Dr. Pacella releases the definitive textbook on treatment of skin cancer: AESTHETIC RECONSTRUCTION AFTER MOHS SURGERY

After years of caring for patients diagnosed with skin cancer, I have heard this story too many times:

A patient sits in my exam room with a large bandage over their nose. What started as a small spot biopsied by their dermatologist has progressed into a large open defect requiring major plastic surgery. The patient sits anxiously, waiting for the final procedure to make them whole again. The patient’s emotions fluctuate rapidly: they may experience guilt about spending too much time in the sun, disbelief in the deformity that they have suffered, and fear of the possibility of permanent scarring.  They are in shock…How I can possibly restore their cosmetic appearance to a time before they were diagnosed with skin cancer?