Cynthia Golomb, MD of Dermatology Boutique in Hallandale Beach, FL, is one of only a handful of dermatologists who are triple-board certified, including in Mohs surgery. Read her answers below to some of the most common questions about Mohs surgery, including pre-op preparation, the procedure, and post-op/recovery.
- What is Mohs surgery?
- What does Mohs surgery stand for?
- What types of skin cancer are treated with Mohs surgery?
- How do I know if I need Mohs surgery?
- How effective is Mohs surgery?
- Does Mohs surgery require stitches?
- What happens after the cancer is removed?
- How long does Mohs surgery take?
- How long is the recovery from Mohs surgery?
- How long after Mohs surgery do I need to wear a bandage?
- How much does Mohs surgery cost?
What Is Mohs Surgery?
Mohs surgery, also known as Micrographic Dermatologic Surgery, is a precise technique used to remove skin cancer while preserving as much healthy skin as possible. During the procedure, the visible tumor is removed, and thin layers of surrounding tissue are examined under a microscope until no cancer cells remain.
This approach allows for complete cancer removal with the smallest possible wound and optimal cosmetic outcome.
What Does Mohs Surgery Stand For?
“Mohs” is the last name of Dr. Frederic E. Mohs, who developed the technique. The procedure is designed to remove not only the visible cancer, but also any microscopic extensions (“roots”) beneath the skin that may not be visible to the naked eye.
What Types of Skin Cancer Are Treated With Mohs Surgery?
Mohs surgery is most commonly used to treat:
- Basal cell carcinoma
- Squamous cell carcinoma
In select cases, it may also be used to treat melanoma and other less common skin cancers, depending on location and clinical factors. Mohs is often recommended for recurrent tumors or cancers in cosmetically or functionally sensitive areas.
How Do I Know If I Need Mohs Surgery?
Mohs surgery is recommended only after a professional evaluation. The first step is a skin cancer screening with a board-certified dermatologist. If a biopsy confirms skin cancer, Mohs surgery may be recommended based on the type of cancer, its location, and whether it has been treated before.
Mohs is most often used for cancers on the face or other sensitive areas, or for cancers that have recurred. If you’re concerned about a spot on your skin, a screening is the best place to start.
How Effective Is Mohs Surgery?
Mohs surgery offers some of the highest cure rates available for skin cancer. Primary basal cell carcinomas have cure rates of up to 99%, while primary squamous cell carcinomas are cured in up to 96% of cases.
These high success rates are achieved because 100% of the surgical margins are examined during the procedure, rather than small sample sections used in traditional methods.
Does Mohs Surgery Require Stitches?
Closure depends on how much tissue is removed and the location of the cancer. Some areas are allowed to heal naturally, while others may require stitches. In certain cases, a skin graft or skin flap may be used to achieve the best functional and cosmetic result.
What Happens After the Cancer Is Removed?
Once all cancer has been removed, the surgical site is repaired in the way that best supports healing and appearance. Dr. Golomb performs both the cancer removal and reconstruction, ensuring continuity of care throughout the process.
How Long Does Mohs Surgery Take?
Mohs surgery can take one to several hours, depending on the number of tissue layers that need to be removed and the type of repair required. Time is built into the procedure for microscopic examination between stages to ensure complete cancer removal.
How Long Is Recovery From Mohs Surgery?
Initial healing usually occurs within a few weeks. Over the following months, the area continues to heal and fade, and in many cases, it becomes difficult to see where the cancer was removed.
How Long Do I Need to Wear a Bandage After Mohs Surgery?
A compression dressing is applied immediately after surgery. Within about 48 hours, the bulky bandage can usually be removed. Patients are typically instructed to keep the area moist with an ointment and covered with a smaller bandage until stitches are removed, usually at a follow-up visit about two weeks after surgery.
How Much Does Mohs Surgery Cost?
Mohs surgery is covered by most insurance plans, including commercial insurance, Original Medicare, and Medicare Advantage. In rare cases, prior authorization may be required.
The total cost depends on factors such as:
- The number of tissue layers removed
- The complexity of the repair
Out-of-pocket costs vary by insurance plan and may include deductibles or coinsurance.
Schedule a Mohs Surgery Consultation
If you have questions about Mohs surgery or have been referred for treatment, Dr. Golomb is here to help guide you through your options.
Call or text 954-251-0367 to or schedule a consultation online to discuss next steps.
