Skin cancer, though frequently treatable, presents complex challenges when tumors arise in areas where both function and aesthetics must be preserved. For cancers of the face, scalp, ears, or recurrent lesions elsewhere, Mohs micrographic surgery has become the preferred method—not only for its superior cure rates but for the care it takes to preserve healthy tissue. Many patients may not be familiar with the term "Mohs," but the technique has been improved over the years and is still the best way to do dermatologic surgery.

Mohs surgery is more than just a way to get rid of skin cancer; it's a carefully planned mix of precise surgery and immediate microscopic analysis. This two-pronged approach lets you completely remove the tumor while keeping as much tissue as possible.

Why Certain Cancers Require a More Targeted Solution

Standard excision can treat many skin cancers, but some are more likely to come back or grow in places where losing even a few millimeters of tissue can change how the skin looks and works. In these instances, Mohs surgery is typically the method of choice.

• Most often used for basal cell carcinoma and squamous cell carcinoma on the nose, eyelids, ears, lips, or other sensitive areas.
• Sometimes considered for early-stage melanoma in situ where margins are hard to define.
• Chosen based on tumor behavior, history, and location.

What Makes the Technique Unique

The main thing that makes Mohs surgery special is that it is done in layers and over and over again. The surgeon removes the visible tumor and a small rim of surrounding tissue while the patient remains awake. The tissue is then processed on-site, and every margin—not just a sample—is examined under a microscope.

• If any cancer cells remain, the surgeon removes another thin layer only in the affected area.
• This continues until no abnormal cells remain.
• The goal is complete removal with minimal tissue loss.

Immediate analysis makes Mohs different from standard excision, where results take days. Cure rates for non-melanoma skin cancers often exceed 98%.

From Removal to Repair

After all cancerous cells have been cleared, attention shifts to reconstruction. Each surgical wound differs in size and depth, requiring a tailored closure.

• Some wounds close with simple stitches.
• Others may need skin grafts or tissue repositioning.
• Special attention is given to facial areas to preserve contour, texture, and symmetry.

The surgery usually takes several hours due to tissue processing between stages. It is performed under local anesthesia, and most patients recover quickly.

Weighing the Advantages with Care

Mohs surgery provides exceptional accuracy and the lowest recurrence rates. Because it preserves healthy skin, it offers both medical and cosmetic advantages. However, it is not always the right choice for every case.

• Ideal for skin cancers in delicate or high-risk areas.
• Not typically used for deeply invasive tumors or those on low-risk areas.
• Risks such as bleeding, infection, or scarring are rare under expert care.

What Happens After Surgery

Recovery after Mohs surgery is straightforward. Patients receive detailed wound care instructions and usually have sutures removed within 1–2 weeks.

• Follow-up visits ensure proper healing.
• Regular skin checks and sun protection are essential afterward.
• Most patients resume normal activities within a few days.
• Scars fade over time and can be refined if needed.

The Value of Precision in Skin Cancer Care

Mohs surgery remains the gold standard for treating many facial and recurrent skin cancers. It perfectly blends science and surgical artistry, maximizing both cure and cosmetic results.

For anyone diagnosed with skin cancer, understanding all options is key. When Mohs surgery is recommended, it’s because decades of evidence support it as the most effective and careful approach available.

To speak with a dermatologic surgeon about whether Mohs surgery is right for you, call (406) 702-1323.