• Dr. Jacono
    • About Dr. Jacono
    • Publications
    • In the Media
    • Reviews
    • Philanthropy and Charitable Surgery
    • Books
    • Choosing a Facial Plastic Surgeon
    • Dr. Jacono Rated Top Plastic Surgeon – News
  • Our Center
    • Dr. Andrew Jacono
    • Dr. Sean Alemi, M.D., F.A.C.S.
    • Surgical Center Virtual Tour
    • New York City Office
    • Long Island Office
    • Non Surgical Medical Spa
  • Facial Plastic Surgery
    • Facelift
    • Deep Plane Facelift
    • Ponytail Face Lift
    • Neck Lift
    • Platysmaplasty
    • Rhinoplasty (Nose Job)
    • Eye Lift Surgery
    • Lip Augmentation
    • Lip Lift
    • Botox Cosmetic
  • Body Procedures
  • Non-Surgical
  • Revision Surgery
    • Revision Facelift
    • Revision Rhinoplasty
    • Revision Eye Lift
  • For Men
    • Male Facelift
    • Male Rhinoplasty
    • Male Eyelid Surgery
  • Reconstructive
  • Homeopathic Healing
  • No General Anesthesia

Facial Plastic Surgery

New York Facial Plastic Surgery

top doc awards
212-570-2500
New York City (212) 570-2500 Long Island (516) 773-4646
New York Center for Facial Plastic Surgery
Ask a Question Request a Consultation
  • Dr. Jacono
    • About Dr. Jacono
    • Publications
    • In the Media
    • Reviews
    • Philanthropy and Charitable Surgery
    • Books
    • Choosing a Facial Plastic Surgeon
    • Dr. Jacono Rated Top Plastic Surgeon – News
  • Our Center
    • Dr. Andrew Jacono
    • Dr. Sean Alemi, M.D., F.A.C.S.
    • Surgical Center Virtual Tour
    • New York City Office
    • Long Island Office
    • Non Surgical Medical Spa
  • Facial Plastic Surgery
    • Facelift
    • Deep Plane Facelift
    • Ponytail Face Lift
    • Neck Lift
    • Platysmaplasty
    • Rhinoplasty (Nose Job)
    • Eye Lift Surgery
    • Lip Augmentation
    • Lip Lift
    • Botox Cosmetic
  • Body Procedures
  • Non-Surgical
  • Revision Surgery
    • Revision Facelift
    • Revision Rhinoplasty
    • Revision Eye Lift
  • For Men
    • Male Facelift
    • Male Rhinoplasty
    • Male Eyelid Surgery
  • Reconstructive
  • Homeopathic Healing
  • No General Anesthesia
Hero banner background

Facial Plastic Surgery

Dr. Andrew Jacono, MD, FACS is considered the Best Plastic Surgeon in New York Specializing in mini facelifts, rhinoplasties (nose job surgery) and eyelid lifts World Leading Expert in Facial Plastic Surgery,
Innovator, and Philanthropist
Dr. Jacono Top Doctor in America
New York City: (212) 570-2500
Long Island: (516) 773-4646
Contact Us
Home » Facial Reconstruction » Mohs Surgery

Mohs Reconstructive Surgery (Facial Reconstruction)

Information About Mohs Reconstructive Surgery with Dr. Andrew Jacono in New York, NY

What Is Mohs Reconstructive Surgery?

Mohs Surgery Illustration
Mohs Reconstructive Surgery Illustration

Mohs micrographic surgery (MMS) removes malignant lesions and cancer cells. Layers of skin tissue are meticulously removed and examined under a microscope. By removing tissue incrementally, the physician can ensure that all affected tissue has been excised.

Of all surgical techniques available today, Mohs surgery offers the lowest recurrence rate of malignant cells. It also preserves the healthiest tissue. It is usually performed by specialized dermatological surgeons who only perform skin cancer removal. These physicians then refer patients to facial plastic surgeons, like Dr. Jacono, for reconstruction.

Mohs surgery is more expensive and time-consuming than traditional excision. However, it is a good option for patients who have recurrent or aggressive carcinomas. It is also important for the treatment of cosmetically important areas like the nose, eyelids, and lips. Mohs surgery can remove basal cell carcinomas, squamous cell carcinomas, and other facial lesions.

