Mohs surgery is a state-of-the-art surgical technique designed to remove skin cancer growths while reducing scarring and preserving as much healthy tissue as possible. Dermatologists must be specially trained in Mohs surgery to perform the procedure correctly. As a leading dermatologist in Fresno, California, Dr. Jane Kardashian has extensive experience in Mohs surgery, relying on the most advanced methods for optimal results in patients at Advanced Dermatology Surgery Center. If you have a suspicious mole or other growth, or if you’ve been diagnosed with skin cancer, call the office or use our online system to schedule an office visit today.
Mohs surgery (also called Mohs micrographic surgery) is a very precise type of surgery used to treat skin cancer. The techniques used in Mohs surgery were developed more than 70 years ago, and they’re still considered the preferred method for treating cancers, especially skin cancers in aesthetically-sensitive areas like the face. Mohs surgery is performed in the office on an outpatient basis using local anesthesia.
Mohs is a tissue-sparing surgical technique. It is designed to remove cancerous tissue while leaving as much healthy tissue intact. This results in a far lower risk of scarring compared to other types of skin cancer surgery.
Once the treatment area is numbed with a local anesthetic, Dr. Kardashian begins the procedure by removing the visible portion of the cancerous growth. Then, she uses special techniques to process the tissue and examine it under a microscope. During the evaluation, she closely examines the margins or borders of the tissue to determine if any cancerous cells are present. If she detects cancer cells, she removes more tissue in that area of the border, then reevaluates that tissue under the microscope. This process is repeated until all the margins are clear. Then, Dr. Kardashian carefully closes the incision with tiny sutures. This approach ensures complete removal of the cancerous tissue while preserving as much healthy tissue as possible.
Mohs micrographic surgery can be used to treat all types of cancer, but it’s not always the most appropriate treatment technique. Dr. Kardashian is skilled in assessing and treating skin cancers so you can feel confident your treatment will be optimized for your needs and for the best possible outcome.
No, Mohs surgery is designed only to remove the cancerous tissue in the targeted area of your skin. In aggressive cancers like melanoma (and sometimes squamous carcinoma), Dr. Kardashian may recommend a lymph node biopsy. Often, your lymph nodes are the first “stop” for cancer cells that spread from your skin to other areas of your body. Lymph node biopsies let Dr. Kardashian evaluate the lymph tissue to determine if the cancer cells have spread so you can receive appropriate evaluation and treatment.