MOHS Surgery

Mohs micrographic surgery is highly recognized as the preferred technique for the removal of skin cancer. The procedure was developed in the 1930s by Dr. Frederic Mohs at the University of Wisconsin and its practice continues throughout the world.

Mohs surgery differs from other skin cancer treatments in two major ways. One, the Mohs surgeon also functions as the pathologist by performing detailed microscopic evaluation of the tissue after excision to ensure complete removal of the cancer prior to closure. Two, the process in which the tissue is prepared after excision allows for the evaluation of 100% of the surgical margins resulting in cure rates of 99%.

Since the surgeon functions as the pathologist, by examining all of the excised tissue on the same day prior to closure, a smaller margin of healthy tissue can be removed around your skin cancer sparing as much healthy tissue as possible. This reduces the size of the surgical defect which is essential where tissue preservation is paramount in sensitive cosmetic areas like the lips, nose, and ears in order to facilitate the best aesthetic outcomes.

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Dermatology Procedures

Advantages of Mohs Surgery

Most precise way to remove skin cancer
Highest cure rate (99%)
Spares removal of healthy skin
Minimizes scarring
Cost effective in-office procedure
Lowest chance of cancer regrowth

Dr. Nash is fellowship trained in Mohs micrographic surgery and is the only surgeon performing this procedure in the area. He has successfully performed over 6,000 cases with cure rates well over 99% with aesthetic reconstructions including the nose, lips, and ears.

We are pleased to offer you this service here at Nash Dermatology. We know our dedicated team will go out of their way to make you comfortable and ensure a positive experience. We are more than happy to provide you with a consult to determine whether your skin cancer qualifies for this procedure.

What to expect the day of surgery

Prior to your surgery day, you will be informed of your skin cancer diagnosis by Dr. Nash or his surgical coordinator along with a brief review of the procedure and a medication review.

Informed consent will be obtained following review of risks and benefits
Local anesthesia will be administered to the site of the tumor similar to original biopsy
Tumor removal by scalpel, sparing as much healthy tissue as possible
Wound is bandaged and you will return to waiting room to enjoy snacks, coffee, and T.V.
Dr. Nash’s histotech will process the specimen followed by review of slides by Dr. Nash
If remaining tumor is identified, Dr. Nash will repeat the process until clear
If no tumor is remaining, Dr. Nash or his staff will discuss closure options with you
The surgical defect will be repaired the same day and you will have sutures removed in 5-7 days
Detailed wound care instructions will be reviewed and provided
We recommend that you allow a minimum of 3 hours for the entire process