What to Expect

After carcinomas are removed, a depression or hole is left behind. After treatment, dermatologists bandage the wound and send patients to Dr. Jacono’s office. This can be done on the day of surgery or the following day.

Once the bandage is removed and the defect is assessed, Dr. Jacono begins reconstruction. Most defects can be repaired with skin flaps, which move local tissue to cover the Mohs hole. In certain cases, full-thickness skin grafts may be necessary.

Sometimes, more complex reconstructions are required. This depends on how much tissue is removed, and whether other tissue must be reconstructed. Dr. Jacono specializes in these more complex skin cancer reconstruction surgeries.

Is Mohs Surgery the Same as Plastic Surgery?

Mohs surgery and plastic surgery are fundamentally different. Mohs surgery focuses on removing malignant tumors and lesions. Dermatological surgeons excise cancerous tissue and preserve healthy tissue.

Plastic surgery, on the other hand, focuses on reconstructing the face after Mohs surgery. This is because Mohs surgery leaves behind visible scars and holes.

How Long Does It Take to Heal from MOHS Surgery?

Stitches on the face or neck are usually removed within 7-10 days. Stitches on the ears and scalp are usually removed after 14 days.

Mohs patients are usually immediately referred to Dr. Jacono for reconstructive surgery. Dermabrasion may be performed approximately 6 weeks after reconstruction.

Does MOHS Surgery Leave a Scar?

Unfortunately, Mohs surgery leaves behind scars, holes, and depressions. This is because the removal of malignant lesions does not include reconstruction.

Luckily, facial plastic surgeons like Dr. Jacono specialize in Mohs surgery reconstruction. They have the ability to reverse scarring and other facial defects.

He is also part of Face to Face and is one of a small group of Facial Plastic and Reconstructive Surgery Specialists who volunteer their time to perform Reconstructive Surgery on women who are victims of domestic violence pro-bono.

Mohs Reconstructive Surgery Before and After Photos


Mohs Reconstruction Surgery – Patient 1:

This patient’s Mohs surgery left her without an upper lip. She underwent a bilateral transposition flap procedure. Upper lip defect reconstruction used borrowed cheek skin.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 1 - Before MOHS FACIAL RECONSTRUCTION - Patient 1 - After

Mohs Reconstructive Surgery – Patient 2:

This patient lost nasal tissue after Mohs surgery. He underwent two-stage reconstruction using a pedicled paramedian forehead flap. This means that the flap stayed attached to the donor site. Dr. Jacono then sectioned the flap attachment.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 2 - Before MOHS FACIAL RECONSTRUCTION - Patient 2 - After


Mohs Reconstruction Surgery – Patient 3:

This patient had holes in his nose and lower eyelid. He underwent a two-stage surgical procedure using a pedicled paramedian forehead flap. The inside of his nose was repaired with a septal flap, and cartilage was borrowed from his ear. The flaps were then sectioned.

The patient also underwent a two-stage pedicled Hughes Flap, which borrowed skin and cartilage from the upper eyelid.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 3

Mohs Reconstruction Surgery – Patient 4:

This patient had Mohs surgery that left a hole in her nose. She underwent two-stage reconstruction surgery. Dr. Jacono used a pedicled cheek flap and ear cartilage graft to restore the nose’s natural curvature. He then sectioned the flap attachment.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 11 - Before MOHS FACIAL RECONSTRUCTION - Patient 10 - After


Mohs Reconstruction Surgery – Patient 5:

This patient had Mohs surgery and was left with a depression in his upper lip. He underwent a bilateral transposition flap procedure. Dr. Jacono borrowed cheek skin to reconstruct the upper lip.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 5

Mohs Reconstruction Surgery – Patient 6:

Mohs surgery left this patient with a hole in her nose. She underwent a glabellar (forehead) transposition flap procedure. She also had cheek advancement flap surgery.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 6 - Before MOHS FACIAL RECONSTRUCTION - Patient 6 - After


Mohs Reconstruction Surgery – Patient 7:

Mohs surgery left this patient with a gaping hole in her forehead. She underwent orotrichea flap closure reconstruction with Dr. Jacono.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 7

Mohs Reconstruction Surgery – Patient 8:

Mohs surgery left this patient with a large hole in her forehead. Dr. Jacono performed an O to T advancement flap procedure, borrowing tissue from along the hairline.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 8


Mohs Reconstructive Surgery – Patient 9:

This patient’s Mohs procedure left him with a large hole in his nose. Dr. Jacono performed two-stage surgery using a pedicle paramedian forehead flap. He then sectioned the flap attachment. The results look entirely natural.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 9

Mohs Reconstruction Surgery – Patient 10:

Mohs surgery left this woman with an exposed depression in her cheek and eyelid. Dr. Jacono performed a neck transposition flap procedure. He also performed a forehead and cheek rotation flap procedure. The results look natural.

