definite principles of reconstruction that Dr. Gladstone follows, and has taught many colleagues around the country and the world. Some defects can be closed in a line; other defects may need to be closed by moving adjacent skin (flaps); others may be repaired with skin from behind or in front of the ear (grafts). In less common instances, a piece of skin from the forehead or cheek may be attached for 1-3 weeks to the defect, and then reduced.