Skin Cancer Surgery

Mohs Micrographic Surgery


Mohs Micrographic Surgery is a state-of-the-art treatment for skin cancer in which the treating physician serves as surgeon, pathologist and reconstructive surgeon. The procedure relies on the precision and accuracy of a microscope to trace and remove all of the skin cancer down to its roots. This procedure allows the surgeon to see beyond the visible disease and precisely identify and remove all of the cancer. If microscopic analysis still shows evidence of disease, the removal process continues layer-by-layer until the cancer is all gone.

This technique ensures that only the diseased tissue is removed, while preserving the healthy, normal tissue. Mohs surgeons are dermatologists with extensive knowledge and training in the field of skin and its healing properties.They are also highly-trained in reconstructive surgery, and can perform any necessary reconstructive procedure at the time of surgery.

When compared to other treatments for skin cancer, Mohs Micrographic Surgery offers the highest cure rate (about 100%), has the lowest chance of re-growth, minimizes the potential for scarring, and is the most exact and precise means of removing skin cancer.

At Greater Miami Skin and Laser Center, our dermatologists can advise you if Mohs surgery is appropriate for you. Generally, Mohs surgery is performed on an outpatient basis, under local anesthesia.

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Short-Term Mole Monitoring


Short-term mole monitoring is an additional diagnostic tool used for the early detection of Melanoma. It is typically used to monitor a single suspicious growth or suspicious legions that lacks definite dermatoscopic features of Melanoma. The technique is most often used for changing moles that appear benign with dermatoscopy, or in the case of certain suspicious moles that have no history of clinical change.

A high resolution digital dermatoscopic image is taken and then photographed again after a three-month interval. Studies have verified that unchanged lesions are benign and those that demonstrate change are likely malignant.

Ultimately, short-term mole monitoring allows for the detection of melanoma at its earliest stage and helps to avoid unnecessary excisions.

How do I protect my skin from the sun?

If you use common sense and take care to Be Sun Smart®, you can safely work and play outdoors without increasing skin cancer risk or premature aging. It is never too late to start protecting your skin. Still love that sun-kissed glow? Skip the suntan and go for cosmetic bronzers to achieve the look without the damage.

Here is how MOHS Cancer Surgery happens! | RT 4:55

Here’s how to Play Sun Smart®

Generously apply a broad-spectrum water-resistant sunscreen with a Sun Protection Factor (SPF) of 30 or more to all exposed skin and re-apply approximately every two hours, even on cloudy days, and after swimming or sweating.
Wear protective clothing, such as a long-sleeved shirt, pants, a wide-brimmed hat and sunglasses, where possible.
Seek shade when appropriate, remembering that the sun’s rays are strongest between 10 a.m. and 4 p.m. If your shadow is shorter than you are, seek shade.
Protect children and babies from sun exposure by playing in the shade, wearing protective clothing, and applying sunscreen. You babies cannot tell you they are getting burned.
Use extra caution near water, snow and sand as they reflect and intensify the damaging rays of the sun which can increase your chance of sunburn.
Get your vitamin D safely through a healthy diet that may include vitamin supplements. Don’t seek the sun.
Avoid tanning beds. If you want to look like you’ve been in the sun, consider using a sunless self-tanning product, but continue to use sunscreen with it.
Check your birthday suit on your birthday. If you notice anything changes, growths, or bleeding on your skin, see a dermatologist.

When should I see a dermatologist?


You should see a dermatologist a minimum of once a year. If you notice that a mole differs from another or a spot on your skin changes, itches, or bleeds (even if it is small), immediately make an appointment to see a dermatologist. These changes can be signs of skin cancer. With early detection and treatment, skin cancer has a high cure rate.

If you are unhappy with the signs of aging on your skin due to too many days at the beach, talk to your dermatologist. He or she can tell you about different options that can help minimize or even reverse past damage.