Skin cancer is the most common type of cancer, not just in the United States, but around the world. Before surgery I had a perfectly straight nose profile. 3. By choosing a fellowship-trained Mohs surgeon you can be assured that you will receive the highest standard of quality and expertise as well as an optimal outcome. On the day of the surgery, your surgeon will first examine the area to be treated. Listing does not constitute endorsement by the ACMS, its board or its officers. 2. The Mohs surgeon then maps out and removes a thin layer of normal-appearing tissue at the edges of the previous visible cancer. Layer of layer of tissue will be checked until the tests no longer detect any cancer. This is a very common question. It relies on the precision and accuracy of a microscope, rather than the human eye, to trace out and ensure complete removal of skin cancer – down to its roots. The Mohs surgeon then “reads” the slide to determine which margins still contain cancer cells. Mohs surgery is unique and so effective because of the way the removed tissue is microscopically examined, evaluating 100% of the surgical margins. The ACMS Find a Surgeon directory and database is offered as a service to the membership and the community. Developed by Frederic E. Mohs, M.D. Conditions We Treat WVU Medicine fellowship-trained Mohs surgeon Vlad Codrea, MD, PhD , specializes in dermatology, pathology, and reconstructive surgery, and uses Mohs surgery to treat a variety of common and less common skin cancers. Your Mohs surgeon is also able to verify that all cancer cells have been removed at the time of surgery. I had mohs surgery on the top if my nose for a basal cell in June 2018. Find a Mohs Surgeon. During this procedure, we remove layer after layer of cancer-containing skin, until only cancer-free tissue remains. Many skin doctors (dermatologists) can perform Mohs surgery, since dermatologists learn about Mohs surgery in their medical training. This type of reconstructive plastic surgery can be performed immediately after any skin cancer lesions are removed. Upon microscopic examination, if residual cancer is found, the Mohs surgeon utilizes the Mohs map to direct the removal of additional tissue (Stage II). A Mohs surgeon must have extensive experience in Mohs surgery before obtaining their fellowship status with the American Society of Mohs Surgery. Mohs micrographic surgery is a highly specialized state-of-the-art treatment for skin cancer in which the physician serves as the surgeon, pathologist and reconstructive surgeon. Mohs surgery can be technically challenging. Mohs micrographic surgery, which is performed in our office using local anesthesia, is a state-of-the-art treatment for skin cancer in which the physician serves as a surgeon, pathologist, and reconstructive surgeon. If you are being treated for Mohs surgery by a physician who is a member of the American College of Mohs Surgery, then they have formal training in the reconstructive surgery and often do more reconstructive surgery for skin cancer than most plastic surgeons. Many patients question who should perform reconstruction: their MOHS surgeon or a plastic surgeon. Dr. Hacker has treated just under 10,000 patients with Mohs surgery over the last 20 years and received his surgical expertise by training with some of the best Mohs surgeons in the world. Paid Job. The Mohs surgeon carefully examines the entire undersurface and complete edge of the specimen, and all microscopic “roots” of the cancer are precisely identified and pinpointed on the Mohs map. Our Mohs surgeon, Dr. Malika Tuli is a dermatologist who have completed extensive training in Mohs surgery. Mohs surgery is always performed in a medical facility that houses a laboratory. 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