Mohs Surgery

Skin cancer is a common concern for many individuals, and when diagnosed, the path to effective treatment can seem daunting. However, advancements in dermatological procedures have made it possible to treat skin cancer with precision and minimal scarring. One such breakthrough procedure is Mohs surgery.

What Is Mohs Surgery?

Mohs surgery, named after its inventor Dr. Frederic E. Mohs, is a specialized surgical technique primarily used to treat skin cancer, especially basal cell carcinoma and squamous cell carcinoma. This procedure is renowned for its high precision and exceptional cure rates, making it a preferred choice for many dermatologists and patients.

How Does Mohs Surgery Work?

Mohs surgery is a meticulous and time-intensive process that prioritizes complete tumor removal while preserving healthy tissue. Here’s how it works:

Tissue Excision: The surgeon starts by removing the visible tumor and a thin layer of surrounding skin.

Tissue Examination: The removed tissue is processed, frozen, and then examined under a microscope by the surgeon. This step allows for a detailed analysis of the margins and the presence of cancer cells.

Layer-by-Layer Removal: If cancer cells are still present at the margins, additional layers of tissue are removed precisely from the areas with cancer until only cancer-free tissue remains.

Closure: Once the tumor is entirely removed, the surgeon proceeds with the reconstruction of the surgical site. The goal is to minimize scarring and maintain optimal cosmetic results.

Benefits of Mohs Surgery

High Cure Rates: Mohs surgery boasts some of the highest cure rates for skin cancer, often exceeding 99%. It ensures that cancerous tissue is removed entirely, reducing the chances of recurrence.

Minimal Tissue Removal: Mohs surgery is tissue-sparing, preserving as much healthy tissue as possible. This is particularly important for delicate areas like the face, where minimizing scarring is crucial.

Precise Mapping: The meticulous examination of tissue allows for precise mapping of cancerous areas, ensuring complete removal and minimizing the need for additional surgeries.

Cosmetic Outcomes: Mohs surgery focuses on minimizing scarring and preserving the natural appearance of the skin. This is especially important for cosmetic and functional reasons, particularly in areas like the nose, ears, and eyes.

Same-Day Procedure: In many cases, Mohs surgery can be completed in a single day, reducing the need for multiple appointments and surgeries.

Is Mohs Surgery Right for You?

Mohs surgery is an excellent option for many patients with skin cancer, especially when:

  1. The cancer is located in cosmetically sensitive areas, such as the face, neck, or hands.
  2. The cancer has recurred or is aggressive.
  3. The size of the tumor is unknown or may be larger than it appears on the surface.
  4. Precise mapping of the cancer is essential for complete removal.
  5. The patient desires minimal scarring and optimal cosmetic outcomes.

Consultation and Evaluation

Before undergoing Mohs surgery, you will have a consultation with a skilled dermatologic surgeon. During this consultation, your medical history will be reviewed, and the surgeon will examine your skin cancer to determine if Mohs surgery is the most suitable treatment option for you.

The Procedure

On the day of the procedure, you will be given local anesthesia to ensure you are comfortable during the surgery. The surgery itself is typically performed on an outpatient basis. The time required for the procedure can vary depending on the size and complexity of the cancer, but patients can often expect to spend several hours at the clinic.

Reconstruction

After the cancer has been completely removed, the surgeon will discuss reconstruction options with you. The goal is to minimize scarring and restore the appearance and function of the treated area. The specific approach will depend on various factors, including the size and location of the surgical site.

Recovery and Follow-Up

Recovery from Mohs surgery is generally well-tolerated, with minimal discomfort. Most patients can resume their normal activities within a few days. Follow-up appointments will be scheduled to monitor your healing progress and ensure there are no signs of cancer recurrence.

To schedule a consultation and learn more about Mohs surgery, please contact our dermatology clinic today. Your well-being is our priority, and we are here to guide you through your skin cancer journey with expertise and compassion.