Mohs Closure in NYC

Expert Reconstruction After Skin Cancer Removal

Mohs closure is a reconstructive surgical procedure performed after Mohs micrographic surgery to repair defects left by the removal of skin cancer. While Mohs surgery effectively removes cancerous tissue with minimal damage to surrounding skin, the resulting wound often requires careful closure—especially when located on highly visible areas like the face, nose, eyelids, or lips. The goal of Mohs closure is to restore both function and appearance while minimizing scarring and preserving natural facial contours.

At his Upper East Side surgical suite in Manhattan, NYC, Dr. Robert Schwarcz—double board-certified in oculofacial plastic surgery—offers Mohs closures that combine surgical precision with artistic finesse. Every procedure is tailored to the individual, and consultations and follow-up appointments are available at both our Manhattan and Rye, NY offices.

What Is Mohs Closure and Why Is It Important?

Mohs micrographic surgery, typically performed by a dermatologist, is the gold standard for removing certain types of skin cancer, especially on the face. After the cancer is removed, what remains is a surgical defect—a hole or wound in the skin that needs to be closed for functional, protective, and cosmetic reasons.

Mohs closure refers to the reconstructive process that restores the affected area. Depending on the size, location, and depth of the wound, Dr. Schwarcz may use one of several techniques to achieve optimal results:

• Linear Closure: A simple method that involves stitching the edges of the wound together. Best suited for smaller, straight incisions.

• Flap Reconstruction: Involves moving adjacent tissue over the defect to maintain texture, thickness, and color match—ideal for facial repairs.

• Skin Grafting: Uses skin from another part of the body to close larger wounds where local tissue is insufficient.

Dr. Schwarcz’s deep understanding of facial anatomy allows him to select the most appropriate technique for seamless healing and natural-looking outcomes.

Who Is a Candidate for Mohs Closure in NYC?

You may be an excellent candidate for Mohs closure if you:

• Have recently undergone Mohs micrographic surgery for skin cancer removal

• Have a visible or complex wound on the face, eyelids, nose, lips, cheeks, or neck

• Want to ensure an aesthetically pleasing result with minimal scarring

• Are in overall good health and have realistic expectations

This procedure is particularly beneficial for patients seeking expert-level facial reconstruction in areas where subtle differences in skin tone, texture, and movement are crucial.

When Mohs Closure May Not Be Appropriate

Mohs closure may not be recommended for individuals who:

• Have active skin infections or inflammation around the surgical site

• Are managing uncontrolled medical conditions such as diabetes or high blood pressure

• Have a history of poor wound healing or keloid scarring

• Expect results beyond the limitations of surgical healing

During your consultation, Dr. Schwarcz will review your medical history and evaluate the wound site to determine the safest and most effective course of action.

Preparing for Your Mohs Closure Procedure

Although many Mohs closures are performed the same day as your Mohs surgery, others may be scheduled shortly after, once the wound has stabilized. Preparation will depend on your surgical plan and health status.

Key steps to take before your procedure include:

• Timing: Mohs closure is ideally performed immediately following Mohs surgery. If delayed, schedule it as soon as the site is ready.

• Medications: Avoid blood thinners, aspirin, and supplements such as vitamin E for at least two weeks prior to surgery.

• Lifestyle Adjustments: Quit smoking and minimize alcohol intake to improve circulation and promote better healing.

• Support: Arrange for someone to escort you home if you’re receiving sedation or general anesthesia.

You’ll be given custom pre-op instructions from our team to help ensure a smooth experience.

What to Expect During Mohs Closure Surgery

Mohs closures are performed at our Manhattan office’s private, JCAHO-certified surgical suite. Depending on the size and location of the defect, the procedure can last between 1 and 3 hours and is typically performed under local anesthesia with sedation, though general anesthesia may be used for more complex reconstructions.

Here’s a general overview of what to expect:

• Before surgery: Dr. Schwarcz will evaluate the wound, review your goals, and determine the best reconstructive approach.

• During surgery: He will close the defect using the chosen method—linear closure, flap, or graft—while carefully aligning tissue to minimize scarring and preserve normal contours.

• After surgery: You’ll rest briefly in our recovery suite and then head home with detailed aftercare instructions.

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Recovery After Mohs Closure: What the Healing Process Looks Like

Recovery after Mohs closure varies depending on the technique used and the size of the treated area. In most cases, patients can expect:

• Days 1–3: Mild swelling, bruising, and discomfort, managed with cold compresses and prescribed medications

• Week 1–2: Stitches are usually removed between days 5 and 14, depending on the area and technique

• Month 1–3: The treated area continues to refine; redness and swelling diminish, and scar tissue begins to soften

• Month 6 and beyond: Scars mature and fade, and final results become fully visible

Our team will guide you throughout the recovery period with personalized care instructions and follow-up appointments.

Results You Can See and Feel

The results of Mohs closure are often life-changing, especially for patients with defects on highly visible areas like the nose, eyelids, or lips. Dr. Schwarcz’s approach ensures:

• Restoration of natural skin contours and facial symmetry

• Minimal visible scarring

• Protection of underlying structures such as muscles and glands

• A return to normal function and expression

With proper wound care, scar management, and sun protection, your results will not only look good—they’ll last.

Why Choose Dr. Robert Schwarcz for Mohs Closure in NYC?

Dr. Robert Schwarcz brings more than 20 years of expertise in facial and reconstructive plastic surgery. His rare combination of technical skill and artistic vision makes him a top choice for patients needing Mohs closure in NYC. As a double board-certified oculofacial plastic surgeon, Dr. Schwarcz is uniquely qualified to handle delicate areas like the eyelids, cheeks, and nose where precision is critical.

Every procedure is performed in a private, accredited surgical suite in Manhattan’s Upper East Side, with follow-up care available in both NYC and Rye, NY. Patients can expect a personalized, results-driven experience from start to finish.

Ready to restore your appearance and peace of mind after skin cancer removal? Click the Request an Appointment button below to schedule your consultation and begin your journey to healing with confidence.