Mohs Surgery

During this procedure, Dr. Vinyard will typically utilize local anesthetics to numb the affected area before incisions are made for removal. The incisions can be compared to a map (similar to a clock face) and are designed to correspond with the orientation of skin that was removed. The excised layer is coated, processed, and examined under the microscope. If additional cancer roots are observed, they are marked on the corresponding map and the process is repeated. The method continues until a clean layer with no remaining cancer is reached. The number of layers removed and the amount of the procedure is dependent on the stage of the cancer and how long it has been present. The completion of the procedure will leave a wound. Healing solutions range from simple sutures to close the wound to more complex decorative (plastic) surgery for larger wounds.

A Mohs procedure is not a simple solution, but with a trained team and the appropriate amount of anesthesia, most patients report minor discomfort. Mohs surgery is normally performed as an outpatient procedure with patients able to drive home afterward. Although the site will be heavily bandaged, it is possible to resume routine non-strenuous tasks the next day. This rules out any strenuous exercise or heavy activities for as many as 1 – 2 weeks. If sutures were utilized, they will be removed within 6 – 14 days. Scarring will vary, depending on the procedure. The success rate of removing the cancerous tissues from the site is extremely high with primary basal cell carcinoma with thin melanomas receiving up to a 99% cure rate. Primary squamous cell carcinoma has a slightly lower cure rate at around 97%.

VIPS accepts many payment options and can work with you to help make your treatment more affordable.

The achievement rate of removing the cancerous tissue from the treated site is very high when treating main basal cell carcinoma with thin melanomas achieving around a 99% cure rate. Primary squamous cell carcinoma has a bit of a lower treatment rate at around 97%.

Since anesthesia is used, most individuals experience minimal to no pain during surgery. After the procedure, most patients experience mild discomfort so medication usually isn’t required. If you experience any lingering pain, Dr. Vinyard will normally advise an over-the-counter painkiller.

Scarring is usually associated with this procedure but will differ based upon the technique used and your specific case. Patients with larger treatment areas or complex cases are more likely to have a scar. However, Dr. Vinyard will do his best to minimize scarring as much as possible.