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Remove Skin Cancer Tissue Layer by Layer

MOHS surgery is a highly effective procedure for treating skin cancers, including basal cell carcinoma and squamous cell carcinoma. Developed over 50 years ago by Dr. Frederick Mohs, this technique involves the precise removal of cancerous tissue layer by layer, with each layer examined under a microscope. This method allows surgeons to ensure complete removal of the tumor while preserving as much healthy skin as possible. MOHS surgery is especially beneficial for cancers located near vital structures, such as the nose, eyes, and ears.

two MOHS surgery specialists in Sarasota meeting in their office

MOHS Surgery in Sarasota Is the Ideal Treatment For:

  • Basal cell carcinoma (BCC)
  • Squamous cell carcinoma (SCC)
  • Recurrent skin cancers
  • Skin cancers in cosmetically sensitive areas (nose, eyes, lips, ears)
  • Aggressive or large tumors
  • Skin cancers with poorly defined borders
  • Some types of melanoma and other rare skin cancers

If you would like to schedule an appointment with one of our MOHS surgery specialists in Sarasota for a personalized consultation, contact us today.

How Does MOHS Surgery Work To Treat Skin Cancer?

MOHS surgery to treat skin cancer in Sarasota is a precise, tissue-sparing technique that involves the sequential removal of thin layers of skin containing cancer cells. After administering local anesthesia, Dr. Abrams removes a thin layer of tissue from the tumor site. This tissue is marked, frozen, and carefully examined under a microscope to identify cancerous cells. If cancer is detected, another thin layer is removed from the affected area, and the process is repeated until no cancer cells are found.

By examining each layer microscopically, Dr. Abrams can ensure complete removal of the cancer while sparing as much healthy tissue as possible. The procedure may take up to 6 hours, depending on the number of stages required to remove all cancer cells. However, most patients spend 3 to 4 hours in the office. This meticulous approach leads to a 99.8% cure rate for certain skin cancers.

The Unique Benefits of MOHS Surgery:

  • High cure rate (99.8%) for skin cancers, including recurrent tumors
  • Precision removal of cancerous tissue while sparing healthy skin
  • Effective for cancers in sensitive areas (nose, eyes, ears, lips)
  • Minimal scarring due to tissue preservation
  • Real-time microscopic examination ensures complete tumor removal
  • Reduces the need for additional surgeries or treatments
  • Ideal for skin cancers with poorly defined borders or irregular shapes
  • Short recovery time compared to more invasive surgical methods
  • Lower risk of recurrence compared to other skin cancer removal techniques
a woman smiling and about to serve a tennis ball after getting MOHs surgery for skin cancer in Sarasota

Skin Repair Following MOHS Surgery in Sarasota

Once your tumor has been completely removed during MOHS surgery in Sarasota, Dr. Abrams will discuss the best options for repairing the skin. Depending on the size, depth, and location of the surgical site, the repair may involve direct closure with stitches, a skin graft, or a skin flap. For more complex or extensive repairs, a consultation with a plastic surgeon may be recommended. Typically, simple repairs are performed the day after surgery to minimize complications and promote healing, ensuring the best possible cosmetic outcome.

MOHS Surgery FAQs

How Long Does MOHS Surgery Take?

The length of MOHS surgery varies depending on the size and extent of the tumor. On average, most procedures take between 3 to 4 hours. However, you should plan to spend up to 6 hours at the office, as the process involves removing the tumor layer by layer, examining each under a microscope, and repeating as needed until no cancer cells remain.

Will I Be Awake During the Procedure?

Yes, you will be awake during MOHS surgery. Local anesthesia is used to numb the area around the tumor site, ensuring you remain comfortable throughout the procedure. There is no need for general anesthesia, so you can go home shortly after surgery.

Is MOHS Surgery Painful?

Most patients report feeling only minor discomfort during MOHS surgery. The local anesthesia effectively numbs the area, so you should not feel pain during the procedure. You may feel mild discomfort or soreness in the treated area once the anesthesia wears off, but this can be managed with over-the-counter pain medication.

What Should I Expect After the Procedure?

Following the procedure, you will have a bandage covering the treated area, and as a MOHS surgery specialist in Sarasota Dr. Abrams will provide detailed aftercare instructions. You might experience some swelling, redness, or minor bleeding at the surgical site. These are normal and typically resolve within a few days. Avoid strenuous activities and follow the aftercare guidelines to ensure proper healing.

Will I Have a Scar After MOHS Surgery?

Any surgical procedure, including MOHS surgery, can result in scarring. However, this technique preserves as much healthy skin as possible, leading to smaller scars compared to other methods. Over time, the scar will mature and typically fade, becoming less noticeable. If scarring is a concern, Dr. Abrams can discuss options for scar revision after the procedure.

How Effective Is MOHS Surgery?

MOHS surgery has a cure rate of up to 99.8% for primary tumors, making it one of the most effective treatments available for skin cancer. Its high success rate is due to the meticulous, layer-by-layer examination of the tissue, which ensures that all cancer cells are removed.

What Are the Risks and Complications of MOHS Surgery?

As with any surgery, there are potential risks associated with MOHS surgery. These may include bleeding, infection, scarring, nerve damage, or hematoma. However, complications are rare, and when they occur, they are usually minor and manageable. Dr. Abrams will take steps to minimize these risks and provide you with aftercare instructions to support proper healing.

How Often Do I Need Follow-up Visits After MOHS Surgery?

Regular follow-up visits are essential after MOHS surgery to monitor the healing process and check for any signs of recurrence. Dr. Abrams will schedule your follow-ups based on the specifics of your case. The first visit is typically within one to two weeks after surgery, with additional visits scheduled as needed.

Why Choose Our MOHS Surgery Specialists in Sarasota

Abrams Dermatology is your trusted provider for precise, effective skin cancer treatment using MOHS surgery in Sarasota. Led by Dr. Bradley J. Abrams, DO, a board-certified dermatologist and expert in MOHS surgery, our practice specializes in removing skin cancers while preserving healthy tissue. With over 20 years of experience, Dr. Abrams ensures high cure rates and optimal cosmetic outcomes for cancers in sensitive areas. Schedule a consultation today to learn how Sarasota MOHS surgery for skin cancer can help you.

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