What is Mohs Micrographic Surgery?
Mohs Surgery was developed by Frederic E. Mohs, MD in the 1930’s. This procedure has continued to be perfected by physicians for more than half a century.
Mohs Surgery is a state of the art treatment for many types of skin cancers where the physician takes the role of surgeon, pathologist, and reconstructive surgeon.
Mohs surgery involves surgically removing skin cancers layer by layer. The physician then examines the tissue under a microscope and continues this process until only cancer free tissue remains. This technique is the most exact and precise method of tumor removal. It lessens the chance of cancer regrowth, leaves the surrounding healthy tissue unharmed and intact, and also allows for the least amount of scarring possible.
Mohs surgery is usually an outpatient procedure performed in a physician’s office. Typically the surgery can be completed the same day, depending on the extent of the tumor and the amount or reconstruction necessary. Local anesthesia is administered around the area of the tumor so the patient is awake during the entire procedure.
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 and to preserve function and maximize aesthetics. The Mohs surgeon is also trained in reconstructive procedures and most often will perform the reconstructive procedure necessary to repair the wound.
Post-Operative Care
Most patients report little to no discomfort following surgery. You may take Tylenol after surgery if you are experiencing any discomfort.
You may use ice compressions to help minimize any swelling, only apply for 15 minutes at a time.
Some bruising and swelling are typical after surgery. If your surgery site is located on your hand, arm or leg please keep the area elevated as much as possible for 24 hours. If your surgery site is on your head, face or neck you will want to elevate as much as possible with two pillows.
If you are experiencing mild bleeding you need to apply direct pressure over the dressing with clean gauze for 10-15 minutes.
If you are experiencing moderate to severe bleeding you will need to remove the dressing, apply firm pressure directly to the wound with a clean gauze for 15-20 minutes. If bleeding continues please contact our office immediately. 304-925-7546
You may take a shower 24-48 hours after your surgery as directed by your physician. You will continue to wash with Technicare Surgical Scrub, dry and clean as directed by your physician. Please do not swim, take a bath or use a hot tub until your wound is completely healed.
FAQS
WHAT TYPES OF SKIN CANCER ARE MOST COMMONLY TREATED WITH MOHS SURGERY?
Mohs micrographic surgery is most often used to treat basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). These are the two most common types of skin cancer.Â
Mohs surgery is particularly effective for cancers in cosmetically sensitive areas, such as:
- The face
- The ears
- The neckÂ
Mohs surgery can also be used for certain cases of melanoma. It's especially beneficial when melanoma is in situ or in areas requiring tissue conservation.
HOW LONG DOES A TYPICAL MOHS SURGERY PROCEDURE TAKE?
The duration of a Mohs surgery procedure can vary. It depends on the size and location of the cancer, as well as the number of layers Dr. Judy needs to remove.Â
The entire process can take several hours. Each stage of tissue removal and examination generally lasts 30 to 60 minutes. Multiple stages may be necessary to remove all cancerous cells.
WHAT ARE THE SUCCESS RATES OF MOHS SURGERY COMPARED TO OTHER SKIN CANCER TREATMENTS?
Mohs surgery boasts the highest cure rate among skin cancer treatments, with a success rate of up to 99% for primary BCC and SCC. For recurrent skin cancers, the cure rate is around 94%.Â
These high success rates are due to the meticulous technique used in the procedure. It ensures Dr. Judy can remove all cancerous cells while sparing as much healthy tissue as possible.
IS MOHS SURGERY SUITABLE FOR ALL SKIN TYPES AND COLORS?
Yes, Mohs surgery is suitable for all skin types and colors. The treatment's precise nature makes it an ideal option for individuals with various skin tones.
The risk of pigmentation changes, scarring, and other complications also decreases when an experienced Mohs surgeon performs the procedure. You must choose a qualified specialist, such as Dr. Judy, who understands the nuances of different skin types to achieve the best outcomes.
HOW SHOULD I PREPARE FOR MOHS SURGERY?
Preparing for Mohs surgery involves several important steps. Following these guidelines will ensure a smooth process and optimal recovery:
- Medical History:Â Inform Dr. Judy about any medications, allergies, and medical conditions. Some medications, such as blood thinners, may need adjustments before surgery.
- Medication and Supplements: Follow Dr. Judy's instructions regarding medication use. He may advise you to avoid certain supplements and over-the-counter medications that can increase bleeding risk.
- Clothing:Â Wear comfortable clothing. Avoid makeup, jewelry, or lotions on the treatment area.
- Transportation:Â Arrange for someone to drive you home after the procedure, especially if you receive a sedative.
- Nutrition:Â Eat a light meal before arriving at the surgery center, as the process may take several hours.
- Aftercare Supplies:Â Prepare your home with supplies, such as bandages, ointments, and pain relievers. These can aid in your post-surgery recovery.
WHY CHOOSE WEST VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER?
When you choose the West Virginia Dermatology and Skin Surgery Center for Mohs surgery, you and your skin are in expert hands.Â
Dr. David W. Judy leads our team. He is a board-certified dermatologist and one of the few fellowship-trained skin cancer and reconstructive surgeons in West Virginia. Dr. Judy's extensive training in micrographic surgery and dermatologic oncology guarantees precision and optimal results for our patients.
Our practice's commitment to excellence is also reflected in the numerous 5-star reviews we've received from happy patients. These reviews highlight our compassionate care, state-of-the-art facilities, and successful treatment outcomes.
Schedule a Mohs Consultation
To schedule an appointment for a Mohs exam or to schedule a consultation, please call us at 304-925-7546 or fill out an online contact form and our office will be in touch with you. Thank you for choosing West Virginia Dermatology & Skin Surgery Center in South Charleston, WV!
What People Say About Us!
"Everyone was very welcoming. Friendly and knowledgeable staff. Check in was quick. Waiting time was very minimal. Once in the examine room my concerns were addressed and the procedure was quick and painless. From start to finish of my appointment I couldn't have asked for a better experience. Thank you!"
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