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Mohs Surgery

Mohs surgery, also known as Mohs micrographic surgery, is a surgical technique used to treat basal cell and squamous cell carcinomas, which are the two most common types of skin cancer. The surgical technique was named “Mohs” after Frederic Mohs, who developed it. Mohs surgery is the preferred method of skin cancer removal, as it offers maximum precision while causing minimal damage to the existing healthy tissue.

During Mohs surgery, the surgeon removes thin layers of cancerous tissue; this process is repeated until only healthy tissue remains. Mohs is an ideal technique for skin cancers that pose a high risk of recurrence, and it is essential to find ways for the highest preservation of healthy tissue. The main differentiating factor between Mohs surgery and routine surgery is that Mohs is executed in stages while lab tests are run right on-site. Typically, the procedure lasts for four hours, but this may vary depending on the size and complexity of the skin cancer. 

Common questions and answers about Mohs surgery

What are the benefits of Mohs surgery?

According to the American College of Mohs Surgery (ACMS), Mohs surgery has the highest cure rate for new skin cancers—at 99%. Here are some of the factors that make Mohs a preferred option among patients:

• It reduces damage to healthy tissue.
• It is a single-visit outpatient procedure.
• It minimizes surgical scarring.
• It is performed under local anesthesia.
• Being a single-visit procedure, it can help reduce treatment costs.

When is Mohs surgery recommended?

• When it is crucial to save as much healthy tissue as possible. For example, on the eyelids, lips, nose or hands.
• For skin cancers that have a high risk of recurrence.
• When skin cancer is large or aggressive.

What to expect during the procedure

• First, a local anesthetic is injected around the affected area. This means that only the surgical site is numbed while patients remain alert and awake.
• Then the surgeon cuts out the visible skin cancer and a thin layer of the surrounding skin.
• The extracted layer of skin is tested for cancerous cells, and, if detected, the doctor will remove another layer of skin and test that as well. This process carries on until the doctor can no longer find cancerous cells in your skin.
• After the surgery is complete, the doctor will determine whether you need stitches, a skin graft or other kind of surgery.

Can Mohs be used to treat melanoma?

Yes, Mohs can be used to treat melanoma in its early stages. In fact, dermatologists recommend this surgery for a type of melanoma known as lentigo malignant melanoma. Slow Mohs is a modified version of the surgery that is used to treat this type of skin cancer.

What are the risks of Mohs surgery?

Like any surgical procedure, Mohs carries the risk of infection, tenderness around the surgical area and bleeding. Other complications that are rare, yet may include:

• An enlarged scar.
• Shooting pain around the affected area.
• Nerve damage that could lead to numbness surrounding the surgical area.

Where can I find a Mohs surgeon near me?

At Zocdoc.com! You can find top-rated doctors who perform Mohs surgery in your location. Booking is simple, secure and free!

How much does Mohs surgery cost?

Costs may vary depending on the severity of your needs, which is determined by a medical professional. The prices also depend on your location as well as your insurance provider. 

Sources: 

American Academy of Dermatology

Dermatologic Surgery of Central Virginia

MedlinePlus

The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 immediately.