Mohs Micrographic Surgery

Mohs Micrographic Surgery Is A Highly Specialized Technique Used For The Total Removal Of Skin Cancer

It is named in honor of the physician who developed the technique, Dr. Frederic Mohs. Although developed in the early 1940s, Mohs surgery did not come of age until the late 1970s when technical improvements and refinements made it a safe and highly effective means of treating skin cancers including basal cell carcinomas, squamous cell carcinomas, and occasionally melanomas.

Mohs surgery differs from standard excision in that the physician functions as a surgeon and pathologist performing microscopic control utilizing multiple thin layers of tissue processed along a grid pattern and carefully mapped. The location of all tumor roots can be pinpointed with accuracy and removed with an exceedingly high degree of precision so that all cancerous tissue has been eradicated. Mohs micrographic surgery is now universally recognized as the most efficient and cost-effective method for treating skin cancers.

Mohs micrographic surgery is especially effective in removing cancers of the face, hands, feet, and other cosmetically sensitive areas because it can eliminate virtually all of the cancerous tissue while causing minimal damage to the surrounding normal skin. It is also ideal for removing recurrent tumors, residual tumors, or very ill-defined skin cancers.

Mohs surgery provides the highest known cure rate in removing cutaneous malignancies. One study at the Mayo Clinic showed a 98% cure rate in the removal of skin cancers from over 3,300 patients. Moreover, since only the cancerous tissue is removed, the greatest amount of normal skin is allowed to remain thereby creating the smallest wound possible. The smaller the wound, the greater the chance for an excellent cosmetic result after the wound has completely healed.

Commonly performed on an outpatient basis with a local anesthetic, the surgery generally begins in the morning and is finished that day unless the tumor is exceedingly extensive. Due to the very thin layer-by-layer removal with laboratory preparation and microscopic examination, a great deal of precision is utilized often requiring a few hours. Today’s fellowship-trained Mohs micrographic surgeons often complete cosmetic reconstructive surgery, but occasionally another physician may be consulted.

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How Much Does Mohs Micrographic Surgery Cost?

The cost of Mohs Micrographic Surgery in Hilton Head will depend on several factors. The price can be affected by body type, type of technique performed, surgical complications, and even allergies. Find out more by scheduling a consultation.

Schedule a Consultation

Schedule your consultation for Mohs Micrographic Surgery in Hilton Head Island– contact Hilton Head Dermatology and set up your appointment. During your appointment, you will be able to ask questions and bring up any concerns you may have about the procedure. Contact us today to get the look you’ve always wanted!

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Mohs Surgery FAQs

What does “Mohs” stand for?

Mohs is actually not an acronym, as many believe. The procedure is named after Dr. Fredrick Mohs, Professor of Surgery at the University of Wisconsin, who developed the surgical technique. This technique has undergone many refinements through the years and has come to be known as Mohs surgery in honor of Dr. Mohs.

What is Mohs surgery?

When we identify skin cancer by biopsy, it can often be that what we see on the surface is only a small portion of what is actually there. Dr. Mohs developed the Mohs surgery technique as a way of identifying and removing all the tumor that is present. With this technique the tumor is removed in stages, one “layer” at a time. Once a layer is removed, the tissue is processed in a very specific way and then examined under a microscope by your Mohs surgeon. This process is repeated as many times as necessary until the entire tumor is removed

It is this unique processing and the fact that the Mohs surgeon themselves examine the slides, that make the Mohs surgery technique so effective. While other physicians may claim to be doing Mohs surgery, it is clearly not the same if they are not processing the tissue using the Mohs technique and they are not reading the histopathology themselves. Our Mohs surgeons are Board Certified Dermatologists that hare also Fellowship trained in the Mohs surgery technique, and strive to provide the best possible treatment of your skin cancers using this technique.

Will the Mohs surgeon be able to evaluate other lesions on my surgery day?

No. The best way to assure that your biopsy-proven skin cancer is treated appropriately is to focus on that procedure on your surgery day. For this reason, your Mohs surgeon will defer the diagnosis and treatment of any other lesions or skin conditions to the very capable care of our General Dermatologists here at May River Dermatology.

Can I have all my skin cancers treated at one surgical visit?

No. It is not uncommon that your latest dermatology visit revealed multiple skin cancers. But we cannot let the knowledge of multiple issues divert us from providing safe and effective treatment. Mohs surgery will create significant defects that will require significant repair and significant healing time. These wounds also come with significant recovery time and significant infection risk. We help to manage these issues by limiting you to one surgical issue per visit. We here at May River Dermatology will work with you to treat all your lesions as effectively and efficiently as possible, and that will likely require multiple office visits and multiple surgical appointments.

My biopsy site has completely healed, so do I still need Mohs Surgery?