Before & After
MOHS FACIAL RECONSTRUCTION - Patient 4 - Before MOHS FACIAL RECONSTRUCTION - Patient 4 - After


More Mohs Facial Reconstructive Photos

Reconstructive Surgery

  • Facial Reconstruction
  • Mohs Reconstructive Surgery
  • Trauma Reconstruction
  • Facial Paralysis – Facial Reanimation
  • Cleft Lip and Cleft Palate Surgery
  • Microtia Ear Reconstruction
  • Facial Burn Surgery
  • Facial Skin Cancer
Dr. Jacono - Top Ten Doctor Award
Dr. Jacono was selected as one of the Top Ten Facial Plastic Surgeons in New York.
Dr. Jacono - Top Ten Doctor Award
Dr. Jacono has been a Castle Connolly Top Doctor since 2012.
Dr Andrew Jacono Patient Choice Award
Andrew Jacono, MD, FACS has been honored with the Patient’s Choice Award for the 7th year in a row. 2012 - 2018
Travel to New York for Plastic Surgery

Quick Links

  • About
  • FAQs
  • Gallery
  • Blog
  • Media
  • Contact
  • Financing
  • Disclaimer
4.7 Stars 205 Reviews
New York Center for Facial Plastic Surgery

Latest News

Dr. Jacono has launched a new Middle Eastern Facial Plastic Surgery version of his website for Middle Eastern Facial Plastic Surgery

Doctor Jacono performs Charitable Surgery for Children with Cleft Lip and Palate on Missions to Third World Countries and also on Women who are Victims of Domestic Violence. … Best Plastic Surgeon

Contact

New York City Office
630 Park Ave, New York, NY 10065
Tel. (212) 570.2500 | Fax (212) 249-2264

Long Island Office
440 Northern Blvd, Great Neck, NY 11021
Tel. (516) 773-4646 | Fax (516) 773-1360

© New York Center for Plastic Surgery. All Rights Reserved.

Terms of Use | Privacy Policy | Site Map

Dr. Andrew Jacono Official TikTok Channel
Dr. Andrew Jacono Facebook
Dr. Andrew Jacono Instagram
Dr. Andrew Jacono YouTube Channel

Mission Statement

Doctor Jacono’s desire to become a facial plastic surgeon was solidified in grade school. There was a girl on his school bus route who was born with a cleft lip and palate deformity. Unfortunately, whenever she spoke, air and words escaped through her nose. Kids teased her and were cruel, and nobody would sit next to her on the bus, so he decided to sit with her. One day, the girl had plastic surgery and returned to school with her face repaired. Suddenly, classmates saw her face instead of her deformity and immediately treated her normally. It was at that moment that Doctor Jacono knew he wanted to fix people’s faces and change their lives. This is why he has gone on over twenty plastic surgery missions to poor countries around the world and provided free cleft lip and surgery for birth defects to over 500 children.

Because of this experience in his childhood, Doctor Jacono understands that one of our basic needs as human beings is to feel confident about our appearance. It’s is Doctor Jacono’s passion to help his patients achieve their facial aesthetic goals, creating natural appearing results to either enhance their beauty and proportion or rejuvenate their aging appearance. He is a world-renowned leader in the field of facial plastic surgery and only performs surgery on the face, not the body. He has innovated many facelift, eyelid lift, and rhinoplasty surgical techniques, publishing in leading peer reviewed literature and lecturing at plastic surgery conferences all over the world. He is committed to sharing what he has learned teaching surgeons from around the world.

His approach is to maintain your uniqueness and facial identity; it is still you just better. To do this he uses a customized, bespoke approach to each patient employing the most minimally invasive, innovative, and cutting-edge technology. Doctor Jacono has never performed the same procedure on any two of the thousands of patients he has treated. He is committed to providing his surgical expertise in a caring, supportive environment with a professional staff that has you as their focus and concern.