Reconstruction after Mohs cancer excision.

At our institution, 363 skin defects following Mohs excision for carcinoma were repaired in a two-year period. The majority of the patients were women (62%). Most repairs were to the nose (42%), and almost all followed basal cell carcinoma excision (91% of tumor types). Flaps were preferable to skin grafts for facial repair, with forehead and nasolabial flaps particularly useful for the nose. Injection of Kenalog (triamcinolone acetonide, 5-20 mg/mL) speeds the maturation of scars and flaps.