Sabatino Ciatti, MD, FAAD, FACMS
Categories:Post Mohs Reconstruction, Mohs Surgery
Advanced Dermatology, Mohs and Laser Surgery Center, P.A.
240 East Grove Street
Westfield, NJ 07090
My approach to performing Mohs surgery on patients consists of two distinct procedures: the removal of the skin cancer and the cosmetic reconstruction. The Mohs procedure involves removing the skin cancer in its totality while preserving as much normal tissue as possible. As I take each Mohs layer, I am cognizant of the size of the defect and start to think about the most likely reconstructive approach. Once the Mohs procedure is complete and the tumor is completely removed, I plan the reconstruction by taking into account the size of the defect, the most cosmetically suitable option, and the patient’s needs and expectations.
Mohs surgery is considered the gold standard for removing skin cancers given that it is a microscopically controlled technique that leads to clean margins prior to reconstruction and generates the highest cure rates. Studies show that the recurrence rate for Mohs surgery is 1–3 percent. Because Mohs surgery keeps the defects as small as possible, it promotes the most favorable cosmetic outcomes. The best candidates for the procedure are those with skin cancer on the head and neck area or those with recurrences.
My goal is always for patients to have a positive experience from start to finish. From consultation to the day of surgery and into the post-operative period, my staff and I strive to put them at ease and keep them as comfortable as possible by being compassionate and attentive to their needs and desires. Prospective patients should know that I am a perfectionist. I always strive to reconstruct a Mohs defect using the best reconstructive option, meticulously placing sutures as necessary. I am also there to handle any concerns or complications that might arise post-operatively, either from the surgery itself or from the patient’s innate healing characteristics. I do try to emphasize to patients that because each surgical procedure is unique, no closure is “textbook” and not all patients have the same healing characteristics.
Without question, I love the creativity of my job. The Mohs technique creates a unique defect, and I have the ability to reconstruct that defect so that in most cases it is barely discernible. The most rewarding part of my job is seeing patients at their three-month follow-up appointment and being told that they think my work turned out beautifully. They are usually pleasantly surprised at how it was possible to take the defect and put it together so that most people would never know anything was done. Nothing makes me happier than to see a satisfied, happy patient.
DR. SABATINO CIATTI is recognized by Select Surgeons Plastic Surgery as one of the top MOHS SURGERY, POST-MOHS RECONSTRUCTION (Eyelids) and POST-MOHS RECONSTRUCTION (Face and Body) surgeons in New Jersey.