Mohs Surgery

What is Mohs Surgery? A Detailed Look at the Procedure

Mohs surgery is a highly specialized and precise surgical technique used to treat squamous cell carcinoma and basal cell carcinoma, the two most prevalent types of skin cancer. The procedure is typically performed under local anesthesia, making it a comfortable experience for patients while allowing them to remain awake during the surgery.

The process begins with the removal of the visible portion of the skin cancer. Once this initial layer is excised, the surgeon meticulously examines the tissue under a microscope, creating a detailed map of the surgical site to identify any remaining cancer cells. This step-by-step examination allows the surgeon to remove only the tissue that contains cancer, preserving as much healthy skin as possible.

The Mohs procedure is repeated in stages, with each subsequent layer of tissue removed and examined until no cancer cells remain. This method ensures that all cancerous cells are eliminated while sparing the surrounding healthy tissue, which is especially important in cosmetically sensitive areas such as the face, ears, and hands.

Because Mohs surgery combines the roles of surgeon and pathologist, it provides an unparalleled level of accuracy and effectiveness. The real-time microscopic analysis of tissue allows for immediate and complete removal of the cancer, reducing the need for additional treatments and minimizing the risk of recurrence.

Following the removal of all cancerous tissue, the surgeon may perform reconstructive surgery to repair the area and ensure the best possible aesthetic outcome. The entire process is conducted in a single visit, making it convenient for patients while delivering the highest level of care.

At Dermatology Affiliates, our Mohs surgeons are highly trained in this advanced technique, bringing together surgical precision, pathological expertise, and reconstructive skill. This comprehensive approach is why Mohs surgery boasts the highest cure rate of all skin cancer treatments, with success rates nearing 99 percent.

Mohs surgery is the most precise method for removing skin cancer, providing patients with confidence in both the effectiveness of the treatment and the preservation of healthy tissue. Performed by specially trained dermatologic surgeons, this technique carefully removes cancer layer by layer while examining each section under a microscope, ensuring thorough treatment and optimal outcomes.

Key benefits of Mohs surgery include:

• Maximized tissue preservation – Healthy skin is spared, reducing scarring and maintaining natural appearance.
• Targeted cancer removal – Every layer is examined to ensure the entire tumor is removed.
• Effective for high-risk areas – Ideal for delicate regions like the face, ears, and hands.
• Lower recurrence rates – Reduces the chance of skin cancer returning compared to other methods.
• Customized reconstructive options – Surgeons can repair the site immediately, improving cosmetic and functional results.

According to statistics reported by the American College of Mohs Surgery, “Mohs micrographic surgery has the highest cure rate of all treatments for basal cell and squamous cell skin cancers” with a cure rate exceeding 99 percent for new skin cancers and 95 percent for recurrent skin cancers.”

At Dermatology Affiliates, our Mohs surgeons are board-certified and specialize exclusively in Mohs surgery and related dermatological procedures. This focused practice allows them to refine their skills and stay updated on the latest advancements in the field.

Our patient promise is dedicated to your care. Our Mohs surgeons undergo extensive training beyond medical school and residency to ensure you receive comprehensive skin cancer care.

During Mohs surgery, your procedure combines precise surgical removal with real-time microscopic analysis. The goal is to remove all cancerous tissue while preserving as much healthy skin as possible.

Here’s what typically happens:

• The visible tumor is carefully removed.
• Your surgeon creates a detailed “map” of the excised tissue to track any remaining cancer cells.
• Each layer of tissue is examined under a microscope.
• If cancer cells are detected, another thin layer is removed only from the affected area, then re-examined.
• This process repeats layer by layer until the tumor is eliminated.

By systematically removing only diseased tissue, Mohs surgery maximizes the chance of complete cancer removal while minimizing impact on surrounding healthy skin. Patients benefit from precision, safety, and the best possible cosmetic and functional outcomes.

To help ensure a smooth Mohs surgery experience, shower and wash your hair on the day of your procedure and eat your usual breakfast unless instructed otherwise. Bring a list of medications and be ready to complete a brief medical history form.

Upon arrival, complete a medical history form, bringing a list of medications. Discontinue Erectile Dysfunction medication 72 hours before surgery. Avoid alcohol for 48 hours before surgery and follow your provider’s guidance on medications such as aspirin, ibuprofen, or certain supplements. Skip makeup, perfume, nail polish, and jewelry, and arrange transportation if a sedative will be used. Your Mohs surgeon will provide personalized instructions to ensure you are fully prepared.

After Mohs surgery, plan for a smooth recovery by arranging transportation home, as you may feel groggy from anesthesia. Take it easy for a day or two, avoiding strenuous activity, and follow your surgeon’s post-operative care instructions carefully, including keeping the wound clean and dry. Most patients only need a single follow-up visit to examine the surgical site or remove dressings.

Ongoing skin health is important after treatment. Patients who have had skin cancer are at higher risk of developing it again, so lifetime annual skin exams and dermatological checkups are recommended. Your dermatologist will monitor both the treated area and your overall skin to catch any new cancers early.