About Mohs Surgery
Cancer can be an intimidating word, but for patients who are diagnosed with skin cancer, there might be a remedy. Mohs surgery is a process that carefully and precisely removes skin cancer tumors. The purpose of this method is to remove as little of your healthy skin tissue as possible while still maintaining a high success rate for skin cancer eradication. The surgical technique is used to remove squamous and basal cell carcinomas, melanomas, along with other, less common types of tumors. Skilled plastic surgeon Dr. Jaimie DeRosa also works to improve facial scars caused by previously completed Mohs surgery procedures. Schedule a consultation at DeRosa Clinic Facial Aesthetics in Boston, MA to learn more about Mohs and facial scar revision surgery.
"Jaimie, Thank you so much for inviting me to the DeRosa Clinic. It was truly the BEST facial I have ever received. I also felt so welcomed by you and your team. Thank you for your kindness and generosity. I look forward to the next time I will get to see you! I am so inspired by what you have created and I look forward to celebrating your success as you expand your business! Wishing you have the happiest holiday season! With love,"- Anonymous / Office Visit / Sep 14, 2018
"Excellent care , especially the follow up care"- L.S. / Google / Mar 01, 2020
"I am a female in my 20’s, and since I was 12 years old, I KNEW I wanted to change my nose. I currently live in Boston and met with an array of plastic surgeons in the area to discuss my goals. Dr.DeRosa and her staff are the best, and here is why: • Everyone is very professional. I have very high anxiety in general, and everyone in the office dealt with that in a professional way, especially when it came to changing dates due to Covid – 19. Sarah, once of the office managers, handled my anxiety and pestering in a very professional manner. • Dr.DeRosa always has a big smile on her face, has a lot of energy and is very welcoming. My family is far away from me in other states and countries, and that added a lot of anxiety during the operation. Everyone in the room handled things well and calmed me down as I was having a hard time dealing with how I felt ( when you enter the operation room, it gets REAL). I never had any kind of surgery before, I went into the room without experience, but with lots of support from the staff. • The anesthesiologist and the nurse working with me were awesome. • Dr.DeRosa is not after you money – I mentioned my interest in another procedure (in addition to Rhinoplasty), and she told me to hold off until my face is 100% healed to make that decision. • The clinic space itself is very clean and well put together. • The experience is private – so if you are worried about these things – don’t be. • Even though the cast is not off yet, I can see the new shape of my nose ( even though it is somewhat swollen), and it looks fabulous. Dr.DeRosa and I talked about my goals, and she identified several areas of improvement for my nose vs. just giving me a “once size fits most” recommendation. For those of you that want to know this, yes, Rhinoplasty is somewhat painful. Yes, there will be swelling and a couple of sleepless nights. Everyone is different, I saw MAJOR improvement on day four. Dr.DeRosa checks in on her patients regularly, and is open to phone calls/emails you may have during your recovery. She checked up on me a day after my surgery, then couple of days later I called the office with a question, I got a phone call back a couple hours later (once Dr.DeRosa was finished with a surgery), and all my questions got answered. Our check ins did not seem rushed – she took the time to ensure I felt good and got the information I need. Very thankful for my experience. 😊"- C.A. / Google / Jul 08, 2020
"My experience at DeRosa clinic was excellent, the staff was very accommodating and caring. I consider my face surgery to be life changing. Dr DeRosa is by far one of the best caring professional surgeons I came across. It a great feeling to be able to trust your face knowing that the results will be amazing. And my results are speak for themselves, people think I am 15 years younger:)"- A.L. / Google / Mar 11, 2020
"After a horrific experience from a previous plastic surgery, I cannot say enough about how different this experience was. To have a doctor explain the procedure, what would be necessary to correct the issues from the previous surgery, as well as her ability to fix what the previous doctor had done (which left me disfigured and insecure in my appearance) is something I cannot put into words. Her energy and upbeat attitude are so important to the experience. You leave feeling that you are more than just a patient, which translates to a better recovery and overall experience. I am so grateful to have found Dr. DeRosa."- K.G. / Google / Mar 10, 2020
The Mohs surgery procedure is typically employed to treat the two most prevalent kinds of skin cancer, squamous cell carcinoma and basal cell carcinoma, as well as a variety of other skin cancer subtypes. If you are suffering from melanoma or another form of rare skin cancer, a consultation can help determine if you're an ideal candidate for Mohs surgery. Besides the specific type of skin cancer you have, there are also other qualifying criteria that may make you a fantastic candidate for Mohs surgery.
Facial scar revision surgery can be used to repair previously caused surgical scars or as a follow-up surgery after Mohs has been performed and the incisions have healed.
During your Mohs surgery, Dr. DeRosa will typically utilize local anesthetics to numb the affected region prior to incisions that are created for elimination. The incisions may be compared to a map (similar to a clock face) and are created to correspond with the orientation of your skin that had been removed. The excised layer is suspended, processed, and examined under the microscope. When additional cancer roots are detected, they are indicated on the corresponding map and the process is repeated. The process continues until a fresh coating with no residual cancer is reached. The number of layers eliminated and the duration of the procedure is dependent on the phase of cancer and how long it has been present. The conclusion of this process will render a wound. Healing solutions range from easy sutures to close the wound to more complex reconstructive (plastic) surgery for bigger wounds.
Your facial scar revision surgery will be performed under local or general anesthesia and will involve the use of carefully placed incisions and sutures to artistically repair your scar.
What to Expect
Mohs surgery is not a simple process, but with a proficient team and advanced techniques, many patients report minimal pain. Mohs surgery and/or facial scar revision surgery is normally performed as an outpatient procedure with patients able to drive home afterward. Even though the treated site will be heavily bandaged, it is likely you can resume regular non-strenuous actions the next day. This rules out any strenuous exercise or heavy activities for up to 1 – 2 weeks. If sutures were used, they will be taken out within 6 – 14 days. Scarring will differ based upon the procedure. The success rate of eliminating the cancerous tissue from the treated site is extremely high when treating main basal cell carcinoma with thin melanomas achieving around a 99% cure rate. Primary squamous cell carcinoma has a bit of a lower cure rate at around 97%.
Frequently Asked Questions
What will the procedure cost?
Mohs surgery and facial scar revision are highly customized procedures. In order to determine the cost of your specific surgery, Dr. DeRosa will meet with you during a consultation to understand your needs and cosmetic goals. Prior to scheduling your surgery, we will discuss the approximated cost of your procedure and help you understand what methods of payment our practice accepts.
Where will the procedure take place?
In most cases, the surgery can take place in our office. For cases that require long surgeries or large treatment areas, we may recommend more in-depth anesthesia options and an accredited surgical facility.
How long will recovery take?
You will be sent home after your procedure with detailed wound care instructions. It is very important to carefully follow these directions to prevent infection and expedite healing. Your individual recovery period will be dictated by the extent of the procedure. May patients can have their sutures removed in approximately one week.
Plan Your Procedure
Superior skin Care
When confronting a skin cancer diagnosis, it's essential to do your research and locate an experienced Mohs surgeon who is an ideal fit for your expectations and needs. Success rates of this process are directly correlated to your physician's skill and experience. To learn more about the experience, training, and personal success rates of Dr. DeRosa, contact DeRosa Clinic Facial Aesthetics today and simply schedule an appointment.
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