what is 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 Center Facial Plastic Surgery & Med Spa in Boston, MA to learn more about Mohs and facial scar revision surgery.
What are the types of skin cancer?
MOHS surgery can be used to treat three major forms of skin cancer, including:
- Squamous cell carcinoma: Caused by an abnormal growth of squamous cells and appears as scaly patches that may bleed.
- Basal cell carcinoma: Begins in the basal cells and appears as white lumps or brown patches on the skin.
- Melanoma: Starts in the cells that cause the pigment in the skin and presents as an unusual lump or changes to an existing mole.
"Dr. DeRosa, Thank you for your compassion and understanding. It touched me deeply. I appreciate your kindness and generosity, it was a wonderful thing to experience. May it all come back to you a hundredfold."- Anonymous / Office Visit / Aug 25, 2023
"Dr.DeRosa was absolutely amazing. I have always wanted a nose job since I was 10 and just got one last week 11 years later. She understood exactly what I wanted right away and was the best doctor I’ve ever had. At 1 week post op my nose looks better than I could’ve expected. Obviously it’s still swollen so it’s rounded at the tip but she got rid of the bump and made the tip not droopy and completely natural cause she understands that as a young girl I don’t want it to be pointy or tilted up so much you can see in my nose like some people. Originally we didn’t think we’d need to break my nose but during surgery she made the call that in order to get it looking exactly how she knew I pictured it she did end up breaking it and making it thinner at the top and I’m glad she did because she understood the vision. She is so easy to talk to and understands how important it is to feel comfortable in this setting. Everyone who works there was so nice and made me feel comfortable the moment I opened the door and even answered my email two days after surgery at 8:30 pm when I had a question about the pain. If you are going to get rhinoplasty in highly recommended Dr. DeRosa."- B.M. / Google / Aug 16, 2023
"Steven is a true professional! He is extremely knowledgeable. Everyone on the team is fantastic. Friendly and helpful."- M.M. / Google / Aug 13, 2023
"I went to see Dr. DeRosa for a Rhinoplasty procedure after having suffered significant damages to my nose due to a bike accident earlier last year. I honestly can say I’m so happy with the results! It took about four months after the procedure for it to show a substantial difference but it was well worth it.I highly recommend to anyone wanting/needing a rhinoplasty to give Dr. DeRosa a try. She will listen to your concerns and go over all your options all the while being very friendly and attentive. Her staff is very friendly and resourceful as well."- S.M. / Google / Aug 04, 2023
"Where to begin… I recently had the pleasure of undergoing a rhinoplasty procedure at DeRosa Center and I am thrilled to share my positive experience with others. From the initial consultation to the post-operative care, every aspect of my journey with this esteemed rhinoplasty business was exceptional. Jaimie who is an incredibly skilled surgeon, attentive staff and outstanding results have left me feeling more confident and satisfied than ever before. My experience with Jaimie and Derosa Center has exceeded any expectations I had for a rhinoplasty. I personally had no bruising and very minimal swelling after the rhinoplasty. The very moment Jaimie removed the cast from my nose I knew I chose the right surgeon. Her skills and knowledge, again, exceeded any expectations I had. I had paid for consults for a few other surgeons in the Boston area but after my consult with Derosa Center I knew that’s where I was going to have the procedure. Jaimie’s bed side manner and personality is so welcoming and comforting. Absolutely thrilled with my results."- S.N. / Google / Jul 28, 2023
who qualifies for mohs surgery?
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.
HOW DOES MOHS SURGERY WORK?
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.
Do I wear a bandage after mohs surgery?
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%.
mohs surgery faq
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
take care of your skin
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 Center Facial Plastic Surgery & Med Spa today and simply schedule an appointment.
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