Reconstruction of perioral defects post-Mohs micrographic surgery: a dermatological surgeon's approach

Summary Background The perioral location has great functional, aesthetic and social importance. Over 100 procedures have been described for lip reconstruction, emphasizing the challenges that reconstructive surgeons face when dealing with such defects. Objectives To outline the surgical reconstruction techniques of perioral defects post‐Mohs micrographic surgery (MMS). Methods The design and surgical techniques of reconstruction of perioral defects post‐MMS are described. Results The results of the surgical techniques described are illustrated. Conclusions Herein, we describe the nuances of reconstructive techniques that we have found useful for repairing perioral defects post‐MMS. What's already known about this topic? Mohs micrographic surgery remains the gold standard in the management of nonmelanoma skin cancers of the head and neck. Perioral Mohs defects pose a particular challenge for the reconstructive surgeon, with over 100 procedures described in the literature. What does this study add? We describe nuances in established workhorse techniques used for perioral reconstruction, which adds to the reconstructive repertoire of the dermatological surgeon.