Mohs surgery is a special type of excision surgery that serves to completely remove skin cancer.
1. How long is the recovery?
You should be able to go home the same day. You should be able to return to your normal activities after one week. Depending on your type of work, you should be able to return after one week.
2. I’m worried about pain.
There is slight discomfort following Mohs surgery, but this is only temporary. Some swelling and bruising is expected but resolves after a few days.
3. Will I look natural?
Every effort will be made to give you a natural end result.
4. Can I avoid general anaesthetic?
This procedure is performed under local anaesthetic.
5. What is the cost?
If you would like a tailored quote, please book an initial consultation to discuss your condition and treatment options with your chosen consultant. Once the initial consultation is complete, you will receive a tailored quote for your treatment. Please call us on 01709 464200 or email email@example.com if you wish to receive a guide price for any specific treatments.
The main difference between Mohs surgery and conventional excision surgery is that Moh’s involves immediate microscopic examination of the skin specimen and if cancer cells are still present, more skin is removed. The process is repeated until the skin specimen does not contain any skin cancer.
As Mohs surgery reveals to the surgeon where skin cancer cells are present, further skin excision can be precisely performed thereby preserving the non-cancerous skin. Once the skin cancer has been fully removed, the Consultant will reconstruct the wound with the most appropriate plastic surgery technique.
Mohs surgery is one of the most precise and effective surgical techniques at removing skin cancer. The technique combines a very high cure rate with good preservation of non-cancerous skin.
Mohs surgery can be used for skin cancer on any part of the body but is predominantly used for basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) on the head and neck. It is particularly performed for skin cancer around the eyes, nose, lips and recurrent skin cancers.
Advantages of Mohs Surgery
The main advantages of Mohs surgery include, a very low risk of the skin cancer recurring, maximum preservation of healthy skin, the skin cancer can be usually be treated with a single session and it can be performed under local anaesthetic.
The area to be treated is first injected with local anaesthetic, which renders the area numb. After the local anaesthetic takes affect, patients do not feel pain and remain awake throughout the procedure.
The skin cancer will be surgically removed with a narrow margin of normal skin. A further layer of tissue will be removed from the wound bed, which is sectioned and colour-coded for orientation. The tumor sections are then placed on a slide and analysed under a microscope.
If skin cancer is found in a particular section, more tissue will be removed from the corresponding wound bed. This process is repeated until all the wound bed sections are clear of cancer. As Mohs sugery is a ‘tissue-sparing’ technique, the defect is kept to a minimum. Depending on the size and complexity of the defect, reconstruction may be necessary and can be performed the same day.
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As with any surgical procedure, risks should be considered, and the decision to undergo Mohs surgery should not be made hastily. Risks include;
Scar / poor scarring – in some patients the scar may remain red and raised for a number of weeks,
Over-correction / under-correction – although every effort is made to remove the correct amount of skin, one cannot predict the healing process. Skin may remaintight or excessively relax after surgery giving rise to the appearance of over-correction or under-correction,
Asymmetry – there is always a risk of asymmetry whenever surgery is performed on both sides of the body. It is important to understand that nearly everyone has some pre-existing asymmetry,
Bruising and swelling – bruising and swelling is expected but rarely persists for several weeks,
Numbness – Mohs surgery may affect superficial sensory nerves resulting in temporary numbness. This may take several weeks to resolve,
Bleeding and haematoma – excessive bleeding can occur after surgery and rarely, may require surgical drainage,
Infection – should an infection arise then treatment with antibiotics or further surgery may be necessary. The risk of infection is rare,
Delayed wound healing – as in any cosmetic surgery procedure, the quality of healing cannot be predicted. In some patients, the incision may take longer than expected to heal,
General anaesthesia risks, such as feeling sick and vomiting, deep vein thrombosis, shivering and sore throat.
Pricing & Finance
When you’re considering a cosmetic procedure, there’s a lot to think about – the choice of treatments available, the results you want to achieve, the recovery time, any potential risks and, of course, the cost.