MOHS and Surgical Dermatology

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MOHS Micrographic Surgery

The most advanced treatment for skin cancer, Mohs Micrographic Surgery (MMS) was developed by Dr. Frederick Mohs in the 1930’s. Mohs Surgery allows the specially trained surgeon to excise and examine thin layers of fresh tissue immediately, reducing treatment time, and allowing immediate reconstruction of the wound.

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Excisions

To remove cancerous skin, your Dermatology physician will begin by outlining the area with a skin-marking pen. A margin of normal appearing skin will be included because there is no way to determine with the naked eye how far the cancer cells have spread.

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Shave Biopsies

During a shave biopsy, a doctor uses a tool similar to a razor to scrape the surface of the skin. The result is a slightly indented area of your skin. Stitches usually aren’t necessary after this procedure.

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Punch Biopsies

During a punch biopsy, a doctor uses a special circular blade to remove deeper layers of skin for testing. Depending on the size, stitches may be necessary to close the wound.

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Liquid Nitrogen

Liquid nitrogen is a cold, liquid gas with a temperature of 196 degrees below zero Celsius (-321 Fahrenheit). It is used to freeze and destroy superficial skin growths such as warts and keratoses.

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