After the lesion has been completely removed, a decision is made on the best method
for treating the wound created by the surgery. These methods include letting the wound heal
by itself, closing the wound in a linear fashion with stitches, closing the wound with a
skin graft or a flap, or any combination of these methods. The best method is determined on
an individual basis after the final defect is known. Other surgical specialists may be
enlisted for their unique skills if a defect turns out to be more complicated than initially
anticipated. We individualize our treatment to achieve the best results.
When the reconstruction is completed by other surgical specialists, that reconstruction may
take place on the same day or on a subsequent day. There is no harm in delaying the
reconstruction for several days. If the reconstruction is to be extensive, that portion of the
operation may require hospitalization. This is the exception rather than the rule.
Some patients may not feel comfortable returning to work for up to one week after surgery.
Others may return sooner. We usually recommend that patients make arrangements to be away from
work for one to two days.