Reconstruction of facial defects resulting from Mohs' chemosurgical procedures

A philosophy of reconstruction after removal of cutaneous neoplasms from the face is presented and differences in reconstruction required after Mohs' fixed-tissue and fresh-tissue techniques are discussed. The indications for repair at once or later of facial defects after Mohs' procedures are reviewed and reconstructive alternatives are presented. Illustrative case reports of such cases that have been reconstructed are recounted and commented on. It is likely that the practice of the fresh-tissue technique will stimulate more interest in reconstructing facial defects resulting from that type of operation immediately, or at least sooner than later.