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MOHS Reconstruction

Mohs micrographic surgery removes skin cancers — most commonly BCC and SCC — with the smallest possible margin while achieving an incomplete excision rate of less than 0.1%. It is the gold standard approach for tumours in cosmetically or functionally sensitive areas: around the eye, nose, lip, and ear, where conventional excision would remove more tissue than necessary.

Mohs surgery is performed by a specialist dermatologist. Mr Matthew Potter’s role is the reconstruction — addressing the defect left after the Mohs excision and restoring appearance and function using the principles of aesthetic plastic surgery.

Mr Potter works alongside four Mohs dermatologists. Where a lesion would benefit from this approach, it will be discussed at your initial consultation and a coordinated plan put in place.
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Why Mr Potter

Works alongside four specialist Mohs dermatologists

0% flap loss in reconstruction following Mohs excision

0% graft loss in reconstruction following Mohs excision (last 3 years)

Less than 1% return to theatre

PHIN patient satisfaction score: 99%

PHIN is an independent government audit of consultant patient outcomes, randomly sampling post-operative patients. A 99% satisfaction score places Mr Potter among the highest-rated plastic surgeons in the country.

Mohs Surgery & Reconstruction — How It Works

In conventional skin cancer excision, the tumour is removed with a safety margin of apparently normal surrounding skin — typically leaving a larger defect and a small chance (around 5%) of incomplete excision. Mohs surgery takes a different approach: the tumour is removed in thin layers under local anaesthetic, with each layer examined under microscope in real time. The process continues until no cancer cells remain at the margins — achieving an incomplete excision rate of less than 0.1%.

The result is the smallest possible defect consistent with complete tumour removal. This is particularly valuable on the face, where preserving as much normal tissue as possible directly affects the cosmetic and functional outcome of reconstruction.

What is Mohs surgery?

Once the Mohs surgeon confirms clear margins, Mr Potter reconstructs the defect. The reconstruction technique depends on the size and location of the defect: direct closure, local flaps using adjacent tissue for a colour and texture match, or skin grafts for larger areas. In all cases, Mr Potter applies the principles of aesthetic plastic surgery — placing incisions within natural skin folds, preserving function, and aiming for the most natural result possible.

He will show you photographs of previous patients with similar defects and similar reconstructions before any procedure takes place, so you understand what to expect both immediately after surgery and as the result settles over time.

Mr Potter's role — reconstruction

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Frequently Asked Questions

What is Mohs surgery?

Mohs micrographic surgery removes skin cancers layer by layer under local anaesthetic, with each layer examined under microscope until no cancer cells remain. It achieves an incomplete excision rate of less than 0.1% — compared to approximately 5% with conventional excision — while removing the smallest possible amount of tissue.

Mohs surgery is performed by a specialist dermatologist. Mr Potter performs the reconstruction of the defect following Mohs excision. He works alongside four Mohs dermatologists.

Most commonly BCC and SCC, particularly in cosmetically or functionally sensitive locations — around the eye, nose, ear, and lip — where preserving surrounding tissue is important.

The reconstruction technique depends on the size and location of the defect after Mohs excision. It may involve direct closure, a local flap using adjacent skin, or a skin graft. Mr Potter uses aesthetic surgical principles to minimise scarring and preserve function in all cases.

At the Manor Hospital in Oxford, Ridgeway Hospital in Swindon, Stratum Clinic in Wootton Oxfordshire, ProDerm in Cheltenham, and Interface Business Park in Royal Wootton Bassett.

Book a Consultation

Contact us if you have any health concerns or are looking to get a consultation. You can contact Matthew Potter by using the form below or contact him through one of the available telephone numbers or email addresses listed on this page.

Private Secretary & All Correspondence

T. 07917 965717

Swindon - Ridgeway Hospital

T. 01793 814848

Cheltenham - ProDerm, Festival House

T. 0800 0489230

Oxfordshire - Stratum Clinic,
Wootton Business Park

T. 01865 320790

Wiltshire - Interface Business Park, Royal Wootton Bassett

T: 0808 2803560

Oxford - The Manor Hospital

T. 01865 307777

Contact Lissie on 07917 965717 or use the form below.