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Mohs Micrographic Surgery

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About Mohs Micrographic Surgery


Only a small number of highly trained surgeons can perform Mohs surgery for skin cancer. At Thomas Dermatology, with locations in Las Vegas and Henderson, Nevada, and newer offices in Bullhead City, Kingman, and Lake Havasu City, Arizona, the board-certified and fellowship-trained Mohs surgeons expertly perform skin cancer surgery in a highly technical way that removes the skin cancer with minimal scarring or damage. To learn more about Mohs micrographic surgery, call the nearest office or book online today.

This was my first visit at Thomas Dermatology and I’m so grateful with the genuine kindness by the staff! I was quite nervous for my appointment but was given some words of encouragement and calmed down quickly! I’m so grateful for them!
Kathryn D.
Dr. Hand was kind, compassionate and honest. I am thrilled and grateful that after one month of having the procedure the deep incision on my cheek is healing beyond my expectations.
Dawn W.
Vanessa Benes is the best! Caring, listens, down to earth, just all around great person & PA. I’m usually in and out within 30 minutes yet never feel rushed. Office is very organized and timely. I see Vanessa and so do my kids absolutely recommend.
Leray A.
Susie Smith has treated me for 10 years. I cannot express enough what excellent care she gives. Very thorough yearly skin checks. She has put my eczema in remission. Cleared up my acne and keeps my face and skin beautiful.
Annie T.
I always have great results with Christine Crovetti. Christine is a perfectionist. She takes her time and is very informative to what you request. I highly recommend her services.
Lorry M.
I got there right on time for my appointment and was called back immediately. Everyone from the nurse to the doctor was exceptional! Very patient, informative, and friendly!
Danny S.
Dr. Lieberman is personable, caring and very thorough. He’s been my dermatologist for over 10 years and he always takes time to discuss issues with me and answer any questions I might have. I never feel rushed and always believe I get the best medical care from him.
Patricia C.
Jordan Spoon was very professional and related really well to my 11 year old who was very nervous to be there. I would highly recommend her.
Marv H.
This is the third dermatology practice I have visited and the first one that treated me with professionalism and skill. I would definitely recommend this practice.
Joanne B.
Reylina was warm yet knowledgeable and professional, and delightful to visit with during my facial. I didn’t feel like she was trying to sell me on any products or services that wouldn’t benefit me and my specific skin type. Would 100% recommend!
Jennie T.
We love Dr. Michaels and Thomas Dermatology. They have been taking care of us for over 25 years, they have helped our whole family.
Annie B.
I took my 7 year old granddaughter to Thomas Dermatology and everyone there was very helpful, professional. Kylee was very patient with my granddaughter. Highly recommend!
Jeanette M.
Great experience as a first time patient. The check in was easy and the receptionist was very professional and friendly. Dr. Corbett was very friendly and easy to talk to about my concerns. She has a great disposition and is a good listener.
Andrew H.
I have been going to Thomas Dermatology for many years, starting at Post Road and now at the Centennial office. I have always been treated with kindness and with utmost professionalism.
Linda O.
It was amazing experience. The staff at the front desk were very friendly. I was taking back on time with no extra wait time. Terry Davis is amazing and very good at what he does. I was in out from the moment I walked in to back in car within 30 minutes.
Dan K.

Mohs Micrographic Surgery Q & A

What is Mohs micrographic surgery?

Mohs surgery, the gold standard for skin cancer surgery, is a precise method to remove a cancerous growth in tiny increments. This approach allows surgeons to examine 100% of the tumor margin but excise only the cancerous cells. 

Ultimately, Mohs surgery offers a 98-99% cure rate for new cancers and a 95% cure rate for recurring cancers while sparing the maximum amount of healthy tissue. 

Our Mohs surgeons are fellowship-trained physicians who have completed additional specialized training in removing and repairing large and complex tumors. Thomas Dermatology takes great pride in hiring some of the most skilled Mohs surgeons in the country. 

How does Mohs micrographic surgery work?

You may receive local anesthesia for your Mohs procedure, so you can be awake throughout the process. Your surgeon removes the visible portion of the lesion as well as a very small amount of the tissue around it. 

You wait as your surgeon examines the lesion in the on-site pathology lab. They create a map to mark the locations of any cancerous cells (besides the lesion) that they find. Then, they follow this map to excise an additional layer of tissue from only the cancerous areas. 

They return to the lab to examine and map that layer of tissue and then continue this process in stages until there's no cancer left. 

After removing the entire cancerous lesion, your Thomas Dermatology surgeon performs wound repair or reconstruction as needed. Depending on the size and depth of the area, they may do a simple closure, skin flap, or skin graft.

For relatively small surgical sites, they may leave the wound to heal itself. For complex or more significant reconstruction, a plastic surgeon may assist.

Am I a candidate for Mohs micrographic surgery?

The best candidates for Mohs surgery are usually people with one of two types of skin cancer: basal or squamous cell carcinoma. Mohs surgery is particularly well-suited for people with tumors in delicate areas such as:

  • Nose
  • Ears
  • Eyelids
  • Lips
  • Hairline

You may also be a good candidate for Mohs surgery if you have skin cancer in an area where preserving the maximum amount of healthy tissue is especially vital, such as the hands, feet, or genital organs.

The Thomas Dermatology team may also recommend Mohs surgery if you have recurring skin cancers.

What should I do before Mohs micrographic surgery?

The Thomas Dermatology team gives you specific directions ahead of your Mohs surgery. Bring an up-to-date list of medications to your pre-surgery appointment. 

If you take warfarin, the team needs to know your most recent prothrombin time (PT) and international normalized ratio (INR) results. 

If you use any herbal supplements, the team may recommend discontinuing those that increase the risk of bleeding at least a week ahead of your Mohs surgery.

Because your surgery day may be a long one, be sure to get plenty of rest. Bring a healthy snack along with a digital device, book, or other means of entertainment to pass the time during staging. 

What should I do after Mohs micrographic surgery?

Below is a very helpful video from the American College of Mohs Surgery outlining the healing process and tips on making your recovery as smooth as possible.

(embedded video here) 

If you are concerned that you might have skin cancer schedule your next full body checkup appointment at Thomas Dermatology by calling the nearest office or booking online. 

Thomas Dermatology