Remove Skin Cancer Layer by Layer

Mohs surgery is a highly specialized skin cancer treatment that removes cancerous tissue in precise stages while preserving as much healthy skin as possible. During surgery, thin layers of tissue are removed and examined under a microscope in real time until no cancer cells remain. This technique offers exceptionally high cure rates for certain cancers, especially those located on cosmetically or functionally delicate areas such as the face, ears, scalp, hands, and neck.

What Does Mohs Surgery Treat?

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Recurrent skin cancers
  • Aggressive or rapidly growing skin cancers
  • Skin cancers with poorly defined borders
  • Skin cancers located on the face, ears, lips, or scalp
  • Certain skin cancers affecting the hands, feet, or genitals

How Does Mohs Surgery Work?

Mohs surgery uses staged excision and microscopic margin analysis to remove skin cancer cells while preserving healthy tissue. During surgery, a thin layer of tissue is removed, mapped, color-coded, and immediately examined under a microscope to evaluate the surgical margins for residual cancer cells. If abnormal cells remain, additional tissue is removed only from the affected area. This systematic process continues until the margins are completely clear, maximizing cure rates while minimizing unnecessary tissue removal.

What Are the Benefits of Mohs Surgery?

  • Exceptionally high cure rates for certain skin cancers
  • Precise removal of cancerous tissue
  • Maximum preservation of healthy surrounding skin
  • Lower risk of cancer recurrence
  • Immediate microscopic confirmation of clear margins
  • Ideal for cosmetically sensitive areas like the face
  • Reduced unnecessary tissue removal
  • Personalized reconstruction after cancer removal
  • Performed under local anesthesia in an outpatient setting

FAQs

Your Mohs surgery session begins with Dr. Burch or Dr. Brackenrich carefully examining and marking the treatment area before administering local anesthesia to ensure comfort. A thin layer of tissue is precisely removed and processed for immediate microscopic evaluation. While the tissue is analyzed, you will rest comfortably before returning for additional stages if cancer cells remain. Once the margins are completely clear, your wound is meticulously repaired to support optimal healing, function, and cosmetic outcomes.

You can expect mild swelling, redness, bruising, tenderness, and temporary tightness around the treatment area, especially during the first several days. Most patients can resume light daily activities within 24 to 48 hours, although strenuous exercise and heavy lifting should typically be avoided for 1 to 2 weeks. Sutures are often removed within one to two weeks, depending on the location treated. As healing progresses, the incision softens and fades over a few months.

Mohs surgery offers some of the highest cure rates available for skin cancer treatment, with cure rates reaching up to 99% for certain newly diagnosed skin cancers and high success rates even for recurrent cases. Since the tissue margins are evaluated in real time, the risk of leaving behind cancer cells is significantly reduced. You can also expect greater preservation of healthy skin, which often leads to improved cosmetic and functional outcomes. However, ongoing skin checks remain important to monitor for future skin cancers.

Refined Dermatology
for Every Season of Life

Schedule Your Consultation for Mohs Surgery in Midland, TX

Seasons Dermatology and Aesthetics is dedicated to delivering thoughtful, precise skin cancer care tailored to your health and comfort. Dr. Aaron Burch and board-certified dermatologist Dr. Jared Brackenrich use their advanced surgical expertise and compassionate, relationship-centered approach to surgical care to achieve refined, tissue-preserving outcomes. Schedule your consultation for Mohs surgery in Midland, TX, and experience elevated dermatologic care.

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Contact Us 432.203.4776