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.
Serving as surgeon, pathologist, and reconstructive surgeon, Mohs Fellowship trained Dermatologist Dr. Clarence Brown traces the skin cancer down to its roots, ensuring complete removal. Dr. Brown begins by removing the obvious tumor. The removed tissue is then microscopically examined for evidence of remaining cancer cells. If any of the tissue sections examined contain cancer cells, the Mohs surgeon will return to the specific area to remove another thin layer. This process is repeated until the surgeon is certain all cancer has been removed. The Mohs procedure allows Dr. Brown to see beyond the visible disease, and precisely identify and remove the entire tumor, leaving healthy tissues intact and unharmed.
Advantages of Mohs Micrographic Surgery
- Highest cure rate of any existing procedure
- Preserves the maximum amount of normal skin, resulting in smaller scars
- Involves few reconstructive procedures
- Minimizes risk of recurrence, eliminating costs of more invasive and serious surgery
- Performed in the surgeon’s office, with pathologic examinations conducted immediately
- Surgery most often completed in a single day
Indicators for Mohs Micrographic Surgery
- Cancer is large
- Cancer is growing rapidly
- Cancer has indistinct borders
- Cancer has been previously treated and has reoccurred
- Cancer has formed in an area of extensive scar tissue
- Cancer is in a difficult area where it is important to preserve healthy tissue for maximum functional and cosmetic results, especially the head, neck, hands, genitalia, lips, eyelids, nose, ears, and fingers.
Depending on the surgical site, stitches will stay in place for 7-14 days.
Dr Clarence Brown has over 20 years of experience and is a Fellowship trained MOHS Micrographic Surgeon, performing over 50,000 cases.