Yes. While it may look like all your skin cancer is gone, studies have shown that that is almost never the case. Even when our naked eye cannot see any residual cancer, there can still be some in the area that will certainly return if untreated. Mohs surgery will utilize a microscopic examination of the tissue that is removed to assure complete removal of all the cancerous cells in the area.

Will I have a scar?

Yes. As with any other surgical procedure, there will be a scar. While Mohs surgery does preserve as much healthy skin as possible, there will be a scar after the area has healed. The exact size and shape of the scar will be dependent on the size and location of the actual defect left behind once all the skin cancer has been removed by Mohs Surgery. The possibilities are many, including flat scars from letting the area heal in without sutures, linear scars from a straight-line repair, and complex scars from the flap and graft repairs.

Why is the scar bigger than the biopsy spot?

The biopsy was just a sample of the original lesion and was never intended to define the entire area that needs treatment. With Mohs surgery, your surgeon will be able to define all areas of skin cancer that need to be removed. And while Mohs surgery does allow for removal of the least amount of unaffected skin, it does still require a margin of normal skin to be removed to ensure the best chance that cancer does not recur. Thus, the defect after completion of Mohs surgery is normally larger than the biopsy site.

Why do I need to use Hibiclens soap?

It is normal for all the skin on our bodies to have bacteria. Studies have shown that if we can decrease this normal bacterial burden prior to a surgical procedure, then we can decrease the chance for an infection after surgery. This has been shown that it helps even if the area you are having surgery is not directly washed with the soap! In other words, any amount of decrease in our overall bacterial burden can help decrease the chance of infection in any site. This is why we recommend that all our patients wash with Hibiclens soap prior to surgery, and use the soap as a body wash the week of surgery as well.

If Hibiclens helps reduce infection, then shouldn’t I wash my wound with it after surgery as well?

No. While Hibiclens soap does help decrease bacterial burden, it is also very irritation to an open wound. This irritation can slow wound healing and mimic the signs of infection during the post-operative period. Thus, we recommend that you use the Hibiclens as a general body wash in the post-operative period, but that the wound itself should be cleaned with gentle soap and water or hydrogen peroxide.

Will Hilton Head Dermatology give me bandage supplies for after my surgery?

No. Our staff will put a complex pressure bandage on your defect immediately following the completion of your Mohs surgery procedure that will remain in place for 24 hours. While you are in the office, they will give you excellent verbal and written instructions on the wound care that you will begin after that first 24 hours. They will make recommendations of any bandaging supplies that you may need during your post-operative period, all of which can be purchased at any major pharmacy.

Will I be able to play golf or tennis the next day?

No. While Mohs surgery is able to be done in an outpatient setting, it is still a surgical procedure and will require significant recovery time before the wound from your surgery is able to stand up to normal physical activity. All forms of exercise, including golf and tennis, involve significant muscle strain, bending over, and increase in blood pressure which will slow or even prevent proper wound healing. In the worst-case scenario, you can even cause your surgical repair to open up which will then lead to increased risk for infection, longer recovery periods, and more significant scarring.

The length of time that you will need to decrease your physical activity will vary based upon the type of surgical repair your wound requires. This time of minimal strenuous or athletic activity can be as short as a few days with second intention healing that requires no sutures, to 2 weeks for a large flap reconstruction. Your Mohs surgeon will advise you on the proper amount of time for decreased activity based on the final outcome after completion of your surgery.

Is there anything that could prevent me from getting surgery on my scheduled surgery day?

Yes. There are multiple medical problems that can prevent you from being able to complete your surgery as planned. The most common reasons we see are blood pressure elevated to unsafe levels BEFORE we even start the surgery, and failure to take preoperative antibiotics when required. The best way to make sure your surgery goes as planned is to follow all instructions as given when you are called to schedule your surgical visit. If you have any questions before your surgery date, it is always better to call and clarify any instructions or restrictions. For your safety and best outcomes, we will always choose to delay surgery when it is in the interest of your health and safety.

FAQs About Facial Treatments

How do I choose the right facial treatment for my skin type?

We will perform a comprehensive skin type assessment and offer tailored recommendations through a skincare consultation. This ensures your facial treatment aligns perfectly with your unique skin needs and concerns.

Are there any facial treatments for anti-aging?

We offer specialized anti-aging facials designed to target fine lines, wrinkles, and other signs of aging. Our treatments focus on wrinkle reduction and age reversal, employing advanced techniques and premium products to promote youthful, revitalized skin.

What is the difference between a standard facial and a medical-grade facial?

Standard facials primarily focus on surface-level cleansing and relaxation. In contrast, medical-grade facial treatments delve deeper, utilizing advanced skincare technologies and potent formulations to address specific skin issues effectively. These medical-grade treatments offer more profound and long-lasting results.

Are facial treatments suitable for sensitive skin?

