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 Aesthetics 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.
"Very professional and felt comfortable with her and her staff. The results of my surgery were just as I wanted. 😃😃😃. I’m definitely recommend her abs I’m coming back for more! ❤️"- D.V. / Google / Aug 27, 2021
"Thank you for the opportunity to benefit from your consideration and skill. I will continue on my journey and experience more adventures! My best to all."- Anonymous / Office Visit / Jul 22, 2021
"I had the most amazing experience with dr derosa for my rhinoplasty. She is the nicest, most caring doctor I have ever met! Everything was seamless, no issues and the surgery went great. My nose fits my face perfectly and I still look just like me! I am only a month out and love my results. I cannot recommend her enough!"- C.B. / Google / May 14, 2021
"When I was 18 years old I broke my nose. I never did anything about it at the time Because it never really look that bad. As I got older it started looking worse to me my bridge looked really flat and it seem like the bones were wider possibly just the aging process. When I really noticed was in pictures and it really bothered me and I was constantly trying to contour my nose to make it look narrow. Most people didn't even notice but it really bothered me. I finally decided to get an opinion on what it would entail to fix it. I went to three different plastic surgeons. I finally decided on Jaime DeRosa at the Derosa clinic in Boston. Right away after consulting with her I knew she was the right surgeon. She has such an amazing personality and she is a double certified facial plastic surgeon. I just knew I was in good hands. I had the procedure done yesterday and I am feeling great today I was even able to walk the dogs early this morning at 6:30 AM. Her husband is the anesthesiologist and they both made me feel so relaxed and comfortable before and after the procedure. I couldn't have asked for a better pair!"- NC / Other / Apr 02, 2021
"As a mom of 3 little kids, my face was starting to look tired and I was noticing wrinkles starting to appear. After a consultation with Nicole, I decided the IPL laser was the best choice for me. I could not be happier with my results! My face looks years younger and my skin tone is much more even. Nicole and Steven were both extremely knowledgeable and realistic, which I appreciated. Will absolutely be recommending this office to all of my friends!"- D.H. / Google / Jan 19, 2021
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 Aesthetics today and simply schedule an appointment.
A word about "DeRosa Difference". What makes us stand out.
Dr. DeRosa explains why DeRosa Center is unique in facial plastic surgery and procedures such as facelift, rhinoplasty, neck lift, facial rejuvenationRead
What is the difference between local anesthesia, IV sedation, and General?
Our Physician anesthesiologist explains the differences between anesthesia types- local, IV Sedation, and General.Read
What is the DeRosa Difference for facial plastic surgery? Dr. DeRosa explains
Dr. DeRosa explains why the DeRosa Difference gives each patient the best facial plastic surgery experience and care available in Boston Newbury St.Read