MOHS SURGERY NYC
SKIN CANCER SURGERY
Mohs surgery in NYC is a micrographic surgical procedure used to remove skin cancer. Mohs surgery is the highest standard of care for treating high-risk non-melanoma skin cancers and can also be used to treat melanoma. Mohs surgery is often performed on skin cancers in visible places (such as the face) because this technique saves the maximal amount of tissue and minimizes the size of the hole left after cancer removal. Learn more about your Mohs surgery options at Dermatology, Laser & Surgery of Carnegie Hill.
WHAT IS MOHS SURGERY?
Mohs micrographic surgery was developed by Dr. Frederick Mohs in the 1930s. Mohs surgery has the highest cure rates of all treatments for basal cell and squamous cell carcinomas – more than a 99% cure rate for first time cancer patients and a 95% cure rate for returning cancers. Mohs surgery is the treatment option commonly chosen for the removal of skin cancer on the face, specifically on the ears, nose, lips, and eye areas. These parts of the face are often difficult to repair following cancer surgeries. Mohs surgery minimizes the size of the hole left after cancer removal. Newer procedures have been developed since its inception, but Mohs micrographic surgery continues to prove extremely effective at removing cancerous cells while leaving behind the highest possible amount of healthy skin tissue and maintaining a high cure rate.*
HOW IS MOHS SURGERY DIFFERENT FROM AN EXCISION?
Unlike an excision, Mohs surgery only removes the cancerous skin and leaves the healthy tissue behind. This is determined by examining the tissue under a microscope. Layers of skin are removed one at a time and examined under the microscope until all of the cancer is gone.
WHAT TYPES OF SKIN CANCER CAN BE TREATED WITH MOHS SURGERY?
Most skin cancers can be treated with Mohs surgery, including Basal Cell Carcinoma, Squamous Cell Carcinoma, and Melanoma.
WHAT TYPE OF DOCTOR PERFORMS MOHS SURGERY?
The Mohs procedure is very complex and it is performed by a dermatologist or plastic surgeon with advanced training in this procedure.
WHAT HAPPENS AFTER MOHS SURGERY?
After the removal of the cancerous tissue, there will be a hole remaining from the affected area. Your Mohs surgeon may perform a simple closure or may recommend a post-Mohs reconstructive closure procedure. Some Mohs surgeons will perform the closure and reconstruction following the removal of the skin cancer. This type of closure is done in the same day as the skin cancer removal, especially if the cancer affects only a small area. Other Mohs surgeons will seek the assistance of a plastic surgeon for the closures, especially if the affected area is large.
DO YOU NEED A SPECIAL LAB TO PERFORM MOHS SURGERY?
Yes. Mohs surgery is performed in an operating room or an office equipped with a Mohs laboratory. This setup allows the surgeon to continually test the tissue as it is removed. The cutting of the tissue takes about twenty to thirty minutes, but the testing of the tissue takes much longer, so the complete procedure typically lasts about four hours. Using a scalpel, the surgeon will remove the visible part of your cancer, then remove a thin layer of tissue under the visible tumor and put on a temporary bandage. The tissue is taken to the lab to be microscopically examined. If it shows cancer, more tissue will be removed one layer at a time, until no cancer is present upon microscopic testing.*
WILL INSURANCE PAY FOR MOHS RECONSTRUCTION?
Most likely, yes. Most insurance coverages do not view Mohs surgery as a cosmetic procedure. Please contact our New York City office with any questions you might have regarding your Mohs surgery. We are happy to check your benefits coverage for both Mohs surgery and Mohs reconstruction.
HOW DO I LEARN MORE ABOUT MOHS SURGERY IN NYC?
Talk to one of our skin cancer doctors about all of your treatment options. Our dermatologists can examine you and discuss your solutions with a Mohs surgeon. Give us a call at 646-661-6131 or request an appointment online for a personal consultation.