What to Expect During Mohs Surgery for Skin Cancer

Mohs surgery is considered the gold standard for removing skin cancers, especially on the face or areas where preserving tissue is crucial. Unlike traditional excisions, Mohs surgery removes cancerous tissue layer by layer, allowing dermatologists to check each layer under a microscope immediately. This approach maximizes removal of cancer cells while sparing healthy tissue.

Why Mohs Surgery Is Recommended

Mohs surgery is ideal for:

• Basal cell carcinoma

• Squamous cell carcinoma

• Recurrent skin cancers

• Cancers in cosmetically sensitive areas

It offers higher cure rates, precise tissue preservation, and lower recurrence risk compared to standard excision.

The Procedure: Step by Step

1. Local Anesthesia
   The area is numbed so the patient feels minimal discomfort. General anesthesia is usually unnecessary.
   

2. Layered Removal
   The dermatologist removes the visible tumor along with a thin layer of surrounding tissue.
   

3. Microscopic Examination
   The tissue is examined in real-time to check for cancer cells. If cancer remains, another layer is removed.
   

4. Repeat Until Clear
   The process continues until no cancer cells are detected.
   

5. Wound Reconstruction
   Depending on the size and location, the surgeon may close the wound with stitches, let it heal naturally, or perform a skin flap or graft.
   
   

Recovery and Care

• Mild swelling and redness are common

• Keep the wound clean and covered as instructed

• Avoid sun exposure on the treated area until fully healed

• Stitches are typically removed in 5–14 days, depending on the location

Most patients can return to normal activities immediately, making it a convenient option for busy schedules.

Benefits of Mohs Surgery

• Highest cure rate for skin cancers

• Minimal removal of healthy tissue

• Optimized cosmetic outcomes

Immediate microscopic evaluation prevents recurrence

Who Should Consider Mohs Surgery

Patients with skin cancers:

• On the face, neck, ears, or hands

• That are recurrent or aggressive

• With high-risk features (size, location, histology)
  

Mohs surgery is a precise, effective, and safe procedure that prioritizes cure and cosmetic outcome. If you have a suspicious lesion or recurrent skin cancer, early consultation with a board-certified dermatologist is critical for best results and peace of mind.