Plastic surgeons are often consulted for excision and/or wound closure for skin cancers that are either complex or located in anatomically sensitive areas. Dr. Bastidas specializes in techniques to help minimize scarring while still maintaining a complete oncologic resection. Patients who are referred after cancer removal with Moh’s surgery may often undergo reconstruction the same day.
Mohs surgery involves a specialized dermatologist who removes the cancer in sections and studies it using a microscope to make sure the cancer is completely removed. This allows an immediate reconstruction to be performed and less likelihood of leaving any cancer cells behind (a positive margin). Mohs surgery is particularly helpful on the face and around the nose and eyes. Dr. Bastidas works in tandem with a Mohs surgeon and can often reconstruct the defect in the office under simple local anesthesia. Dr. Bastidas uses soft tissue techniques and fine suturing to recreate the normal anatomy and provide an aesthetically pleasing result.