Mohs surgery is considered the most effective technique for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), the two most common types of skin cancer. Sometimes called Mohs micrographic surgery, the procedure is done in stages, including lab work, while the patient waits. This allows the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar.

What is Mohs Surgery?

Mohs surgery is a specialized surgical technique used to remove skin cancer while preserving as much healthy tissue as possible. This procedure is named after Dr. Frederic Mohs, who developed the technique in the 1930s.

Mohs surgery is typically used to treat skin cancers that are located on the face, scalp, hands, feet, or genitals. It is particularly effective for skin cancers that are large, recurrent, or located in areas where there is limited surrounding tissue to remove.

How is Mohs Surgery Performed?

Mohs surgery is typically performed on an outpatient basis under local anesthesia. During the procedure, your surgeon will remove the visible portion of the skin cancer along with a small margin of surrounding healthy tissue. The tissue is then examined under a microscope to determine if any cancer cells remain.

If cancer cells are detected, your surgeon will remove another layer of tissue from the affected area and repeat the process until no cancer cells are found. This process can be repeated multiple times until all the cancer is removed.

What to Expect During Mohs Surgery

Mohs surgery typically takes several hours to complete, but the exact duration depends on the size and location of the skin cancer. You will be awake during the procedure and should not feel any pain. You may experience some discomfort, but your surgeon can provide medication to help manage any pain.

After the procedure, your surgeon will bandage the surgical site and provide you with specific instructions for caring for the wound. You should avoid any strenuous activity and keep the surgical site dry and clean.

Recovery After Mohs Surgery

Recovery after Mohs surgery typically takes several weeks, depending on the size and location of the skin cancer. You may experience some swelling and discomfort, but this should gradually subside over time.

It is important to follow your surgeon’s instructions for caring for the surgical site and to keep all follow-up appointments. Your surgeon will monitor your recovery and ensure that the wound is healing properly.

Potential Risks and Complications

As with any surgical procedure, there are risks and potential complications associated with Mohs surgery. These include bleeding, infection, scarring, and nerve damage. Your surgeon will discuss these risks with you before the procedure and take steps to minimize the risk of complications.

Conclusion

Mohs surgery is an effective treatment option for skin cancer that can help preserve as much healthy tissue as possible. If you have been diagnosed with skin cancer, your surgeon may recommend Mohs surgery as part of your treatment plan. By understanding what to expect during and after the procedure, you can take an active role in your recovery and achieve the best possible outcome.