Skin cancer is one of the most common cancers. Early evaluation and appropriate treatment play a role in skin health. Mohs surgery is a specialized procedure that removes certain types of skin cancer while preserving healthy tissue. A dermatologist determines whether surgery is appropriate based on the cancer’s type, location, and extent. Here is more information on what to expect during Mohs surgery for skin cancer:
What Is Mohs Surgery
Mohs surgery is a specialized procedure used to treat certain types of skin cancer. During the procedure, a dermatologist removes thin layers of tissue and examines each layer under a microscope before deciding whether additional tissue needs to be removed. This process continues until the examined tissue no longer shows cancer cells.
One feature of Mohs treatment is that the same physician performs both the tissue removal and the microscopic evaluation throughout the procedure. This step-by-step approach helps preserve as much healthy tissue as possible while removing the affected tissue. A dermatologist can determine whether surgery is an appropriate treatment option based on the type, size, and location of the skin cancer.
Who Qualifies for Surgery
Mohs surgery is commonly used to treat certain types of skin cancer, including basal cell carcinoma and squamous cell carcinoma. In some situations, a dermatologist may also recommend surgery for other skin cancers based on the patient’s individual needs. A healthcare provider often recommends Mohs surgery for:
- Recurrent skin cancers: Cancers that have returned after previous treatment.
- High-risk skin cancers: Tumors with characteristics associated with a greater risk of recurrence.
- Sensitive treatment areas: Skin cancers located on the face, ears, hands, feet, or other areas where preserving healthy tissue is a priority.
A Mohs surgeon evaluates the type, location, and size of the skin cancer before recommending the most appropriate treatment approach.
How to Prepare for Surgery
Preparation for Mohs surgery begins with instructions provided by the dermatologist before the procedure. Patients may receive guidance about medications or supplements, clothing to wear on the day of surgery, and how to prepare for the appointment. Because each procedure varies based on the amount of tissue examined, patients should plan to allow enough time for the entire visit.
What Happens During Surgery
Mohs surgical treatment is performed in a clinical setting using local anesthesia to keep the treatment area comfortable throughout the procedure. The dermatologist prepares and numbs the area before beginning the removal of the affected tissue. Patients remain awake during the procedure and can communicate with the care team as needed.
The dermatologist removes thin layers of tissue one at a time and examines each layer under a microscope before continuing. If cancer cells remain, the provider removes another thin layer only from the area where they are detected. This step-by-step process continues until the examined tissue no longer shows cancer cells.
After the tissue has been fully evaluated, the dermatologist assesses the treatment area and discusses the next steps for wound repair. The repair method depends on the size and location of the surgical site. The care team also provides instructions to support healing and recovery after the procedure.
Schedule Your Surgery Evaluation
A skin cancer diagnosis requires prompt evaluation and an individualized treatment plan. Mohs surgery is a specialized option for treating certain types of skin cancer while preserving healthy tissue. A dermatologist can determine whether this procedure is appropriate based on your diagnosis and treatment needs. Schedule a consultation today to discuss your condition and available treatment options.
