Mohs Surgery

The success rate for Mohs micrographic surgery is the highest of all skin cancer treatments—up to 99%—and is effective even when other forms of treatment have failed.

Precise Cancer Removal

Mohs surgery utilizes microscopic precision to trace and ensure the complete removal of skin cancer, targeting the disease down to its roots. This state-of-the-art treatment, in which the physician serves as a surgeon, pathologist, and reconstructive surgeon, allows dermatologists trained in Mohs surgery to see beyond the visible disease and to precisely identify and remove the entire tumor, leaving healthy tissues unharmed.

What Is Mohs Surgery?

Mohs micrographic surgery is primarily used to treat basal cell carcinoma and squamous cell carcinoma, the most prevalent types of skin cancer, but it is also applicable for less common tumors, including melanoma. It is the most exact and precise method of tumor removal and has been shown to minimize the chance of re-growth and lessen the potential for scarring or disfigurement.

When Is Mohs Surgery Indicated?

Mohs surgery is indicated in the following circumstances:

The cancer was treated previously and recurred.
Scar tissue exists in the area of the cancer.
The cancer is in an area where it is important to preserve healthy tissue for maximum functional and cosmetic results, such as eyelids, nose, ears, and lips.
The cancer is large.
The edges of the cancer cannot be clearly defined, and the cancer grows rapidly or uncontrollably.

What to Expect From Mohs Surgery

The Mohs process includes a specific sequence of surgery and pathological investigation. Mohs surgeons examine the removed tissue for evidence of extended cancer roots. Once the visible tumor is removed, Mohs surgeons trace the paths of the tumor using two key tools:

Map of the surgical site
Microscope

Once the obvious tumor is removed, the Mohs surgeon will do the following:

Excise an additional, slim layer of tissue from the tumor site
Develop a map of the excised tissue to accurately pinpoint any remaining cancer cells
Conduct a meticulous microscopic examination of the removed tissue to detect any residual cancer cells

If any of the sections contain cancer cells, the Mohs surgeon takes the following next steps:

Returns to the specific area of the tumor site as indicated by the map
Removes another thin layer of tissue only from the specific area within each section where cancer cells were detected
Microscopically examines the newly removed tissue for additional cancer cells

If microscopic analysis still shows evidence of disease, the process continues layer-by-layer until the cancer is completely gone. This selective removal of only diseased tissue allows the preservation of much of the surrounding normal tissue. Because this systematic microscopic search reveals the roots of the skin cancer, Mohs surgery offers the highest chance for complete removal of the cancer while sparing the normal tissue.

Reconstruction

The best method of managing the wound resulting from surgery is determined after the cancer is completely removed. When the final defect is known, management is individualized to achieve the best results, preserve functional capabilities, and maximize aesthetics. The Mohs surgeon is also trained in the reconstructive procedures necessary to repair the wound. A small wound may be allowed to heal on its own, or the wound may be closed with stitches, a skin graft, or a flap. If a tumor is larger than initially anticipated, another surgical specialist with unique skills may complete the reconstruction.

The Mohs Surgeon

The highly trained surgeons who perform Mohs micrographic surgery are specialists in dermatology and pathology. With extensive knowledge of the skin and unique pathological skills, they can remove only diseased tissue, preserve healthy tissue, and minimize the cosmetic impact of the surgery. Only physicians who have also completed a residency in dermatology are qualified for Mohs micrographic surgical training.

The American College of Mohs Micrographic Surgery and Cutaneous Oncology currently recognizes more than sixty training centers where qualified applicants receive comprehensive training in Mohs micrographic surgery. The minimum training period is one year, during which the dermatologist acquires extensive experience in all aspects of Mohs Surgery, pathology, and reconstructive surgery.

The APDerm Advantage

At APDerm, our Mohs surgeons offer an unmatched level of precision and care in the treatment of skin cancer.

With training in both the surgical removal and pathological examination of cancerous tissues, each surgeon meticulously treats the skin, preserving healthy tissue and ensuring optimal cosmetic outcomes.

Patients benefit from modern, well-equipped clinics that support a seamless treatment experience from consultation to recovery. Our focus on cutting-edge technology and techniques leads to high success rates and satisfaction. We prioritize comfort and clear communication, keeping you fully informed and at ease throughout your treatment process.

Choosing APDerm for Mohs surgery means entrusting your care to experts who use the latest advancements to provide effective, compassionate treatment in multiple locations across New England. Experience firsthand a broad network of dermatology specialists, advanced patient-centric technology, flexible payment options covering most insurance plans and self-pay, and a commitment to excellence.

Set Up an Appointment With a Dermatologist Today

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