In reply It is nice to see the correspondence and interest of Michael Alexiou, MD. He brings up several excellent points, and it is a pleasure to respond. First, the point of our study1 is to recognize that when Mohs surgery is not performed, perhaps a slightly larger margin should be obtained during primary gross excision. It does not claim that Mohs surgery is always indicated.
Park SS. Another Look at Mohs—Reply. JAMA Facial Plast Surg. 2013;15(6):461. doi:10.1001/jamafacial.2013.2130