Thoughtful Reconstruction at Montilla Plastic Surgery

More people are diagnosed with skin cancer every year than all other forms of cancer combined. Fortunately, when caught early, 98% of skin cancer cases can be fully cured. One of the most effective forms of treatment is Mohs skin cancer excision. Unfortunately, this procedure can leave one’s face disfigured. Dr. Montilla performs arguably the best Mohs reconstruction in Boston to restore such patients’ appearance, allowing them to fully move on from skin cancer.

What is Mohs Skin Cancer Excision?

Mohs skin cancer excision is one of the foremost procedures in the field of skin cancer treatment. Also known as chemosurgery, Mohs skin cancer excision is designed to remove cancerous cells while preserving as much healthy tissue as possible. The surgeon removes cancerous skin in miniscule layers, examining each layer until all cancerous tissue is gone.

After Mohs treatment, the patient’s appearance is often compromised, as the surgery removes chunks of skin from the nose, eyes, lips, and/or cheeks. While the cancer may be cured, the patient is left with a stark reminder every time they look in the mirror. At this point, a reconstructive plastic surgeon can repair such deformities through Mohs reconstruction surgery, restoring appearance and confidence.

What is My First Step?

If you are seeking a plastic surgeon to perform Mohs reconstruction in Worcester or its surrounding areas, your first step is a consultation with Dr. Montilla in our Boston or Worcester offices. Should you choose to move forward, we will begin coordination with your Mohs surgeon.

When you meet with Dr. Montilla, he will review all aspects of your unique situation, including your medical history, your specific Mohs case, and answer any questions you may have.

Ideally, you will meet with him prior to your Mohs surgery, allowing him to coordinate with your Mohs surgeon so he can perform reconstruction as close as possible to the Mohs excision surgery—preferably on the same day. This will minimize both scarring and downtime, as well as any introversion that may come about from the Mohs surgery defects. If you have already received the Mohs excision surgery, he will work with you to perform reconstruction as soon as possible.

What Should I Expect from Mohs Reconstruction?

Depending upon the complexity of your case, you will receive local anesthesia, IV sedation, or general anesthesia. Also depending upon the complexity, the procedure may take as little as 30 minutes, or as much as several hours. As a board-certified plastic surgeon, Dr. Montilla leaves no stone unturned in ensuring every detail of your surgery is thorough and as pristine as possible.

During the reconstruction procedure, Dr. Montilla adjusts the components of the facial structure, including cartilage, bones, skin, and muscles. He may use skin grafting or flaps during the reconstruction procedure, harvested from other parts of the body. The purpose is not simply to camouflage the excisions—it is to reconstruct the defect entirely, restoring both function and cosmetic appearance.

Recovery

Every Mohs patient is different, with varying degrees of cancerous tissue. As such, the recovery period can fall anywhere on a fairly broad spectrum. Every recovery will follow the same basic set of steps.

Our Boston or Worcester offices will provide you with a comprehensive recovery plan, including hygiene instructions, sleeping instructions, pain medication, and your customized timeline for resuming normal life.

Dr. Montilla is thorough in his follow-up protocol, and will ensure he sees you as much as necessary to properly monitor your recovery. During follow-up appointments, he will check to ensure the tissues are healing properly with regard to facial animation and function, as well as general facial appearance. He may recommend complementary procedures such as laser resurfacing to further reduce appearance of scars.

Reconstruction from a Compassionate Surgeon – Dr. Richard Montilla

Through his exhaustive training, Dr. Montilla has gained a set of invaluable skills, and he doesn’t just keep them to his practice. He is proud to use his skills and resources to help those in need. He is an active member of Surgicorps International, an organization that sends medical missions abroad to repair cleft lips and palates in children who otherwise have no access to medical care. He is also a member of several other non-profit organizations. He is truly a surgeon who puts others first, and you will be no exception.

AM I A CANDIDATE FOR A BROW LIFT?

Men and women who would like to refresh and rejuvenate their brow may be ideal candidates for a brow lift in Boston. Candidates should meet the following requirements:

Are generally in good health
Would like to reduce deep frown lines, a drooping brow or sagging skin on the brow
Have heavy or hooded upper eyelids
Have furrows between the brows, crow’s feet and other wrinkles around the eyes
Find their resting face appears angry, tired, or unhappy, even when they are feeling fine

WHY CHOOSE DR. MONTILLA FOR YOUR BROW LIFT?

Dr. Richard Montilla is a board-certified plastic surgeon who is dedicated and committed to his patients, ensuring their experience is stellar from the day they arrive until they are fully recovered and enjoying their outstanding results.

Dr. Montilla is a surgeon who truly cares, and he uses his surgical ability and resources to help those in need for several nonprofit organizations. When it comes to your brow lift, you can rest assured you are in excellent hands. Look forward to some of the best care and finest results Worcester has to offer with Dr. Montilla.

Mohs Reconstruction FAQs

Will Mohs reconstruction restore my appearance completely?

The goal is to achieve the most natural result possible, though outcomes depend on the size and location of the defect.

Is Mohs reconstruction considered cosmetic or medical?

It is primarily reconstructive, focused on restoring function and repairing damage after cancer removal.

Will I have visible scarring after Mohs reconstruction?

Some scarring is expected, but techniques are used to minimize visibility and help the area blend with surrounding tissue.

Can Mohs reconstruction affect facial movement?

In most cases, the procedure is designed to preserve normal facial function, though recovery may involve temporary stiffness or tightness.

How soon will I see results after Mohs reconstruction?

Initial improvement is visible early, but final results develop gradually as swelling resolves and tissues heal.

Will I need additional procedures after reconstruction?

Some patients choose follow-up treatments, such as laser therapy, to further refine the appearance once healing is complete.

Is Mohs reconstruction covered by insurance?

In many cases, reconstruction after skin cancer removal is considered medically necessary and may be covered, but coverage depends on your provider and plan.

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Mohs Reconstruction in Boston