Mohs Surgery

About Us

Mohs Surgery

Mohs micrographic surgery is considered the most effective and advanced treatment for skin cancer today. For decades, Mohs surgery has proven effective in getting to the roots of skin cancer by combining the surgical removal of cancer with the immediate microscopic examination of the tumor and underlying diseased tissue.  This process allows dermatologists trained in Mohs surgery to see beyond the visible disease and precisely identify and remove the entire tumor.

Of all treatment options for skin cancer, Mohs micrographic surgery:

  • Offers the highest cure rate (up to 99%)
  • Has the lowest chance of re-growth
  • Minimizes the potential for scarring or disfigurement
  • Is the most exact and precise means of removal

This technique is often preferred when the site of the skin cancer is an area where recurrence is likely as well as for larger tumors and for certain aggressive types of skin cancers.  This delicate balance of removing all of the cancer cells while preserving as much healthy skin as possible is achieved by alternating surgical and diagnostic steps.  First, the visible tumor is removed and then, a small layer of surrounding tissue is removed to search for any remaining cancer cells.  When additional cancer cells are identified under microscopic examination, the surgeon returns to the affected area and removes another layer of skin for evaluation.  This process is repeated until no further cancer cells are located.

Mohs surgery is performed in the offices of Dallas Associated Dermatologists, on an outpatient basis and under local anesthesia.  In most cases, the wound is repaired following the completion of the Mohs surgery.  However, repair may sometimes be delayed until the following day or the patient may be referred to a plastic surgeon for the repair.

Not all dermatologists are qualified to perform this type of surgery.  In addition to meeting the requirements for their dermatology certification, Mohs surgeons are required to complete a one to two year fellowship of the American College of Mohs Micrographic Surgery and Cutaneous Oncology (ACMS).  This training includes participation in at least 500 Mohs micrographic surgery cases, under the supervision of an experienced, ACMS approved Mohs surgeon. 

At Dallas Associated Dermatologists, we proudly offer this advanced surgical technique at our Baylor location performed by Trenton D. Custis, MD.

Are you scheduled for an upcoming appointment for Mohs surgery?

If so, please arrive at your appointment with the completed Mohs Health History Questionnaire. You may also refer to our Mohs Patient Information Packet and location map to answer any questions you may have about your upcoming procedure. Do not hesitate to contact our offices if you have any other questions or concerns.

American College of Mohs Surgery