Skin cancer near the eyes often requires specialized care to remove the disease and rebuild delicate structures. MOHS reconstructive surgery helps restore appearance and function after skin cancer excision. When precision and protection matter, so does your choice of surgeon.
After the MOHS surgeon removes the skin cancer, the next step is just as important: reconstructing the area to ensure natural appearance, eyelid function, and eye protection. Dr. Nina Boal, a board-certified oculofacial plastic surgeon and ophthalmologist, specializes in reconstructive procedures around the eyes and face. Her approach blends microsurgical expertise with refined aesthetic judgment, making her a trusted referral for post-Mohs repair in the Lansdale area.
WHAT IS MOHS RECONSTRUCTIVE SURGERY?
Mohs reconstructive surgery is performed after a dermatologist removes skin cancer using MOHS surgery—a precise technique that preserves as much healthy tissue as possible. Once the cancer is fully excised, Dr. Boal steps in to repair the defect and restore the affected area.
Reconstruction may involve repositioning local tissue, performing skin grafts, or rebuilding multiple layers of the eyelid. Because the area around the eyes is both functionally complex and cosmetically prominent, these procedures require advanced training and surgical finesse. Whether you’re facing a small excision or a complex reconstruction, Dr. Boal provides personalized, thoughtful care focused on healing, function, and form.
ADVANTAGES OF MOHS RECONSTRUCTIVE SURGERY
Reconstruction after skin cancer removal isn’t just about appearance—it’s about restoring eyelid support, tear drainage, blinking mechanics, and skin coverage while achieving a natural outcome.
The benefits of Mohs reconstructive surgery include the following:
- Restores natural eyelid contour and function
- Preserves the ability to blink and protects the eye
- Closes wounds using precise, tissue-sparing methods
- Minimizes scarring in a highly visible area
- Supports proper tear film and ocular health
- Creates symmetrical, aesthetically pleasing results
About the Consultation
During your consultation, Dr. Boal will review the surgical site, your pathology history, and any Mohs surgery notes. If you haven’t yet had Mohs surgery, she can coordinate with your dermatologist to plan a seamless reconstructive process. You’ll receive a thorough explanation of reconstruction options based on the size, depth, and location of the defect.
The Treatment Experience
Mohs reconstructive surgery is typically performed within days of your Mohs procedure. It’s done under local anesthesia or light sedation, depending on the extent of the repair.
You should expect the following basic steps:
- The area is carefully evaluated for tissue loss and surrounding support.
- A personalized reconstructive plan is made based on your anatomy.
- Tissue flaps or grafts are designed and positioned with microsurgical precision.
- Fine sutures are placed to secure closure with minimal tension.
- Dressings and instructions are provided to support healing.
Mohs Reconstructive Surgery Techniques
- Primary Closure – Direct closure of small defects.
- Local Flap Repair – Uses adjacent tissue to recreate natural contour.
- Skin Grafting – Transplant skin from a nearby area (often the other eyelid) for coverage.
- Eyelid-Specific Reconstruction – Restores tarsal plate, lashes, and eyelid function.
- Multi-layer Closure – Rebuilds deeper support, muscle, and skin in larger defects.
After the Procedure
Mild swelling and bruising are normal and usually improve within seven to ten days. Most patients return to work or light activities in a week. Follow-up visits ensure proper healing, suture removal (if needed), and early detection of any issues. Final results evolve over several weeks to months as swelling resolves and scars mature.
FAQ
Does Dr. Boal perform Mohs surgery herself?
No. Mohs surgery is performed by a dermatologist. Dr. Boal handles the reconstructive phase after cancer removal.
How soon can the reconstruction be done after my Mohs surgery?
Coordination with your Mohs surgeon allows for repair within a few days of MOHS excision.
Will I have a visible scar?
Scars are often discreet and placed in natural folds. Dr. Boal uses advanced techniques to minimize visibility.
Can reconstruction be done later if I delay?
In most cases, earlier repair offers better outcomes. However, depending on the defect, delayed reconstruction may still be an option.