Certainly! Our practice provides dermatologist facials in Hilton Head Island specifically curated for sensitive skin. These treatments incorporate mild, soothing ingredients and techniques to cater to skin sensitivity, ensuring a comfortable and beneficial experience.

How long does a facial treatment take and what is the cost?

Treatment duration varies based on the type of facial and individual requirements. Typically, facial sessions range from 30 to 90 minutes. Costs depend on the chosen service and personalized treatment plan. Our team will provide transparent pricing details during your consultation.

What should I expect during my first facial treatment session?

During your initial facial experience, expect a warm welcome from our skincare experts. You’ll undergo a detailed consultation where we’ll discuss your skincare goals and concerns. Then, relax and enjoy a personalized facial catered to your skin’s needs, providing a rejuvenating and pampering experience.

FAQs About Cosmetic Services

How Do Cosmetic Treatments Improve Skin Appearance?

Cosmetic treatments enhance skin appearance by targeting various concerns, including wrinkles, fine lines, pigmentation, and texture. Techniques like laser therapy, chemical peels, and microdermabrasion remove the outer layers of skin, promoting new, healthier skin growth.

Are Cosmetic Procedures Safe?

Yes, when performed by a qualified professional. Safety measures and standards are in place to minimize risks. However, individual consultation is essential to assess personal health and suitability.

Who Is a Good Candidate for Cosmetic Services?

Ideal candidates are individuals in good health with realistic expectations and specific cosmetic concerns they wish to address. We understand that each person has unique concerns, and that’s why we offer a thorough consultation to ensure that our treatments align with your individual needs and expectations.

What Should I Expect During a Cosmetic Consultation?

Expect a discussion about your skin concerns, medical history, and goals. Our skincare experts will assess your condition and recommend suitable treatments, discussing potential outcomes and care plans.

How Long Do Cosmetic Results Last?

The duration varies by treatment and individual factors. Some treatments offer temporary results, while others provide longer-lasting changes. Maintenance sessions may be necessary.

How Much Do Cosmetic Services Cost?

Costs vary widely depending on the type of treatment, the expertise of the practitioner, and the geographical location. Our team will ensure transparent pricing details are provided during your consultation.

Are There Any Side Effects or Risks?

Possible side effects include temporary redness, swelling, and discomfort. Risks depend on the procedure’s nature and are generally low when done by experienced professionals.

Can Cosmetic Services Address Specific Skin Concerns?

Yes, treatments are available for wrinkles, acne scars, pigmentation, and more. Options are tailored to address specific concerns effectively.

How Do I Choose the Right Cosmetic Treatment for My Needs?

Consider your goals, research available treatments, and consult with a professional to identify the best option for your needs and skin type.

What Is the Best Age to Start Cosmetic Treatments?

There’s no universal age; it depends on individual concerns and goals. We invite you to sit down with one of our experts, who can guide you through the options and help pinpoint the perfect moment for you to begin your treatments.

FAQs About Skin Cancer Treatments

What are the primary types of skin cancers?

The common skin cancers include Basal Cell Carcinoma, Squamous Cell Carcinoma, and Melanoma.

How does Hilton Head Dermatology address skin cancer cases?

We offer diverse surgical dermatology treatments, such as Excisional Surgery, Laser Surgery, Cryosurgery, and Mohs Micrographic Surgery, tailored to each patient’s specific diagnosis.

What distinguishes Mohs Micrographic Skin Cancer Surgery from other methods?

Mohs surgery is employed for complex skin cancers, providing a higher likelihood of cure while preserving normal tissue through comprehensive microscopic examination of removed tissue.

Do you offer cosmetic/plastic surgery for post-cancer repair and scar revisions?

Yes, we meticulously plan and execute reparative cosmetic surgery techniques after successful cancer removal, with a focus on recreating a more natural appearance.

What types of skin growth removal procedures are available at your center?

We can remove nevi (moles), warts, age spots, cysts, and various other lesions using a range of methods.

Where can I find detailed information on each surgical procedure’s suitability for my condition?

You can explore comprehensive details on our website or consult our dermatologists for personalized guidance.

How does insurance coverage work for skin cancer surgery, and what are the available payment options?

Our staff can assist you in understanding insurance coverage and explore payment options to make your treatment accessible.

What is the typical recovery process after skin cancer surgery?

Recovery times may vary depending on the surgical method. Detailed post-operative care instructions will be provided by our medical team.

Are there potential risks or complications associated with skin cancer surgery?

Although these procedures are generally safe, it’s important to discuss potential risks and complications with your dermatologist during the consultation.

How can I schedule an appointment for skin cancer diagnosis and treatment at Hilton Head Dermatology?

You can easily book a consultation appointment for our plastic surgery procedures through our website or by reaching out to our clinic directly. Talk to us today!