“…The first is that the safety of MMS with regard to the more common localized complications has been evaluated by previous studies. 1,4 The second is that much of the sensation in the medical literature and the media centers around death and serious complications arising from office-based surgery, not relatively minor complications limited to the surgical site. Indeed, complications such as flap and graft necrosis, which have been classified as serious postoperative complications in other studies, are typically not serious because they result in no systemic harm to the patient and because most cases heal with excellent cosmetic and functional outcome.…”