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Mohs Reconstruction Technique

In order to combat this formidable disease, Dr. Frederic Mohs created a process known as chemosurgery. It excises the tumor cells in carefully separated layers, while preserving the surrounding healthy tissue.

Once this important phase has been completed by the dermatologic oncologist, a plastic surgeon will typically be called upon to reconstruct the treated areas cosmetically. This is known as Mohs reconstruction, and it may happen directly after the tumor has been removed, or separately at a later time, but most frequently no later than 1 week after cancer removal. It may take several sessions to restore the appearance of the eyes, cheeks, nose or lips, but the result is well worth the time invested.

Mohs reconstruction requires a delicate, sophisticated technique, and may utilize skin grafting and/or the use of skin adjacent to the wound, importing in healthy tissue. The surgeon may have to harvest donor tissue from another area of the body for these purposes.

Many patients specifically request that a plastic surgeon be involved in the treatment plan, before cancer is actually removed. This is the best approach to having a complete plan in place before undergoing Mohs surgery and being left with an undesirable cosmetic result.

What kind of reconstruction might occur?

There are different types of techniques with different levels of complexity. Sometimes wounds are closed directly. Sometimes local tissue is advanced to close the wound. Special techniques may be used to import larger amounts of necessary tissue which is vascularized, will heal well and will minimize visible scarring. Some patients are good candidates for grafts. Dr. Shermak will create a treatment plan that optimizes wound coverage and cosmetic outcome.

Scheduling Your Consultation

If you or someone you know is interested in learning more about Mohs reconstruction in the Baltimore, Maryland area, please contact Dr. Shermak’s office to set up your private consultation today. And feel free to review her Photo Gallery to see what type of results are possible.

1304 Bellona Avenue, Lutherville-Timonium, MD 21093

Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
including Baltimore breast augmentation & liposuction

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View Update Virtual Consultation

We are officially open, thanks to Governor Hogan!

We welcome new patients and are looking forward to performing elective surgical procedures, starting the week of May 11.

This is a new day, with new safety protocols. Our goal is to keep everyone safe and respect the continued risk COVID-19 presents. For this reason, we will be instituting the following protocols:

  • We will have Sandy stationed at our entryway with sterilizer and a COVID-19 survey for our new patients to fill out. Sandy will also check your temperature and collect your paperwork at the door – our medical intake form can be filled out prior to your coming to the office, or you can fill it out after you arrive.
  • Please bring a mask for any in-office visits. If you are coming for surgery, please bring a paper mask if you have one. For any other visits, cloth masks or paper masks are fine.
  • We need any patient waiting to be seen to wait in your car until we can safely accommodate you in an exam room. We need to respect social distancing and are spacing our patients out to assure safety.
  • We can only allow the patient to come in to the office for examination. Friends or family will need to wait outside the office.
  • For those assisting our postoperative patients on the day of surgery: we ask that you kindly wait in your car and we will call you in to discuss postoperative instructions.
  • I am continuing to schedule Virtual Consultations which is exciting and new! Check out my Resources section or header at drshermak.com to get started!

I look forward to seeing you soon!


As of July 1st, the staff members at The Plastic Surgery Center of Maryland will no longer routinely be wearing masks following the state guidelines per Governor Hogan.

All of our staff members are vaccinated.

If any patient would prefer that the medical staff member caring for them wear a mask, please let us know and we will gladly do so.

We treat patients with compormised immune systems and we need to be respectful of their needs.

We are asking patients who are not fully vaccinated to please wear masks while in our office so that we may continue to safely accomodate our patients with weakened immune systems.

Thank you!

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