Mohs Micrographic Surgery
video platformvideo managementvideo solutionsvideo playerThe three most common skin cancers are basal cell carcinoma, squamous cell carcinoma and melanoma. As a fellowship-trained skin cancer surgeon, Dr. Rokhsar has a special interest in skin cancer and its treatment.
Dr. Rokhsar specializes in the treatment of skin cancer through Mohs Micrographic Surgery. Mohs Micrographic Surgery is the most precise technique for the removal of skin cancer, as surgically removed tissue is simultaneously examined under the microscope to insure the complete removal of the skin cancer. This technique allows for the least amount of tissue to be removed and thus results in the smallest scars possible. This is the ideal technique for the removal of skin cancers on the face and large skin cancers on the body.
With his special training in cosmetic surgery, Dr. Rokhsar strives for barely perceptible scars through advanced closure techniques and attention to details of facial creases. His expertise in skin laser surgery also allows him to further treat and blend any resulting scars.
About Mohs Surgery
Mohs surgery has been shown to be a highly effective treatment for certain types of skin cancer, with a cure rate of up to 99% for certain tumors. Due to the fact that the Mohs procedure is micrographically controlled, it provides the most precise method for removal of the cancerous tissue, while sparing the greatest amount of healthy tissue. For this reason, Mohs surgery may result in a significantly smaller surgical defect and less noticeable scarring, as compared to other methods of skin cancer treatment. The Mohs procedure is recommended for skin cancer removal in anatomic areas where maximum preservation of healthy tissue is desirable for cosmetic and functional purposes. It may also be indicated for lesions that have recurred following prior treatment, or for lesions which have the greatest likelihood of recurrence.
Before Mohs Micrographic Surgery
Be well rested and eat a good breakfast. Take your usual medications, unless directed otherwise. We request that you do not take any aspirin or aspirin containing products, such as Anacin or Bufferin, for ten days prior to the surgery. In addition, please do not take Ibuprofen (Motrin, Advil, etc.). These medications may “thin” your blood and cause more bleeding. You may substitute acetaminophen (Tylenol) if required. Do not drink any alcoholic beverages for 24 hours before surgery.
If you have been advised in the past to take antibiotics before a surgical procedure, such as dental work, please adhere to the prescription instructions before your Mohs surgery appointment.
After Mohs Micrographic Surgery
Your surgical wound will likely require care during the weeks following surgery. Detailed written instructions will be provided. You should plan on wearing a bandage and avoiding strenuous physical activity for a week. Most of our patients report minimal pain which responds readily to Tylenol. You may experience a sensation of tightness across the area of surgery. Skin cancers frequently involve nerves and months may pass before your skin sensation returns to normal. In rare instances, the numbness may be permanent. You may also experience itching after your wound has healed. Complete healing of the surgical scar takes place over 12-18 months. Especially during the first few months, the site may feel “thick,” swollen, or lumpy, and there may be some redness. Gentle massage of the area (starting about 1 month after the surgery) will speed the healing process.
An indefinite follow-up period of observation is necessary after the wound has healed. You will be asked to return in six weeks, six months, and one year following the procedure. Studies have also shown that once you develop a skin cancer, there is a strong possibility of developing other skin cancers in the future. Should you notice any suspicious areas, it is best to check with your physician for a complete evaluation. You will be reminded to return to your dermatologist on a frequent basis for continued surveillance of your skin.
Mohs Surgery FAQ
Will Mohs Surgery leave a scar?
Mohs is a common surgical procedure to remove the layers of cancerous skin. It is also the most precise technique for the removal of skin cancer. Dr. Cameron Rokhsar specializes in the treatment of skin cancer using the Mohs micrographic surgical technique. All surgical procesures have the potential for some degree of scar visibility. Dr. Rokhsar is also a leading expert in laser surgery treatments and can assure scarring will be minimalized. The appearance of a post-Mohs’ surgical scar depends entirely of the size, location and skin type.
If skin cancer is in a noticeable facial area, should the Mohs surgery be performed by a plastic surgeon?
Mohs surgery is a very delicate treatment that requires precision. It is advised skin cancer removal be performed by a dermatologist with specialized training in Mohs surgery. Dr. Cameron Rokhsar is a fellowship-trained dermatologist with specialized training in Mohs surgery and has performed countless procedures.