What is Mohs surgery?
Mohs surgery is a specialized surgical technique used to remove certain types of skin cancer. The procedure removes cancerous tissue layer by layer, examining each layer during surgery to ensure all cancer cells are removed while preserving as much healthy skin as possible.
Why is Mohs surgery recommended?
Mohs surgery is often recommended because it offers very high cure rates and allows for precise removal of skin cancer. It is commonly used when accuracy is especially important, such as on the face, ears, nose, lips, or hands.
What types of skin cancer are treated with Mohs surgery?
Mohs surgery is most commonly used to treat:
Basal cell carcinoma
Squamous cell carcinoma
It may also be recommended for recurrent, aggressive, or high-risk skin cancers.
How does Mohs surgery work?
During Mohs surgery, the surgeon removes a thin layer of tissue and examines it under a microscope. If cancer cells are still present, another layer is removed only from the affected area. This process continues until no cancer cells remain.
How long does Mohs surgery take?
The total time varies depending on how many layers are needed. Some procedures take a few hours, while others may take most of the day. Waiting time between stages is normal and allows the tissue to be carefully examined.
Is Mohs surgery done in one day?
Yes. Mohs surgery is typically completed in a single visit, even if multiple layers are required.
Does Mohs surgery hurt?
Mohs surgery is performed using local anesthesia, so patients are awake but the area being treated is numb. Most patients report minimal discomfort during the procedure. Some soreness or tenderness afterward is normal.
Will I need stitches after Mohs surgery?
Many patients do need stitches, but it depends on the size and location of the surgical site. Some wounds heal naturally, while others may require stitches, a skin flap, or a skin graft.
Will Mohs surgery leave a scar?
Any surgical procedure can leave a scar, but Mohs surgery is designed to preserve as much healthy skin as possible. Over time, scars often fade and become less noticeable. Proper wound care plays an important role in healing.
What is recovery like after Mohs surgery?
Recovery varies by patient and treatment area. Most people experience some swelling, redness, or mild discomfort for a few days. Detailed aftercare instructions are provided to support proper healing.
How long does it take to heal after Mohs surgery?
Initial healing usually occurs within a few weeks, but complete healing and scar maturation can take several months. Healing time depends on the size of the wound and how it was repaired.
Can I drive myself home after Mohs surgery?
In many cases, yes. However, if the surgery is extensive or involves certain areas, having someone drive you home may be recommended.
When can I return to normal activities after Mohs surgery?
Light activities can often be resumed within a day or two, but strenuous exercise and heavy lifting may need to be avoided for a short period. Your provider will give specific guidance.
Is Mohs surgery safe?
Yes. Mohs surgery is a well-established, highly controlled procedure performed by specially trained surgeons. Complications are uncommon when aftercare instructions are followed.
How successful is Mohs surgery?
Mohs surgery has some of the highest cure rates for skin cancer, especially for basal and squamous cell carcinomas. Cure rates vary depending on the cancer type and whether it is a first-time or recurrent cancer.
Can skin cancer come back after Mohs surgery?
While Mohs surgery significantly reduces the risk of recurrence, no treatment can guarantee that cancer will never return. Regular skin checks are important after treatment.
Do I need a referral for Mohs surgery?
Some patients are referred by a dermatologist or primary care provider, while others schedule directly. Referral requirements may depend on insurance.
Is Mohs surgery covered by insurance?
Mohs surgery is typically covered by insurance, including Medicare, when it is medically necessary. Coverage details vary by plan.
What should I bring on the day of Mohs surgery?
Patients are often advised to bring:
Comfortable clothing
Snacks or lunch
Reading material or a device for waiting periods
Any required paperwork
Who performs Mohs surgery?
Mohs surgery is performed by dermatologists with specialized training in Mohs micrographic surgery.
How often should I have skin checks after Mohs surgery?
Regular follow-up skin exams are important. Your provider will recommend a schedule based on your individual history and risk factors.
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