Moh’s Surgery

We offer Mohs surgery at our Rogers and Bella Vista locations. Also known as Mohs micrographic surgery, Mohs surgery is used to treat skin cancer. Traditionally, when a skin cancer has to be excised, the dermatologist removes the cancerous growth and the surrounding tissue. However, during Mohs surgery, the provider is able to see where the cancer stops. This gives Mohs two important advantages:

  1. The cure rate is very high.
  2. Mohs allows you to keep as much healthy skin as possible because only the cancerous tissue is removed.

What is Mohs recommended for?

Mohs is reserved for skin cancers that have a high risk of reappearing or for skin cancers that have already recurred. It is also done to remove large cancers, aggressive cancers, cancers with poorly defined margins, and cancers that are in scars. No matter what type of skin cancer you have, Mohs is only recommended for certain patients. You must have one skin cancer or a few skin cancers that are very close together.

The procedure is most often used for basal and squamous cell carcinoma and has a very high success rate of 97-99% of cancers cured. It may also be used for early melanomas and is the preferred option for removing skin cancer from areas such as the face, hands, feet, and genitals, where preserving a maximum amount of healthy tissue is important for maintaining function and minimizing scarring. Your provider can help you determine if Mohs is the right treatment for you.

What happens during Mohs surgery?

Mohs can be safely performed in our medical office. On the day of the surgery, the treatment area is examined and a local anesthetic is applied or injected to numb the affected area.

The visible growth and a small segment of surrounding skin are removed. The tissue is examined under a microscope for cancer cells. If cancer cells are found, skin continues to be removed and examined. This will continue until no more cancer cells are found. Two or three stages of this process are typical, but individuals may require several excisions depending on how extensively the cancer has spread. The entire Mohs surgery is typically performed in a single session and may last several hours.

Watch the video below for a complete animation of the entire Mohs surgery process:

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