Mohs Micrographic Surgery is a highly specialized and effective procedure for treating skin cancer, particularly basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and certain melanomas. This technique involves removing cancerous tissue layer by layer, with each layer examined microscopically during the procedure to ensure complete cancer removal while preserving as much healthy skin as possible. This meticulous approach offers the highest cure rates and is especially ideal for cancers in sensitive areas like the face, ears, hands, or genitals. We provide expert Mohs surgery at Hawaii Dermatology & Surgery Center in Aiea, HI, to deliver superior care and optimal results.
When to Consider Mohs Surgery
Mohs surgery is typically recommended for specific types of skin cancer or unique patient needs. Common indications include:
- Basal Cell Carcinoma (BCC):
- Slow-growing, pearly or waxy bumps.
- Non-healing sores that bleed or crust.
- Squamous Cell Carcinoma (SCC):
- Red, firm nodules or scaly, crusted lesions.
- Wounds that don’t heal and may be painful.
- Melanoma (in select cases):
- Irregularly shaped, multicolored lesions.
- Rapidly evolving or growing moles.
- Other Situations:
- Recurrent skin cancers.
- Tumors in cosmetically or functionally important areas.
- Cancers with poorly defined edges or aggressive subtypes.
If you notice suspicious growths, changes in moles, or non-healing lesions, consult a dermatologist promptly for evaluation and treatment.
Why Mohs Surgery Is the Gold Standard for Skin Cancer Treatment
Mohs Micrographic Surgery offers unparalleled advantages over other treatment methods. Here’s why it’s the preferred choice for many patients:
- Highest Cure Rates: Mohs surgery has a success rate of up to 99% for new skin cancers and 94% for recurrent cases, making it the most reliable treatment option.
- Tissue Preservation: By targeting only cancerous tissue, Mohs minimizes the removal of healthy skin, resulting in smaller scars.
- Immediate Pathology: During surgery, cancerous cells are examined to ensure that all cancer is removed before the procedure is completed.
- Ideal for Sensitive Areas: It’s particularly effective for areas like the face, scalp, hands, or genitals, where preserving appearance and function is crucial.
- Lower Risk of Recurrence: The precise removal of cancerous cells significantly reduces the likelihood of recurrence.
- Comprehensive Approach: The procedure allows for a complete and detailed examination of cancerous margins.
Mohs surgery combines precision, effectiveness, and cosmetic consideration, making it the gold standard in skin cancer treatment.
Treatment Process: What to Expect During Mohs Surgery
- Pre-Surgical Evaluation: Before surgery, your dermatologist will review your medical history, examine the cancer site, and discuss the procedure in detail.
- Anesthesia and Preparation: Local anesthesia is administered to numb the area, ensuring you remain comfortable throughout the procedure.
- Layer-by-Layer Tissue Removal
- The visible tumor is carefully removed first.
- A thin layer of surrounding tissue is excised and mapped to ensure accurate orientation.
- The tissue is processed and examined under a microscope to detect cancer cells.
- Microscopic Analysis
- Each tissue layer is meticulously analyzed to identify cancerous cells.
- If cancer is present, only the affected areas are removed in the next layer.
- Complete Cancer Removal: The process continues until all margins are clear, meaning no cancerous cells remain.
- Reconstruction and Wound Closure
- Depending on the size and location of the wound, your dermatologist may perform primary closure, skin grafts, or allow the wound to heal naturally.
- Care is taken to ensure optimal cosmetic and functional outcomes.
- Post-Operative Care and Follow-Up: You will receive detailed instructions on wound care and schedule follow-up visits to monitor healing and ensure no recurrence.
This systematic approach removes every cancerous cell while preserving as much healthy tissue as possible.
Reducing the Risk of Skin Cancer
While Mohs surgery is highly effective, prevention remains the best strategy. Here’s how you can protect your skin:
- Use Sunscreen Daily: Apply a broad-spectrum sunscreen with SPF 30 or higher, even on cloudy days.
- Wear Protective Clothing: Hats, sunglasses, and UV-blocking fabrics shield your skin from harmful rays.
- Seek Shade: Limit sun exposure during peak hours (10 a.m. to 4 p.m.).
- Avoid Tanning Beds: Artificial UV radiation significantly increases skin cancer risk.
- Perform Regular Skin Checks: Examine your skin monthly for any new or changing growths.
- Schedule Annual Dermatology Exams: Professional screenings detect precancerous and cancerous lesions early.
Adopting these practices can greatly reduce your chances of developing skin cancer and protect your skin’s health.
Healing and Recovery After Mohs Surgery
Most patients experience excellent outcomes following Mohs surgery. The procedure’s precision allows for complete cancer removal while minimizing scarring and preserving functionality. Recovery is generally straightforward, with most patients resuming normal activities within a few days. At Hawaii Dermatology & Surgery Center, we ensure that your post-surgical care is seamless, providing guidance and support every step of the way.
With proper care and regular follow-ups, Mohs surgery offers long-lasting results and a significantly reduced risk of recurrence, allowing you to focus on enjoying life with peace of mind.
Frequently Asked Questions About Mohs Surgery
Is Mohs surgery painful?
No, the procedure is performed under local anesthesia, so you’ll remain comfortable. Post-surgical discomfort is minimal and manageable with over-the-counter pain relievers.
How long does the procedure take?
The duration varies depending on the case’s complexity but typically lasts a few hours, as each layer is processed and analyzed during surgery.
Will Mohs surgery leave a scar?
Some scarring is expected, but advanced techniques minimize its appearance. Your dermatologist will discuss cosmetic outcomes with you.
Can skin cancer return after Mohs surgery?
Recurrence is rare, as the procedure ensures complete removal of cancerous cells. Regular skin checks help monitor your overall skin health.
Does insurance cover Mohs surgery?
Most insurance plans cover Mohs surgery for skin cancer treatment. Check with your provider for specific coverage details.
Trust Hawaii Dermatology & Surgery Center for Expert Mohs Surgery
At Hawaii Dermatology & Surgery Center in Aiea, HI, we specialize in Mohs Micrographic Surgery, providing expert care tailored to your needs. Our commitment to precision and patient satisfaction ensures the best possible outcomes for skin cancer treatment.
Schedule your consultation today to learn more about Mohs surgery and how it can protect your health and appearance. Let us help you achieve clear, healthy skin with confidence!
