Micrographic Surgery of Mohs: Layers Reconstruction

By Christopher B. Harmon, Stanislav N. Tolkachjov

More than 5.4 million cases of non-melanoma skin cancer, mainly basal cell and squamous cell carcinoma, occur annually in the United States. The Mohs technique, developed in the 1950s and refined over the years, has the highest cure rate among all treatments for non-melanoma skin cancer. It is increasingly used for melanoma and has the lowest recurrence rate.

Micrographic Surgery of Mohs: Layers Reconstruction, written by renowned dermatological and Mohs surgeons Christopher Harmon and Stanislav Tolkachjov, provides an objective and detailed roadmap to learn and master the Mohs technique and reconstruction. The algorithmic organization, along with instructive photographs and illustrations, offer an easy-to-read format conducive to learning. The first two chapters describe the principles of Mohs surgery, including progressive layer excision to determine if wound margins are cancer-free, pitfalls associated, recurrences, special locations, reconstructive principles, and general considerations. The next eight chapters are organized by facial location, from nose to eyelid/eyebrow. The last two chapters cover combined reconstructions that span multiple subunits and also perioperative management and wound care.

Key Highlights

• World-renowned Mohs and reconstruction specialists provide guidelines that guide optimal treatment
• Relevant anatomical aspects that impact excision and reconstruction are detailed, including structures, skin tension lines, tissue planes, and danger zones
• Over 20 procedure videos provide practical guidance on how to perform specific steps in Mohs and reconstruction

This unique resource will help residents, fellows, and dermatologists, plastic surgeons, and facial plastic surgeons master the nuances of Mohs reconstructive techniques to achieve the most functional and aesthetically pleasing outcomes for patients.