One Surgeon, Two Specialisms: Mohs Surgery and Plastic Surgery Combined

Northwich, United Kingdom – May 23, 2026 / Rakhee Nayar – Mohs Surgeon and Skin Specialist /

Patients with facial skin cancer now have access to a specialist offering both precise tumour removal and same-day reconstruction under one surgeon, following the formal launch of Miss Rakhee Nayar’s combined Mohs and plastic surgery service from her North West practice.

The announcement addresses a well-documented gap in NHS and private pathways, where patients undergoing mohs surgery for facial cancers often face separate referrals, waiting periods, and multiple clinical teams before reconstruction can begin. Miss Nayar’s dual-trained approach changes that sequence entirely.

One Surgeon, One Appointment

Miss Rakhee Nayar is among a small number of surgeons in the UK who hold formal training in both mohs surgery and plastic surgery. That combination is uncommon. Most patients treated for skin cancer on the face or nose encounter two distinct specialists – one for excision, one for repair – often with a significant gap between procedures.

The service Miss Nayar has launched consolidates both stages. Cancer removal and facial reconstruction happen on the same day, handled by the same hands, guided by the same clinical judgement. For patients already anxious about a cancer diagnosis, that continuity carries real practical weight.

The focus is specifically on the face and nose – anatomically complex areas where margins matter and cosmetic outcome cannot be treated as secondary. Mohs surgery, a staged technique that removes tissue layer by layer while checking margins in real time, is widely regarded as the most tissue-sparing method available for these sites. Pairing it with plastic surgery reconstruction means the repair is planned with full knowledge of what was removed.

Why This Matters for Facial Skin Cancer Patients

Skin cancer on the face presents clinical challenges that cancers elsewhere on the body often do not. The proximity of critical structures – eyelids, nasal tip, lips – means that how tissue is removed is just as important as whether it is fully removed. Mohs surgery is considered particularly well-suited to these sites because it preserves as much healthy tissue as possible while still achieving clear margins.

What is less often discussed is the reconstruction. Once a tumour is excised, even a precisely executed removal can leave a defect that requires careful planning to repair. When excision and reconstruction are handled by two separate surgeons, the reconstructive plan is typically made without the surgeon having performed the removal. Miss Nayar’s dual training means she carries both sets of information simultaneously.

A North West Practice Built Around Specialist Access

Miss Nayar operates from the North West, a region with a substantial population but historically limited access to surgeons holding dual qualifications across both disciplines. Her practice is structured to treat patients who present with skin cancers affecting the face and nose, working through a pathway that takes them from diagnosis through to reconstructed outcome without handover delays.

Same-day reconstruction is not universally available in the UK, particularly in combined Mohs and plastic surgery form. For patients who have been told they need surgery on a visible facial site, the prospect of a single procedure – rather than staged appointments spread across weeks – is a meaningful clinical and psychological difference.

The service does not claim to replace multidisciplinary care where it is needed. What it offers is a more direct route for appropriate patients: a surgeon trained in both the removal and the repair, working from a single clinical perspective across the full procedure.

About Miss Rakhee Nayar

Miss Rakhee Nayar is a UK-based surgeon with dual training in mohs surgery and plastic surgery, specialising in the treatment of skin cancers affecting the face and nose. She practises from the North West and offers same-day facial reconstruction following Mohs cancer removal.

Learn more at Rakhee Nayar – Mohs Surgeon and Skin Specialist