What to Expect During Mohs Surgery for Skin Cancer

A certified Mohs surgeon Mohs typically performs Mohs surgery in a specialized dermatology setting. Doctors often perform the procedure as an outpatient surgery, which means you can go home the same day. It is a convenient and efficient option for many patients seeking skin cancer treatment. During the surgery, a step-by-step process is followed carefully so that the cancer is entirely removed while preserving as much healthy tissue as possible.

Numbing the Surgical Area

The first step in Mohs surgery involves numbing the surgical area with a local anesthetic by the Mohs surgeon. Numbing the area eliminates the possibility of feeling any pain during the procedure, although you will remain awake. The injection used to numb the area may cause some mild initial discomfort, but it will keep you comfortable while the surgery is underway. The local anesthetic will take effect quickly, allowing the surgeon to begin the procedure without any discomfort.

Removing the Tissue Layer

Once the area is numb, the surgeon will carefully remove a thin layer of tissue from the affected area. This layer is extremely thin to minimize the amount of healthy tissue removed. After the surgeon removes the tissue, they immediately send it to a lab for microscopic examination. 

Examining the Tissue for Cancer Cells

The surgeon or a pathologist carefully examines each layer of removed tissue under a microscope. This step is important because it allows the surgeon to detect and remove any remaining cancerous cells. The surgeon may remove and examine additional layers until the tissue is free from cancer. The process ensures that the cancer is fully excised while sparing as much healthy tissue as possible.

Procedure Duration and Patience

Depending on the size and location of the cancer, the Mohs surgery may take several hours. It is important to prepare for a longer visit, since multiple layers may need to be removed and analyzed. The surgeon performs the procedure with precision and patience as they work through each layer to ensure complete removal of the cancer. Once the cancer is entirely removed, the surgeon will proceed with repairing the surgical site.

Repairing the Surgical Site

Depending on the size and location of the wound, the repair process will vary. In some cases, the surgeon may close the wound with sutures. In other cases, a skin graft may be necessary. For smaller wounds, the area may be left to heal naturally. Your surgeon will decide on the best method of closure based on the size of the excised tissue and the surrounding healthy skin.

Working With A Mohs Surgeon

The idea of surgery can be overwhelming, so understanding the procedure and preparing ahead of time can help ease your concerns. Mohs surgery is a highly effective and specialized treatment option for removing skin cancer with minimal damage to healthy tissue. Follow the doctor’s instructions and take the necessary steps for preparation, for higher chances of a successful outcome.

Support and Further Information

Reach out to your dermatologist or surgeon if you have further questions or concerns about skin cancer treatments or the Mohs surgery process. Knowledge and proactive care play a significant role in ensuring the best possible recovery and results. Taking control of your skin health by addressing cancer early can help you maintain healthy, vibrant skin.