Mohs Surgery

What is Mohs Surgery?

Mohs surgery is a specialized tissue-conserving reconstructive surgical method that is used to treat skin cancer. During the operation, cancerous sheets are gradually removed and analyzed until only healthy skin remains. Local excision typically entails eliminating the visible malignancy and a narrow margin of healthy tissue simultaneously. During Mohs surgery, surgeons typically double-check to see that all cancerous cells have been eradicated. This raises the likelihood of a cure while also reducing the need for subsequent plastic surgery.

Why is it Performed?

The most prevalent skin cancers, such as basal cell carcinoma and melanoma, as well as uncommon skin cancers, are treated with Mohs surgery.

Mohs surgery is a type of plastic surgery that is particularly beneficial for malignancies of the skin that include each of the following:

-Malignancies that pose substantial risk of subsequent or have resurfaced following prior therapy.

-Malignancies that are present around the lips, foot, and sexual organs, among other places where healthy tissue should be protected.

-Malignancies that have difficult-to-define borders.


Mohs surgery, like any other surgical technique, comes with some risks, such as:

-pain around the surgery area

-excessive bleeding


Other issues that may arise as a result of Mohs surgery are rare, however, they can include:

-Tiny nerve terminals that have been severed, which causes short or long-term numbness around the surgical site.

-Cancer that is enormous as well as a muscular nerve that has been cut, which can cause some paralysis.

-Itching or piercing pain around the injured area.


How to Get Ready for a Mohs Surgical Procedure

Select a Highly Qualified Surgeon

Inquire about your surgeon’s credentials and expertise in Mohs surgery. Because the procedure is learned as part of their medical training, numerous dermatologists are able to perform it. Some have completed specific training, known as a fellowship, to study as much as possible about the procedure and improve their skills.

Getting ready for surgery

Your surgeon may suggest strategies for you to get ready for the procedure. It’s possible that you’ll be requested to:

-Discontinue taking specific drugs: Any prescriptions or supplements you’re consuming, should be disclosed to your surgeon. Certain supplements can increase your risk of hemorrhaging following the surgery. So tell your surgeon about those as well. Until your surgeon instructs you otherwise, continually take any prescription drugs as directed.

-Make sure you have a clear agenda for the day: It is impossible to estimate the length of time of Mohs surgery. The procedure is usually under four hours, for the majority of patients. However, your doctor could recommend you to be prepared to set aside surgery day as an all-day event.

-Make sure you’re dressed comfortably: Wear comfortable and casual clothing. Wear layers so you can quickly adjust to the temperature of the room.

-Bring an activity to occupy your time: Prepare ahead of time, by taking a puzzle or book, to keep you occupied.


One of the benefits of it is that you can see immediate results, and the procedure is completed only when the skin cancer has been eliminated. A follow-up appointment with your surgeon may be necessary, to monitor your progress and ensure that your incision heals appropriately.

 Follow-Up Appointment

Despite the fact that the procedure has a significant success rate, there is always a chance of malignant tumor recurrence or the development of another skin malignancy.

When compared to persons who don’t have skin cancer, those who do have it, have a higher risk of getting it again. In less than seven years, up to half of patients diagnosed with prevalent skin cancer will acquire another kind later.

To detect any emerging skin cancer, schedule regular follow-up appointments with your physician. The frequency of appointments is determined by your diagnosis. Request that your dermatologist prepare a follow-up plan for you. Skin exams should be done twice a year. If your skin cancer was aggressive or will possibly recur, visits will need to be more often. 

By Caitlyn

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