Mohs Reconstructive Surgery Upper East Side

Skin cancer near the eyes often requires specialized care to remove the disease and rebuild delicate structures. Mohs reconstructive surgery helps restore appearance and function after cancer excision. When precision and protection matter, so does your choice of surgeon.

When Precision and Protection Matter, So Does Your Choice of Surgeon Mohs Reconstructive Surgery in NYC’s Upper East Side

After Mohs surgery removes skin cancer, the next step is just as important: reconstructing the area to ensure natural appearance, eyelid function, and eye protection. Dr. Allison Coombs, a board-certified oculofacial plastic surgeon and ophthalmologist, specializes in reconstructive procedures around the eyes and face. Her approach blends microsurgical expertise with refined aesthetic judgment, making her a trusted referral for post-Mohs repair on the Upper East Side.

What Is Mohs Reconstructive Surgery?

Mohs reconstructive surgery is performed after a dermatologist removes skin cancer using Mohs micrographic surgery—a precise technique that preserves as much healthy tissue as possible. Once the cancer is fully excised, Dr. Coombs steps in to repair the defect and restore the affected area.

Reconstruction may involve repositioning local tissue, performing skin grafts, or rebuilding multiple layers of the eyelid. Because the area around the eyes is both functionally complex and cosmetically prominent, these procedures require advanced training and surgical finesse. Whether you’re facing a small excision or a complex reconstruction, Dr. Coombs provides personalized, thoughtful care focused on healing, function, and visual harmony.

The Advantages of Seeking Mohs Reconstructive Surgery

Reconstruction after skin cancer removal isn’t just about appearance—it’s about restoring eyelid support, tear drainage, blinking mechanics, and skin coverage while achieving the most natural outcome possible.

The benefits of Mohs reconstructive surgery include the following:

Restores natural eyelid contour and function
Preserves the ability to blink and protects the eye
Closes wounds using precise, tissue-sparing methods
Minimizes scarring in a highly visible area
Supports proper tear film and ocular health
Creates symmetrical, aesthetically pleasing results

Are You a Candidate for Mohs Surgery?

If you’ve recently had skin cancer removed near the eyelid, brow, or cheek, or are planning to, Dr. Coombs can help ensure your reconstruction is safe, successful, and visually refined. Early coordination with a reconstructive surgeon is often ideal.

The following are ideal candidates:

Patients who have undergone or are scheduled for Mohs surgery
Individuals in good overall health, without uncontrolled medical conditions
Those without active infection in the surgical area

Why Choose Dr. Allison Coombs?

Dr. Coombs is among a select group of surgeons with board certification in oculofacial plastic surgery and ophthalmology. Her fellowship training through ASOPRS, the field’s most rigorous credentialing body, positions her to confidently and carefully handle even the most complex eyelid reconstructions.

She completed advanced surgical training at Tufts, Weill Cornell, and MEETH, where she now serves as division head of oculofacial plastic surgery. Her work is widely trusted by referring dermatologists across NYC, especially for high-stakes reconstructions following Mohs surgery near the eyes. Dr. Coombs carefully balances the functional integrity of the eyelids with subtle, natural cosmetic outcomes that preserve facial harmony.

About the Consultation

During your consultation, Dr. Coombs will review the surgical site, your pathology history, and any Mohs surgery notes. If you haven’t yet had Mohs surgery, she can coordinate with your dermatologist to plan a seamless reconstructive process. You’ll receive a thorough explanation of reconstruction options based on the size, depth, and location of the defect.

Mohs Surgery Cost

The cost of Mohs reconstructive surgery varies depending on the complexity of the repair and the location of the defect. If the surgery is medically necessary, as most post-Mohs reconstructions are, it may be partially or fully covered by insurance. A detailed estimate will be provided during your consultation, including surgical, facility, and anesthesia fees, if applicable.

Dr. Allison V. Coombs

About the Treatment Experience

Mohs reconstructive surgery is typically performed on the same day or within days of your Mohs procedure. It’s done under local anesthesia or light sedation, depending on the extent of the repair.

You should expect the following basic steps:

The area is carefully evaluated for tissue loss and surrounding support.
A personalized reconstructive plan is made based on your anatomy.
Tissue flaps or grafts are designed and positioned with microsurgical precision.
Fine sutures are placed to secure closure with minimal tension.
Dressings and instructions are provided to support healing.

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After the Procedure

Mild swelling and bruising are normal and usually improve within seven to ten days. Most patients return to work or light activities in a week. Follow-up visits ensure proper healing, suture removal (if needed), and early detection of any issues. Final results evolve over several weeks to months as swelling resolves and scars mature.

Mohs Reconstructive Surgery Techniques

Primary Closure – Direct closure of small defects.
Local Flap Repair – Uses adjacent tissue to recreate natural contours.
Skin Grafting – Transplant skin from a nearby area for coverage.
Eyelid-Specific Reconstruction – Restores tarsal plate, lashes, and eyelid function.
Multi-layer Closure – Rebuilds deeper support, muscle, and skin in larger defects.

Related Procedures

Excisional Biopsy – May be used to remove suspicious lesions before Mohs surgery.
Benign Eyelid Lesion Removal – For non-cancerous growths requiring reconstruction.
Chalazion Removal – For recurrent cysts or styes.
Eyelid Malposition Repair – Often necessary after scarring or tissue loss.
Laser Resurfacing – For scar blending and skin texture refinement.

FAQ Mohs Surgery

Does Dr. Coombs perform Mohs surgery herself?

No. Mohs surgery is performed by a dermatologist. Dr. Coombs handles the reconstructive phase after cancer removal.

Can reconstruction be done the same day as Mohs surgery?

Yes, in many cases. Coordination with your Mohs surgeon allows for immediate or next-day repair.

Will I have a visible scar?

Scars are often discreet and placed in natural folds. Dr. Coombs uses advanced techniques to minimize visibility.

Can reconstruction be done later if I delay?

In most cases, earlier repair offers better outcomes. However, depending on the defect, delayed reconstruction may still be an option.