Restore natural appearance and function after skin cancer removal with expert Mohs reconstruction by David Isaacs, MD, our dual-fellowship trained oculofacial plastic surgeon. This highly specialized procedure treats defects on the eyelids, nose, scalp, ears, and face. Dr. Isaacs uses advanced techniques to ensure optimal healing, aesthetic results, and preservation of delicate structures.
Restore Form and Function
After Skin Cancer
Skin cancer removal, especially using Mohs surgery, often leaves behind defects that affect appearance and function, particularly when located on highly visible or delicate areas like the eyelids, nose, face, scalp, or ears. Even minor tissue loss can disrupt facial symmetry, eyelid protection, or nasal structure. Mohs/skin cancer reconstruction is typically necessary when primary closure isn’t possible or when the defect involves critical areas.
Dr. Isaacs takes a highly individualized approach to Mohs reconstruction, combining his expertise in oculofacial plastic surgery with advanced aesthetic techniques. Trained at UCLA and formerly an Assistant Professor in Oculofacial Plastic Surgery and Dermatology, Dr. Isaacs uses skin grafts, flaps, cartilage grafting, and multi-layered closure methods to restore form, function, and natural appearance.
Mohs/skin Cancer Reconstruction Treats:
- Defects on the eyelids after skin cancer removal
- Nasal deformities following Mohs surgery
- Scalp wounds with limited skin elasticity
- Facial asymmetry caused by tissue loss
- Ear and neck defects with exposed cartilage or soft tissue
- Complex wounds that cannot be closed with simple sutures
- Visible scars that affect cosmetic appearance
Dr. Isaacs’ Approach to Mohs Reconstruction
Dr. Isaacs brings a highly specialized and artistic approach to Mohs reconstruction. His deep knowledge of facial anatomy and aesthetics allows him to deliver results that are not only medically sound but also cosmetically refined, even in the most delicate or complex cases.
Eyelid Reconstruction
The eyelids require extreme precision in reconstruction due to their delicate structure and essential role in protecting the eye. Dr. Isaacs is uniquely qualified to handle these intricate repairs. He uses advanced techniques such as skin grafts, local and rotational flaps, total eyelid reconstruction, and eyelid margin repairs to preserve function and maintain symmetry. These methods allow the reconstructed eyelid to integrate smoothly with the surrounding tissue.
Facial Reconstruction
The face demands a balance of surgical precision and aesthetic artistry. Dr. Isaacs approaches facial defects with custom-tailored solutions that may include local tissue flaps, cartilage grafts, or multi-layered closures, depending on the size, depth, and location of the defect. His goal is to restore natural facial contours while camouflaging scars within natural folds or shaded areas, particularly in high-visibility regions like the nose, cheeks, and lips.
Scalp, Nose, Ears, and Neck Reconstruction
Reconstructing areas like the scalp, nose, ears, and neck requires overcoming unique challenges such as limited tissue mobility and high visibility. Dr. Isaacs utilizes bilobed flaps, skin grafting, and composite grafts to rebuild these areas with precision and naturalness. For neck reconstruction, he focuses on both functional mobility and minimizing scar visibility, ensuring outcomes that are durable, comfortable, and harmonious.
Dr. Isaacs’ Approach to Scar Management
Dr. Isaacs takes a comprehensive approach to scar management. His goal is not only to close surgical wounds but also to optimize the long-term appearance of scars. By combining cutting-edge treatments with his deep understanding of skin healing and facial anatomy, Dr. Isaacs helps ensure that scars heal as discreetly and naturally as possible.
Radiofrequency Microneedling
Radiofrequency microneedling stimulates the production of collagen and elastin beneath the skin’s surface. Using ultrafine needles and controlled heat energy, the treatment remodels scar tissue and improves overall texture. Dr. Isaacs customizes the depth and intensity of each session to match your skin type and surgical site, enhancing elasticity and smoothing the scar for a more refined appearance.
CO2 Laser Resurfacing
CO2 laser resurfacing helps reduce the visibility of surgical scars by removing damaged outer layers of skin and promoting healthy tissue growth. This fractional laser technology targets the scar with precision, improving pigmentation, smoothing irregular texture, and blending it with the surrounding skin. Dr. Isaacs often integrates CO2 lasers into the later stages of healing to optimize cosmetic outcomes.
Fat Grafting
Fat grafting involves harvesting fat from one area of your body, purifying it, and injecting it into areas affected by scarring or volume loss. Rich in stem cells and regenerative properties, this technique not only fills in contour irregularities but also improves skin tone, texture, and elasticity. Dr. Isaacs uses fat grafting to soften scars, restore volume, and enhance long-term healing in a natural way.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon and expert in Mohs/skin cancer reconstruction. With advanced training from UCLA and faculty appointments in both Oculofacial Plastic Surgery and Dermatology, he combines his surgical precision with aesthetic expertise to deliver natural, functional outcomes. As a respected course instructor and mentor, Dr. Isaacs teaches Mohs reconstruction techniques to surgeons worldwide. If you’re seeking expert care after skin cancer removal, schedule your consultation in Beverly Hills today.
