Mohs Surgery (cont.)
Gary W. Cole, MD, FAAD
Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- What is Mohs micrographic surgery (MMS)?
- Why is the procedure called Mohs?
- Where can I have Mohs surgery, and how long does the surgery take?
- What kind of physician can perform Mohs surgery? Where can I find a doctor board-certified in Mohs?
- Is Mohs only for skin cancer?
- Am I a good candidate for Mohs surgery?
- What if I have artificial joints or other health issues?
- What areas are treatable by Mohs surgery?
- What are possible complications of Mohs?
- What is reconstruction? Will I have a scar after Mohs surgery?
- What are alternatives for Mohs surgery?
- What about insurance coverage and costs of Mohs surgery?
- How do I prepare for my Mohs surgery?
- What is the recovery time for Mohs surgery? Is Mohs painful?
- How do I take care of my surgical area after Mohs surgery?
- What is the chance that my cancer will recur after Mohs surgery?
- How many "levels" of Mohs surgery will I need?
- How are skin cancers treated?
- Find a local Dermatologist in your town
Where can I have Mohs surgery, and how long does the surgery take?
Mohs micrographic surgery is usually performed in an outpatient setting like a doctor's office and under local anesthetic (lidocaine). Sometimes the procedure may be performed in an outpatient surgical center with the assistance of an anesthesiologist. Rarely, it is performed in an inpatient hospital setting.
You are generally in the medical office for several hours on the day of your Mohs procedure. Depending on how large or difficult your skin cancer is, different numbers of levels may be required to achieve clearance. Mohs requires your patience and your doctor's careful effort and skill. It is not always possible to predict ahead of time how many hours your specific procedure will take. Most patients leave their day's schedule open to allow for adequate time to complete their Mohs procedures.
What kind of physician can perform Mohs surgery? Where can I find a doctor board-certified in Mohs?
Most Mohs surgeons are specially trained dermatologists. There are also some plastic surgery, or ear, nose, and throat (ENT) surgeons who are also trained to perform Mohs.
There is no current board certification for Mohs surgery. There are two nationally recognized and respected national Mohs specialty groups called the American College of Mohs Surgery.
This medical group has specialty training and certification exams for their members. Members of the American College of Mohs Surgery usually have completed an additional one to two years of Mohs training.
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