It can be hard to hear that you require treatment for skin cancer. You might be curious about what the operation will be like, how long it will take, and how your recuperation will go. One alternative your dermatologist might suggest is Mohs surgery, which is a very precise approach with a high success rate.

Mohs surgery is different from regular surgery in that it is done one layer at a time, and each layer is looked at under a microscope before the next one is done. This cautious method makes sure that all of the cancer cells are eliminated while keeping as much good skin as possible. This makes a big difference for cancers on the face, ears, neck, or other sensitive places.

What Is Mohs Surgery?

Mohs micrographic surgery is a way to treat common types of skin cancer, like basal cell carcinoma and squamous cell carcinoma. It can be done in an office setting. It can also be used to treat some types of melanomas.

The manner the tissue is handled is what makes Mohs different. After each small layer is taken off, it is looked at right away under a microscope. This lets the surgeon find cancer cells all the way to their roots and get rid of them completely, without taking away more healthy tissue than necessary.

When Should You Use Mohs?

Not everyone who has skin cancer will need Mohs surgery. Your dermatologist may suggest it if:

• The cancer is in a part of the body that is vital for appearance or function, like the nose, eyes, lips, or hands.
• The tumor has edges that aren't well-defined, which makes it hard to remove with normal excision.
• The cancer has come back after being treated before.
• The growth is either big, aggressive, or fast-growing.

In these cases, Mohs surgery gives you the best chance of both completely removing the cancer and keeping the skin looking good.

How Mohs Surgery Works, Step by Step

• Getting Comfortable and Numbing the Area: Mohs surgery is usually done in a clinic or outpatient center. Local anesthesia numbs the area so you stay comfortable.
• Taking Off the Top Layer: The surgeon removes a small, visible layer of tissue, carefully marking and mapping it before sending it for testing.
• Looking at It Under a Microscope: The tissue is frozen, sliced, and examined under a microscope. If cancer cells are found, their exact location is mapped.
• Taking Off Extra Layers (If Necessary): Only affected areas are removed layer by layer until no cancer cells remain.
• Closing the Wound: The wound is repaired with stitches, a skin flap, or a graft. Small wounds may heal naturally.

How Long Does Mohs Surgery Take?

Mohs surgery can take a few hours because each step requires microscopic analysis. Some people finish in half a day, while others may spend most of the day at the clinic. Since waiting times are the longest part, bring something like a book or headphones to stay comfortable.

What Makes Mohs Surgery Unique

• Very high cure rates — up to 99% for certain cancers.
• Only malignant tissue is removed, preserving healthy skin.
• Lower recurrence rates compared to other treatments.
• Outpatient procedure with no hospital stay required.

What to Expect During Recovery

Most people recover quickly after Mohs surgery. Common effects like swelling, bruising, and mild pain usually improve within days. General aftercare includes:

• Follow instructions for bandage changes and wound care.
• Use over-the-counter pain relief if needed.
• Avoid heavy lifting or strenuous exercise for several days.
• Watch for unusual redness, swelling, or discharge, which may indicate infection.

Stitches are usually removed within 1–2 weeks. Scars vary but generally fade with time. Your doctor may recommend scar treatments for better healing.

Common Questions About Mohs Surgery

• Does it hurt? No. Local anesthesia numbs the area. Most patients only feel slight pressure.
• Will I have a scar? Yes, but surgeons aim to minimize visibility. Scars typically fade over time.
• What if cancer returns? Mohs surgery has one of the lowest recurrence rates. Regular follow-ups are still essential.
• Is it covered by insurance? Yes, most insurance plans cover it as a medically necessary cancer treatment.

The Bottom Line

Hearing the words "skin cancer" is never easy, but Mohs surgery is one of the safest and most effective treatments available. Its precise, layer-by-layer method ensures complete cancer removal while saving as much healthy skin as possible.

If you’ve been advised to consider Mohs surgery or notice suspicious skin changes, the next step is consulting a qualified dermatologist.

📞 Call today to make an appointment and take a step toward keeping your skin and health safe.