The Procedure begins after the skin is injected with a local anesthetic to make it completely numb. Then the visible cancer and a very thin layer of surrounding skin are removed with a scalpel, carefully mapped, and examined microscopically. If there is still cancer seen under the microscope, another very thin layer of skin is removed from that exact location. This may be repeated as often as necessary to completely remove the cancer.

What are the Advantages of Mohs Surgery?

• Removal of as little normal skin as possible.
• The highest cure rate (up to 99%).
• Lowest chance of regrowth.
• Minimizes the potential for scarring or disfigurement.
• The most exact and precise means of removal.
• No hospitalization is necessary.

Will the Surgery Leave a Scar?
Yes. Any form of treatment will leave a scar. However, because Mohs surgery removes as little normal tissue as possible, scarring is minimized. Immediately after the cancer is removed, we may choose: 1) to leave the wound to heal by itself; 2) to repair the wound with stitches; 3) reconstruct the wound with a skin graft or flap. This decision is based on the safest method that will provide the best cosmetic result. We may advise a touch-up surgery later with the laser or dermabrasion to improve any visible marks. We will use the same cosmetic surgery techniques we use to erase wrinkle lines to improve any scar.

Will I Have Pain or Bruising After Surgery?
Most patients do not complain of pain. If there is discomfort, Tylenol or Acetominophen is all that is usually necessary for relief. Avoid taking medications containing aspirin as they may cause bleeding. You may have some bruising around the wound, especially if the surgery is close to the eye.

Will My Insurance Cover the Cost of Surgery?
Most insurance policies cover the cost of Mohs surgery, however you should check with your carrier for exact information related to their schedule of payments.

Will I Need to Come Back?
Usually one return visit is all that is needed to examine the healed surgical site or to remove stitches. Afterwards, you may return to your referring physician for routine check-ups. A follow-up period of five years for the treated cancer is essential. After having one skin cancer, statistics show that you have a higher chance of developing a second skin cancer. You should have your skin checked by your referring physician at least once each year, not only to examine the treated skin cancer, but also to check for new skin cancers.