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Formerly known as MOHS

Micrographic Dermatologic Surgery

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MOHS Micrographic Surgery

MOHS Micrographic Surgery, currently referred to as Micrographic Dermatologic Surgery,  is an advanced treatment procedure for the total removal of skin cancer. It offers the highest potential for a complete cure — up to 99 percent — even if other forms of treatment have failed. It is most often used in the treatment of Basal Cell Carcinoma and Squamous Cell Carcinoma, the two most common types of skin cancer.

MOHS Micrographic Surgery differs from all other methods of treating skin cancer because it allows the surgeon to precisely identify and entirely remove a tumor through complete microscopic examination, leaving healthy tissue unharmed. It relies on the accuracy of a microscope to trace and ensure removal of skin cancer down to its roots.

The MOHS procedure requires a highly trained surgeon who is a specialist in both Dermatology and Pathology. Dr. Robert H. Zax is one of the few doctors in the Louisville area qualified to perform MOHS surgery as he is both a Board-Certified Dermatologist and a Board-Certified Micrographic Dermatologic Surgeon.

The Advantages of MOHS Surgery

  1. Minimizes the chance of tumor re-growth
  2. Lessens the potential for scarring or disfigurement
  3. Preserves the maximum amount of normal skin
  4. Repairs are often simple and involve fewer complicated reconstructive procedures
  5. Does not require hospitalization

For more information about MOHS Micrographic Surgery, visit the American College of MOHS Micrographic Surgery and Cutaneous Oncology web site: http://www.mohscollege.org/

Yes. Any form of treatment will leave a scar; however, because MOHS surgery removes as little normal tissue as possible, scarring is minimized. Immediately after the cancer is removed, we may choose to:

• leave the wound to heal by itself
• repair the wound with stitches
• reconstruct the wound with a skin graft or flap
• arrange consultation with a reconstructive surgeon.

Most patients do not complain of pain. If there is any discomfort, a non-narcotic pain reliever is usually all that is necessary for relief. Avoid taking medications containing aspirin as they may cause bleeding. You may have some bruising around the wound especially if the surgery is close to the eye. Please notify the office if you are taking any type of blood thinner.

Most insurance policies cover the cost of MOHS surgery. The Skin Group is a participating provider with most insurance plans, including Medicare. It may be necessary to obtain a referral from your primary care physician.

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