Mohs Surgery is the most effective technique for treating many basal cell carcinoma (BCCs) and squamous cell carcinomas (SCCs), the two most common types of skin cancer.
Who performs Mohs Surgery?
Mohs Surgery is performed by doctors who are specially trained to fulfill three roles:
- As the surgeon who removes the cancerous tissue
- As the pathologist who analyzes the lab specimens
- As the surgeon who closes or reconstructs the wound
Advantages of Mohs Surgery
- Mohs surgery is an efficient and cost effective treatment. It requires a single visit and is performed on an outpatient surgery basis. Your surgeon will use local anesthesia and all lab work is done onsite.
- The surgeon examines 100% of tumor margins, saves healthy tissue and leaves the smallest scar possible.
- Mohs Surgery offers the highest cure rate—up to 99% for a skin cancer that has not been treated and up to 94% for a skin cancer that recurs after previous treatment.
What to expect during Mohs Surgery
The procedure is done in stages and all in one visit. After removing a layer of tissue, the surgeon examines it under a microscope in an on-site lab. If any cancer cells remain, the surgeon will know the exact area where they are and will remove another layer of tissue from that exact location. This technique saves as much healthy tissue as possible. The doctor will repeat this process until no cancer cells remain.
Steps of Mohs Surgery
- Step 1: Examination and Prep
- Step 2: Top layer removal
- Step 3: Lab analysis
- Step 4: Microscopic examination
- Step 5: Second layer removal
- Step 6: Wound repair
- Step 7: Finishing up
Is Mohs Surgery right for me?
Mohs Surgery is the gold standard for treating many types of skin cancer, including those of the eyes, nose, ears, scalp, fingers, toes or genitals. It is also recommended for skin cancers that are large, aggressive or growing rapidly. Mohs surgery has also started being used to successfully treat certain cases of Melanoma.
Meet Our Mohs Surgeon
Dr. Colton Nielson is a board certified (ACMS), fellowship trained (FAAD) Mohs Surgeon, treating patients at the St. Bernards Dermatology Procedure Center. He joins the team at the St. Bernards Dermatology Clinic in expanding dermatology care to patients in our region.
Specializing in Mohs Surgery, Dr. Nielson is able to remove benign and malignant lesions in the St. Bernards Dermatology Procedure Center.