This patient was referred by his dermatologist for a second opinion for treatment of a basal cell carcinoma of the left lateral acanthus after the patient was seen by another Mohs surgeon who recommended Mohs with a repair performed under general by an ophthalmic plastic surgeon. The patient sought a second opinion because they were uncomfortable with the delayed repair under general anesthesia the following day after the Mohs surgery. In contrast, Dr. Morganroth who performs advanced reconstruction around the eyes and regularly performs cosmetic eyelid surgery was comfortable performing the Mohs surgery followed by an immediate repair of the periorbital defect under local anesthesia. Dr. Morganroth’s approach saves time and money. This defect was adjacent to the lower eyelid and lateral canthus, so the reconstruction required an adjacent tissue transfer (also known as a flap) to preserve the anatomy and function of the lower eyelid. Dr. Morganroth has performed tens of thousands of reconstructions within inches of this defect and the repair was completed in less than 10 minutes under local anesthesia immediately after the Mohs surgery was completed.
