Mohs micrographic surgery, or Mohs chemosurgery, is one of the most effective and advanced skin cancer treatments available. Named after dermatologist Frederick D. Mohs, it is a superior surgical technique because it has the lowest recurrence rate for malignant lesions while preserving as much of patients’ healthy tissue as possible.
The procedure consists of removing very thin layers of skin cancer tissue—each examined carefully under a microscope—until healthy tissue is found. Although it is time-consuming compared to traditional techniques, it is an extremely precise method for operating on sensitive areas such as the nose or lips, or high-risk lesions near facial nerve branches. Today, Mohs surgery is often used to remove basal cell carcinomas, squamous cell carcinomas, some melanomas, and other lesions on the face.
While surgery is performed by a specialized dermatologic surgeon, patients are referred to a facial plastic surgeon such as Dr. Ransom for reconstruction. Reconstruction performed immediately after Mohs surgery can be extremely effective in restoring the damaged site to its original appearance. Dr. Ransom has extensive training in complex and multi-stage Mohs reconstruction, and he is highly qualified to restore patients’ natural look of the head and neck.
In the majority of cases, Dr. Ransom can use local anesthesia and perform the surgery in the office. Very large procedures on the face, nose, or scalp may require sedation, as well. This can be arranged at our surgery center in the building or at a hospital in the San Francisco or Marin County area.
Especially in the face, we know that both function and aesthetics are extremely important—for both everyday functioning and confidence—and we’re committed to getting you back on track after a Mohs surgery treatment.
Scheduling a Mohs Reconstruction
After having a discussion with your Mohs surgeon about your preference for plastic surgery, call our office to coordinate the timing. Either you or your dermatologist should then fax your skin cancer history information to our office. We will work together with you and your physician to create a treatment plan.
All insurance plans cover costs associated with Mohs reconstruction, including Medicare. Depending on your specific plan, you may still have out-of-pocket costs such as deductibles, copays, etc. We accept all major PPO plans and are contracted with Medicare for Mohs reconstruction procedures.