When it comes to treating skin cancer, precision matters. That’s where Mohs surgery comes in—an advanced, highly effective technique that removes skin cancer layer by layer while preserving as much healthy tissue as possible. At Darabi Dermatology, we believe informed patients are empowered patients, so let’s break down what you need to know about this specialized procedure.
What Is Mohs Surgery?
Mohs micrographic surgery (named after Dr. Frederic Mohs, who developed the technique) is a procedure used to treat certain types of skin cancer, most commonly:
- Basal cell carcinoma (BCC)
- Squamous cell carcinoma (SCC)
- Some early melanomas and other rare skin cancers
What makes Mohs unique is that it allows your dermatologist to examine 100% of the surgical margins under a microscope during the procedure, making it the gold standard for accuracy and effectiveness.
Why Choose Mohs Surgery?
The goal of Mohs is simple: remove all cancerous cells while sparing as much healthy skin as possible. This is especially important when treating areas where preserving cosmetic appearance and function is crucial—like the face, ears, neck, hands, or feet.
Key benefits of Mohs surgery:
- Highest cure rate: Up to 99% for new cancers and 94% for recurring ones
- Tissue-sparing: Ideal for cosmetically sensitive or functionally important areas
- Immediate results: Pathology and surgery happen in real-time
- Lower recurrence risk: The thorough nature of the procedure reduces the chance of the cancer coming back
What to Expect During the Procedure
Mohs surgery is typically performed in-office under local anesthesia, so you’ll be awake but comfortable throughout the procedure. Here’s how it works:
- Tumor Removal: The visible skin cancer is carefully removed.
- Tissue Mapping & Analysis: The tissue is mapped, marked, and examined under a microscope while you wait.
- Layer-by-Layer Removal: If cancer cells are seen at the edges, another precise layer is removed only in those affected areas.
- Wound Repair: Once the margins are clear, your dermatologist will discuss options for repairing the wound, which may include stitches, a skin flap, or allowing it to heal naturally.
The entire process can take several hours, depending on how many layers are needed. Bring a book, snacks, and a little patience—it’s worth the wait for peace of mind.
Is Mohs Surgery Right for You?
Your dermatologist will recommend Mohs surgery based on several factors, including:
- The type, size, and location of the skin cancer
- Whether the cancer is aggressive or recurrent
- Your overall health and medical history
At Darabi Dermatology, we evaluate each case individually to determine the best treatment plan for your specific needs.
Healing & Aftercare
After the procedure, you’ll receive detailed wound care instructions. Most patients can resume normal activities within a few days, though strenuous activity may need to be avoided for a short period. Minor swelling, bruising, or tenderness is normal and usually temporary.
Scarring is minimal in many cases, especially when the surgery is performed in a careful, cosmetically sensitive manner—something our team takes great pride in.
Final Thoughts
Mohs surgery is a powerful tool in the fight against skin cancer. It’s safe, effective, and offers peace of mind with the highest possible cure rates. If you or someone you love has been diagnosed with a skin cancer that may qualify for Mohs, we’re here to help guide you through the process with expertise and compassion.
Have questions or want to schedule a consultation? Reach out to us at Darabi Dermatology—we’re here to support you every step of the way.
