How Would You Reconstruct It?

In this presentation, the speaker discusses various reconstruction techniques following Mohs surgery for skin tumors, featuring multiple clinical cases. The speaker emphasizes key principles like avoiding secondary intention healing and opting for the most complex flaps available, such as delayed open pedicle or novel flaps named after presenters. In a case involving a 32-year-old female with a lip defect, different approaches like a side-to-side repair, an advancement flap, or an M-plasty were evaluated, stressing the importance of maintaining the vermilion border alignment. Another case of a melanoma on the face highlighted the use of rotation or bilobe flaps for reconstruction, with considerations regarding tissue laxity. A third case involved a patient with a deep nasal defect, where the speaker suggested techniques like the mylohyoid transposition flap or Burrows graft. Throughout the discussion, the emphasis is on choosing the right reconstructive strategy based on the defect's size, location, and patient characteristics, while aiming for optimal cosmetic outcomes and functionality.