Mohs Surgery in Dallas, Texas

What is Mohs surgery?

Mohs surgery, also called micrographic surgery, is one of the highest regarded dermatology treatment options used to help treat skin cancer. The Mohs surgery procedure involves precise layer-by-layer removal of cancer-affected skin until all cancerous layers are gone. In comparison to traditional surgery, which removes small areas of healthy surrounding tissue, Mohs surgery aims to provide maximum preservation of healthy tissue. With Mohs surgery, doctors can perform on-site analysis of removed tissue to ensure that all cancer is removed during the initial treatment, helping to make the first round of treatment more effective.

Why is Mohs surgery used?

Mohs surgery is primarily used to treat basal cell carcinoma and squamous cell carcinoma, the two most common forms of skin cancer. Mohs surgery may also be used to treat certain forms of melanoma and other forms of skin cancer. Because Mohs surgery can preserve more healthy tissue, it is used in delicate areas such as on the nose, ears, mouth, scalp, hands, and around the eyes or genital area. Mohs surgery is also recommended when skin cancer:

  • Recurs after treatment
  • Is at high risk of recurring after treatment
  • Has unclear edges
  • Is large in size or aggressive in nature

What does treatment involve?

At Dermatology Treatment and Research Center, Mohs surgery is not performed within our treatment center. If you have been diagnosed with skin cancer and are interested in this procedure, we will refer you to an accredited doctor who specializes in the performance of Mohs surgery.

Mohs surgery is an outpatient procedure performed under local anesthesia and involves your doctor carefully removing cancerous tissue. To begin your doctor will carefully examine the affected area of skin. Depending on the location of the cancer, your doctor will either place you in a seated position or have you lie down. Your doctor will then apply a sterile drape over the affected area and administer local anesthesia.

Once you are comfortable and relaxed, your doctor will begin the procedure, gently removing the uppermost visible layer of cancerous tissue along with a thin layer of skin that sits beneath that layer.

Your doctor will then perform a lab analysis of the removed tissue to determine if the cancer extends into deeper layers of tissue. This portion of the procedure can take up to an hour or more, during which you will wait until the results are ready.

If the analysis reveals the presence of cancer in the tissue, your doctor will proceed to remove the following layer of tissue. If needed, additional anesthesia may be administered. Similar to before, your doctor will examine the removed tissue, checking to see if any cancer remains and returning to remove the next layer if cancer is present. This process will continue until all succeeding examined layers of tissue are cancer-free.

As with any cancer, there is a chance that the skin cancer may return or new cancer cells may develop. Maintaining routine follow-up visits can help your doctor monitor and assess your skin for additional signs and symptoms of skin cancer.

What are the benefits of Mohs surgery?

For patients who are seeking skin cancer treatment options, Mohs surgery may offer the following benefits:

  • Complete removal of cancerous tissue
  • Preservation of healthy tissue
  • Ability to treat delicate areas of the face and body
  • On-site lab work
  • One single procedure visit
  • Minimal scarring
  • High success rate

At Dermatology Treatment and Research Center, Mohs surgery is not performed within our treatment center. If you have been diagnosed with skin cancer and are interested in Mohs surgery, our experienced dermatologists will refer you to an accredited doctor who specializes in Mohs surgery. To request a consultation with one of our board-certified physicians, call 972.661.2729 or fill out the form on this page to book an appointment.