Mohs Surgery Atlanta, GA2021-07-13T09:36:30-04:00

When repair is needed.

Mohs surgery is the gold standard for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), including those in cosmetically and functionally important areas. And MetroDerm is the Atlanta gold standard for this procedure.
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When repair is needed.

Mohs surgery is the gold standard for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), including those in cosmetically and functionally important areas. And MetroDerm is the Atlanta gold standard for this procedure.
Contact Us

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THE GOLD STANDARD

Mohs Surgery Atlanta, GA

Mohs Surgery Atlanta, GA, MetroDerm, PC

Mohs micrographic surgery, also known as Mohs chemosurgery, is a highly specialized procedure for the total removal of skin cancers. This surgery uses a layer-by-layer method of removing skin cancer along with microscopic examination of 100% of the removed tissue margins to ensure complete removal. The procedure yields a cure rate of over 99%.

Together, Drs. Amy Kim, Julia Neckman, and D. J. Papadopoulos,  have performed more than 20,000 cases of Mohs micrographic surgery. Drs. Kim and Papadopoulos are fellows of the American College of Mohs Micrographic Surgery and Cutaneous Oncology, the American Society for Dermatologic Surgery, and the American Academy of Dermatology.

MetroDerm’s state-of-the-art surgical facility and excellent staff will make sure that your Mohs surgical procedure is performed with the utmost care and comfort. Additionally, our vast experience in surgical reconstruction enhances our ability to give our patients an excellent cosmetic, post-operative result.

For a complete pre- and post-operative guide to your Mohs surgery, click the button below.

Download the Guide

Mohs micrographic surgery is considered the most effective technique for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), the two most common types of skin cancer. The procedure is done in stages, including lab work, while the patient waits. This allows the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar. Mohs surgery is performed by doctors who are specially trained to fulfill three roles:

  1. As the surgeon who removes the cancerous tissue,
  2. As the dermatopathologist who analyzes the lab specimens, and
  3. As the surgeon who closes or reconstructs the wound.
Mohs surgery is the gold standard for treating many basal cell carcinomas (BCCs) and squamous cell  carcinomas (SCCs), including those in cosmetically and functionally important areas around the eyes, nose, lips, ears, scalp, fingers, toes or genitals. Mohs is also recommended for BCCs or SCCs that are large, aggressive or growing rapidly, that have indistinct edges, or have recurred after previous treatment. Some surgeons are also successfully using Mohs surgery on certain cases of melanoma.
  • Step 1: The Mohs Surgeon injects a local anesthesia, which numbs the area completely. The patient stays awake throughout the procedure.
  • Step 2: Using a scalpel, the Mohs surgeon removes a thin layer of visible cancerous tissue. Some skin cancers may be “the tip of the iceberg,” meaning they have roots or extensions that aren’t visible from the surface. The lab analysis, which comes next, will determine that. Your wound is bandaged temporarily and you can relax while the lab work begins.
  • Step 3: The Mohs surgeon cuts the tissue into sections, color codes them with dyes and draws a map of the surgical site. In the lab, a dermatopathologist freezes the divided tissue, then cuts very thin horizontal slices like a layer cake. The slices are placed on microscope slides, stained and covered. This meticulous process takes time.
  • Step 4: Using a microscope, the Mohs surgeon examines all the edges and underside of the tissue on the slides and, if any cancer cells remain, marks their location on the map. The surgeon then lets you know whether you need another layer of tissue removed.
  • Step 5: Back in the operating room, the Mohs surgeon injects more anesthesia if needed and removes another layer of skin, precisely where the cancer cells remain, based on the map. Then, while you wait, the lab work begins again. This entire process is repeated as many times as needed until there are no more cancer cells.
  • Step 6: The procedure is done in stages, all in one visit, while the patient waits between each stage. After removing a layer of tissue, the dermatopathologist examines it under a microscope in an on-site lab. If any cancer cells remain, the surgeon knows the exact area where they are and removes another layer of tissue from that precise location, while sparing as much healthy tissue as possible. The surgeon repeats this process until no cancer cells remain.
  • Step 7: Once the site is clear of all cancer cells, the wound may be left open to heal or the Mohs surgeon may close it with stitches. This depends on its size and location. In some cases, a wound may need reconstruction with a skin flap, where neighboring tissue is moved into the wound, or possibly a skin graft. In some cases, your Mohs surgeon may coordinate the repair of your wound with another specialist such as a plastic surgeon, oculoplastic surgeon or hand surgeon. In most instances, however, the Mohs surgeon will repair the wound immediately after obtaining clear margins.

If more than one or two rounds are needed, the entire process can take up to several hours, so be prepared for that. It’s worth it, though, because this precise technique has the highest cure rate of any treatment method and can save the greatest amount of healthy tissue, leaving the smallest scar possible. Carefully follow Dr. Papadopoulos or Dr. Kim’s instructions for wound care, scar care, and follow-up to achieve the best outcome.

Each patient is unique; therefore, results of treatment may vary.

Mohs Surgery Atlanta, GA, MetroDerm, PC

Q: How does Mohs surgery work?

