Facial Mohs Surgery for Skin Cancer


Skin cancers on the face require a uniquely precise approach. The face contains critical structures that affect appearance, expression, and function, making both cancer removal and reconstruction especially important.


Facial Mohs surgery is specifically designed to remove skin cancer while preserving as much healthy tissue as possible — followed by careful reconstruction to support optimal healing and cosmetic outcomes.



Why Mohs Surgery Is Preferred for Facial Skin Cancer


Mohs micrographic surgery is often recommended for skin cancers on the:

  • Nose
  • Eyelids
  • Lips
  • Ears
  • Cheeks
  • Forehead
  • Scalp

These areas demand maximum tissue preservation, which is why Mohs surgery is considered the preferred treatment for many facial basal cell and squamous cell carcinomas.


By examining 100% of the surgical margins during the procedure, Mohs surgery allows for:

  • Complete cancer removal
  • Minimal removal of healthy skin
  • Lower recurrence rates
  • Smaller surgical defects



Precision Matters on the Face


Even small differences in tissue removal can significantly impact facial symmetry and appearance. Mohs surgery removes skin cancer in thin, carefully mapped layers, stopping as soon as the cancer is fully cleared.

This level of precision helps:

  • Preserve natural contours
  • Protect nearby nerves and structures
  • Reduce scar size
  • Improve long-term cosmetic results



Same-Day Facial Reconstruction After Mohs Surgery


Once skin cancer is fully removed, reconstruction is typically performed the same day. Immediate reconstruction allows the surgeon to repair the area while tissues are fresh and well-defined.

Reconstruction may involve:

  • Layered closures
  • Local skin flaps
  • Specialized repair techniques based on location


Having cancer removal and reconstruction performed in one coordinated setting helps streamline care and supports optimal healing.



What to Expect During Facial Mohs Surgery


Facial Mohs surgery is an outpatient procedure performed with local anesthesia. Most patients remain comfortable throughout the day.

Patients can expect:

  • Detailed explanation of each step
  • Time between stages while tissue is examined
  • Careful planning of reconstruction
  • Clear post-operative instructions


Recovery varies depending on the size and location of the surgery, but most patients resume normal activities within a few days.



Healing and Scar Appearance After Facial Mohs Surgery


Scarring is a common concern for patients undergoing facial skin cancer surgery. While any surgical procedure leaves a scar, thoughtful reconstruction and proper aftercare play a significant role in how scars heal.

Over time, scars typically:

  • Fade gradually
  • Soften in texture
  • Become less noticeable


Patients receive guidance on wound care, sun protection, and follow-up to support the best possible outcome.



When Facial Mohs Surgery Is Recommended


Facial Mohs surgery is often recommended when:

  • Skin cancer is located on a cosmetically sensitive area
  • Tumors have poorly defined borders
  • Cancer has recurred after prior treatment
  • Tissue preservation is especially important


A consultation allows the surgeon to review pathology, assess location, and recommend the most appropriate treatment approach.



Facial Mohs Surgery at Belaray Dermatology


Belaray Dermatology provides facial Mohs surgery with an emphasis on precision, coordination, and patient-centered care. Our team-based approach allows for careful planning from cancer removal through reconstruction and follow-up.


Patients benefit from:

  • Experienced Mohs surgeons
  • Integrated reconstruction
  • Clear communication and continuity of care



Schedule a Facial Mohs Surgery Consultation


If you’ve been diagnosed with skin cancer on the face and are considering treatment options, a consultation can help you understand whether Mohs surgery is appropriate and what to expect throughout the process.


Please Call or TEXT us at 516-822-7546 to schedule a consultation.