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Mohs Micrographic Surgery is the most precise and modern treatment for skin cancer available, boasting high cancer cure rates up to 99%. This technique is reserved for cancers that are aggressive, recurrent, and located in sensitive areas. Mohs surgery allows our surgeon to work carefully and spare the maximum amount of cancer-free tissue possible, preserving both its function and appearance.
Mohs takes place in an outpatient setting under local anesthesia. The entire procedure takes three hours on average but may be longer or shorter depending on the depth, location, and complexity of your cancer. First, the cancer lesion's margins are marked, the site is numbed, and our surgeon removes thin, sequential layers of skin. Our Mohs histotechnicians then process these layers onto glass slides, where they are carefully examined by our Mohs surgeon under a microscope. If cancer cells remain, our surgeon will remove another precise layer, repeating this process until your entire cancer is removed at the time of surgery. Some cancers are superficial and only require a few thin layers. Other cancers are deeper and may require removing additional layers.
Many Mohs surgery cases only require simple closures with minimal scarring. Other more complex cases may leave a larger defect that requires a skin graft (transplanting a piece of skin from one area to another) or a local flap (using skin from a nearby area) to close the defect and restore the look and feel of the skin. Our surgeon and team of advanced practitioners are well trained to perform simple and complex closures like these.
In the event more advanced reconstructive surgery is needed, our Mohs surgeon often performs it directly after they have removed the skin cancer, or they coordinate reconstructive work with our facial plastic surgeon to achieve the best result possible. Because Mohs spares the maximum amount of healthy tissue, our reconstructions are achieved with fewer complications and less pronounced scarring than traditional skin cancer surgery techniques, especially for delicate and visible areas like the nose, eyes, and ears.
After your wound is dressed, our team will send you home with detailed care instructions, which may involve ointments, medication, or specific care guidelines to mitigate your risk of infection, complications, and improper healing.