

Following the skin cancer treatment known as Mohs micrographic surgery, moderate-to-large swaths of cancerous skin cells have been removed. This leaves behind only healthy, non-cancerous tissue (referred to as reaching "clear margins"). Yet the visual results of this cancer-combating procedure can leave behind dramatic, disfiguring, and even poorly functioning wound formations.
As the name suggests, Mohs reconstruction surgery aims to repair and restore the tissue treated during the original removal. It can be particularly beneficial for areas with high movement activity, such as around the mouth, the eyes, the cheeks, the brows, and certain leg or arm joints.

Repairing cosmetic defects after your original Mohs surgery for skin cancer takes a precise approach. It requires specialized cosmetic and anatomical techniques to be used, ones designed to reduce the appearance of the wound or scarring while still preserving the patient's natural facial structure and encouraging healthy tissue regrowth.
Working with a reconstructive facial plastic surgeon alongside a dermatologist will significantly improve the results of your Mohs reconstruction procedures. The combined expertise of this duo ensures that Mohs reconstructive surgical scarring and wound formation heals as inconspicuous as possible, minimizing scar tissue buildup that can damage the skin's layers.
At The Virginia Institute for Surgical Arts, located in Chantilly, Virginia, renowned reconstructive facial plastic surgeon Dr. Trang Vo-Nguyen (Dr. V) employs her extensive facial surgery expertise, cutting-edge equipment, and meticulous surgical techniques to perform the complex facial procedure involved in Mohs reconstruction in Chantilly, VA.
After skin cancer removal, reconstructive care matters. Dr. V has captured the trust of many Mohs reconstruction Chantilly patients, combining medical excellence with compassionate artistry to rebuild your skin's form and function.
The Virginia Institute for Surgical Arts was founded by Dr. V to fill Northern Virginia's gap in advanced reconstructive facial procedure services. Dr. V understands the importance of having well-informed patients and will take the time to explain all of your Mohs reconstruction options and procedural details so you can feel completely comfortable about your surgery. Her credentials make her Northern Virginia's premier choice for facial reconstruction:
Double board-certified in the field of Facial Plastic and Reconstructive Surgery — essential credentials for safe, precise Mohs surgery reconstruction (American Board of Facial Plastic and Reconstructive Surgery, American Board of Otolaryngology/Head and Neck Surgery).
Leading national face and neck plastic surgeon celebrated for restoring facial harmony, restoring skin health and function, and amplifying your existing natural beauty post-skin cancer.
Traveling speaker and presenter at international facial and reconstructive surgery conferences.
Heritage-honoring aesthetic approach, with each Mohs surgery reconstruction designed to preserve your natural features and informed by evidence-based regenerative heritage skincare.
Offers personalized consultations using custom 3D imaging and advanced dermal mapping for advanced Mohs reconstruction results in Chantilly.
Double board-certified in the field of Facial Plastic and Reconstructive Surgery — essential credentials for safe, precise Mohs surgery reconstruction (American Board of Facial Plastic and Reconstructive Surgery, American Board of Otolaryngology/Head and Neck Surgery).
Leading national face and neck plastic surgeon celebrated for restoring facial harmony, restoring skin health and function, and amplifying your existing natural beauty post-skin cancer.
Traveling speaker and presenter at international facial and reconstructive surgery conferences.
Heritage-honoring aesthetic approach, with each Mohs surgery reconstruction designed to preserve your natural features and informed by evidence-based regenerative heritage skincare.
Offers personalized consultations using custom 3D imaging and advanced dermal mapping for advanced Mohs reconstruction results in Chantilly.
Mohs reconstruction is ideal for any individual seeking true dermal restoration after portions of their skin had to be excised during active skin cancer treatment. If you're focused on a renewed sense of self-image and returning to your pre-cancer sense of self, this procedure may be a great fit.
Good candidates for Mohs surgery reconstruction include those who experience:

Your safety is Dr. V's top priority during Mohs reconstruction procedures, but all surgeries entail some risk. Understanding these helps you prepare for your treatment and feel in control.
The top risks associated with Mohs reconstruction treatments include but aren't limited to:
Your safety is Dr. V's top priority during Mohs reconstruction procedures, but all surgeries entail some risk. Understanding these helps you prepare for your treatment and feel in control.
The top risks associated with Mohs reconstruction treatments include but aren't limited to:
Your safety is Dr. V's top priority during Mohs reconstruction procedures, but all surgeries entail some risk. Understanding these helps you prepare for your treatment and feel in control.
The top risks associated with Mohs reconstruction treatments include but aren't limited to:
Improved skin health, scar reduction, and restored facial function are possible with reconstruction after Mohs surgery. Dr. V is with you every step of the way – from Mohs surgery consultation to confidence in your return to normal life.
Your Mohs reconstruction surgery will be performed in-house at the Chantilly-based Virginia Institute for Surgical Arts, and will likely be scheduled for a few hours after your Mohs micrographic surgery (typically performed at your dermatologist's office). Mohs reconstruction can be performed under local anesthesia and usually takes less than an hour to complete (exact time frame may vary depending upon the extent of the scarring, affected area, and layers of dermal reconstruction required).
When you arrive, nursing staff will prep you in surgical attire and answer any final questions you have. Local or general anesthesia is administered depending on the area and complexity of reconstruction after Mohs surgery. Post-op monitoring ensures comfort before discharge home.
During the procedure itself, Dr. V will employ either a local flap technique or a skin graft to repair the defect. The local flap method utilizes skin adjacent to the scar for coverage, while the skin graft procedure entails the removal and subsequent transplantation of skin from the base of the neck or around the ear. Complex defects in or around the nose region may require more than one surgery to achieve optimal reparative results.
Recovering from Mohs reconstruction in Chantilly involves several key phases. Immediate healing includes redness and swelling, which typically last 1-2 weeks and are managed with medications and other prescribed aftercare steps. Sutures typically come out at 5-7 days, and gentle scar massaging may begin by week 3. Full maturation of scar tissue and skin contour improvements unfold over 6–12 months.
While results are individual, the final results from reconstruction after Mohs surgery may include:
Although widely recognized as an effective treatment option for most forms of skin cancer, and improving patient health outcomes with minimum side effects, the Mohs procedure does involve removing a significant amount of skin and tissue. Mohs surgery, therefore, often carries a high potential to create a prominent or disfiguring scar. This can be particularly challenging for patients who have had Mohs surgery performed on their face, neck, or decolletage – prominent areas where scars and scar tissue buildup cannot be easily covered.
In addition to scarring, Mohs surgery can also create facial defects that detrimentally impact the functionality of the facial structures (e.g., loss of nerve or muscle health and function around the nose, eyes, lips, etc.). For this reason, it is beneficial to have a board-certified facial plastic surgeon work together with your dermatologist to perform both the original Mohs micrographic surgery and the reconstruction after Mohs surgery.
