Mohs Complete, Mohs Surgery Done Right
Mohs surgery is one of the few cosmetic surgery operations that isn’t just about cosmetics. It is actually used to treat a very serious condition: skin cancer. Mohs surgery is also known as Mohs micrographic surgery. It’s not extremely common, but it is extremely effective. Keep in mind that Mohs surgery is not a cure for future skin cancer, but it does increase the chances of treatments working as well as reduces the need for surgery in the future.
The Moh’s surgery method is a pathology technique of examining the surgical specimen microscopically, so as to remove completely all skin cancer while preserving all normal tissues. Mohs differs from traditional in surgery pathology (frozen section) in how the specimen is oriented. Specifically, all attention is focused on the edges or margins of the specimen rather than the center portion. Once the tumor margins are cleared, the open area is closed.
What Is Mohs Complete™?
A more complete form of Mohs surgery developed by Dr. Andrew Ress, Mohs Complete™ combines the best elements of all pathology and surgical approaches. Mohs Complete™ embraces the Team/Multidisciplinary Approach adopted at all major cancer centers across the country. The Team includes only top trained experts in their fields: a Board Certified Plastic Surgeon and a Board Certified Pathologist who has subspecialized in surgical frozen section pathology. Other team members include, when necessary, oncologists and other specialists in cancer therapies for coordinated care or advanced problems.
MOHS SURGERY PROCEDURE
Skin cancers often extend beyond their visible borders. It is these extensions that cause the tumors to recur if not completely removed.
Additional layers may then be taken precisely in the areas of remaining cancer until the tumor is completely removed.
Mohs surgery ensures all of the tumor is removed with 99% certanity while preserving the maximum amount of healthy tissue and therefore minimizing the size of scars.
A thin layer of normal-appearing tissue is
then removed, mapped and evaluated
by the surgeon with a microscope.
MOHS SURGERY PROCEDURE
1. Skin cancers often extend beyond their visible borders. It is these extensions that cause the tumors to recur if not completely removed.
2. Like other surgical procedures, Mohs surgery first removes the visible tumor.
3. A thin layer of normal-appering tissue is then removed, mapped and evaluated by the surgeon with a microscope.
4. Additional layers may then be taken precisely in the areas of remaining cancer until the tumor is completely removed.
5. Mohs surgery ensures all of the tumor is removed with 99% certanity while preserving the maximum amount of healthy tissue and therefore minimizing the size of scars.
The Basics Of The Mohs Procedure
The Mohs procedure earned its name from Doctor Frederick Mohs. He began performing this operation in the 1930's and it has survived to this day without much change. That is a true testament to its effectiveness. Of course, there have been some refinements.
Mohs Complete is actually considered the most effective skin cancer removal techniques for patients who suffer from BCC or SCC, which are also the two most common types of skin cancer. That is why Mohs is sometimes called basal cell carcinoma removal (BCC removal).
Overall, Mohs can spare a lot of healthy tissue while removing a huge majority of the cancer cells. There is an astounding cure rate of 98 percent for skin cancer patients who have received this treatment. This percentage is much higher than any other treatment in existence.
How does it differ from similar techniques? Many other techniques perform examinations of the skin cells before and after the surgery has taken place. Moh surgery performs these examinations during the procedure. This method allows the Mohs surgeon to precisely target the cancer-containing skin cells and know just how far they go. It also helps them to spare as much healthy skin as possible.
It's not possible to perform the procedure without removing some of the healthy skin tissue. However, compared to other techniques, the amount of healthy tissue saved is fairly high. A layer of skin is removed and then studied beneath the microscope to determine if the surgeon must remove even more.
The surgeon or pathologist must examine the margins of the skin tissue and if they are free of cancer, the surgery ends. On the other hand, if cancer cells are detected in the margins of the layer of skin, then the surgeon must remove more tissue from that area and repeat the examination process. Other techniques rely on guessing or trying to determine beforehand how deep the cancer goes, but Mohs surgery is able to target the cancer with extreme accuracy.
Mohs surgery to treat melanoma is controversial because surgeons and patients feared that the cancer cells could pass undetected and then multiply. Mohs surgery has yet to be fully proven effective for melanoma.
Mohs Complete offered by Dr. Ress at [liv] Plastic Surgery takes it a step further.
Mohs Complete™ Comparison Chart
|TECHNIQUE||Standard Pathology||Standard Mohs||Mohs Complete™|
|Edges examined in detail||N||Y||Y|
|Tumor (center of specimen examined)||Y||N||Y|
|Base of specimen examined||N||N||Y|
|Permanent Pathology to confirm results||Y||N||Y|
|Specimen saved and archived for 10 years||Y||N||Y|
|DOCTORS||Standard Pathology||Standard Mohs||Mohs Complete™|
|All services in one office (outpatient)||N||N||Y|
|Closure always by Board Certified Plastic Surgeon||N||N||Y|
|Pathology by Board Certified pathologist with special training||Y||N||Y|
|Doctors have Hospital Privileges for Pathology or Surgery in OR||Y||N||Y|
|If problem occurs, can your surgeon manage in hospital?||N||N||Y|
Are There Any Risks?
Of course, every surgery comes with its risks. There aren’t many large risks associated with the Mohs Complete, but there are a couple of possible risks that you should be aware of. There is a very small risk of bleeding from the wound or bleeding into the wound. Again, these risks are extremely small.
There is also a risk of pain near the surgical site. This one is slightly more likely, but the pain will eventually go away after a short healing period. One final risk is a small risk of infection in the surgical area. All of these Mohs surgery risks can be reduced by working with a quality, experienced surgeon like Dr. Ress at [liv] Plastic Surgery in Boca Raton.
Skin cancer surgery is a big step. It can have really positive results, but you must be careful and prepare. Preparation helps reduce many of the possible risks that are associated with the procedure. Since you’ve search Mohs surgery Boca Raton, you should discuss the procedure in great length so that you fully understand what is expected. There are many different ways you may be advised to prepare.
First, it’s important that you discuss any medications you are taking with our surgeon. This includes supplements and herbal remedies as well. It’s possible that some medications or supplements will affect the surgery. For example, some may act as a blood thinner and lead to excessive bleeding during and after the surgery. The surgeon needs to know about these things so
that they can offer sound advice. You may need to stop taking certain medications or supplements for this reason.
As for the day of surgery, there are some things you can do to make the process more pleasant. You will likely be advised to wear very comfortable clothing and to wear layers. The layers will help you better adapt to any shifts in temperature you might experience.
Finally, remember to fully clear your schedule for the day. The surgery is not likely to take all day, but it could take several hours. Afterward, the surgeon may keep you in the building to rest for a certain period depending on your condition. Even a single area, such as Mohs surgery on nose, can take quite a while depending on the depth and size of the cancer cells.