A: Once the affected area is numbed with a local anesthetic, the visible tumor and a thin layer of surrounding tissue known as the safety margin will be removed. The tissue is taken immediately to our in-house laboratory where it is processed and examined under a microscope. If no evidence of skin cancer exists, the procedure is completed. If the tissue tests positive for skin cancer, the precise location is marked and the physician removes another layer from the area where the cancer was detected. The same process is repeated until the doctor reaches a cancer-free layer.

Q: How long does the procedure take?

A: Each layer may take 30 to 60 minutes to process. As a result, Mohs surgery requires patience by both the patient and the physician. Patients should plan to spend half a day at our office.

Q: For what types of skin cancer is Mohs surgery recommended as a treatment?

A: Basal cell carcinomas, squamous cell carcinomas and lentigo maligna melanomas are the cancers most commonly treated by Mohs surgery. Less common tumors treated by Mohs surgery include adnexal neoplasms (including desmoplastic trichoepitheliomas), atypical fibroxanthomas, merkel cell carcinoma and dermatofibrosarcoma protuberans (DFSP).

Q: If Mohs surgery has a 99% cure rate, why isn’t it used to treat all skin cancers?

A: There are certain and specific criteria that justify the utilization of Mohs surgery to treat a skin cancer. Our physicians will evaluate your specific case and suggest the treatment that is most appropriate.

Additional information on skin cancer and Mohs surgery:

Mohs Surgery Atlanta, GA, MetroDerm, PC

REQUEST A CONSULTATION

PROCEDURES & TREATMENTS

THE GOLD STANDARD

Mohs Surgery

Mohs Surgery Atlanta, GA, MetroDerm, PC

Mohs micrographic surgery, also known as Mohs chemosurgery, is a highly specialized procedure for the total removal of skin cancers. This surgery uses a layer-by-layer method of removing skin cancer along with microscopic examination of 100% of the removed tissue margins to ensure complete removal. The procedure yields a cure rate of over 99%.

Together, Drs. Amy Kim, Julia Neckman, and D. J. Papadopoulos,  have performed more than 20,000 cases of Mohs micrographic surgery. Drs. Kim and Papadopoulos are fellows of the American College of Mohs Micrographic Surgery and Cutaneous Oncology, the American Society for Dermatologic Surgery, and the American Academy of Dermatology.

MetroDerm’s state-of-the-art surgical facility and excellent staff will make sure that your Mohs surgical procedure is performed with the utmost care and comfort. Additionally, our vast experience in surgical reconstruction enhances our ability to give our patients an excellent cosmetic, post-operative result.

For a complete pre- and post-operative guide to your Mohs surgery, click the button below.

Download the Guide

Mohs micrographic surgery is considered the most effective technique for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), the two most common types of skin cancer. The procedure is done in stages, including lab work, while the patient waits. This allows the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar. Mohs surgery is performed by doctors who are specially trained to fulfill three roles:

  1. As the surgeon who removes the cancerous tissue,
  2. As the dermatopathologist who analyzes the lab specimens, and
  3. As the surgeon who closes or reconstructs the wound.
Mohs surgery is the gold standard for treating many basal cell carcinomas (BCCs) and squamous cell  carcinomas (SCCs), including those in cosmetically and functionally important areas around the eyes, nose, lips, ears, scalp, fingers, toes or genitals. Mohs is also recommended for BCCs or SCCs that are large, aggressive or growing rapidly, that have indistinct edges, or have recurred after previous treatment. Some surgeons are also successfully using Mohs surgery on certain cases of melanoma.
  • Step 1: The Mohs Surgeon injects a local anesthesia, which numbs the area completely. The patient stays awake throughout the procedure.
  • Step 2: Using a scalpel, the Mohs surgeon removes a thin layer of visible cancerous tissue. Some skin cancers may be “the tip of the iceberg,” meaning they have roots or extensions that aren’t visible from the surface. The lab analysis, which comes next, will determine that. Your wound is bandaged temporarily and you can relax while the lab work begins.
  • Step 3: The Mohs surgeon cuts the tissue into sections, color codes them with dyes and draws a map of the surgical site. In the lab, a dermatopathologist freezes the divided tissue, then cuts very thin horizontal slices like a layer cake. The slices are placed on microscope slides, stained and covered. This meticulous process takes time.
  • Step 4: Using a microscope, the Mohs surgeon examines all the edges and underside of the tissue on the slides and, if any cancer cells remain, marks their location on the map. The surgeon then lets you know whether you need another layer of tissue removed.
  • Step 5: Back in the operating room, the Mohs surgeon injects more anesthesia if needed and removes another layer of skin, precisely where the cancer cells remain, based on the map. Then, while you wait, the lab work begins again. This entire process is repeated as many times as needed until there are no more cancer cells.
  • Step 6: The procedure is done in stages, all in one visit, while the patient waits between each stage. After removing a layer of tissue, the dermatopathologist examines it under a microscope in an on-site lab. If any cancer cells remain, the surgeon knows the exact area where they are and removes another layer of tissue from that precise location, while sparing as much healthy tissue as possible. The surgeon repeats this process until no cancer cells remain.
  • Step 7: Once the site is clear of all cancer cells, the wound may be left open to heal or the Mohs surgeon may close it with stitches. This depends on its size and location. In some cases, a wound may need reconstruction with a skin flap, where neighboring tissue is moved into the wound, or possibly a skin graft. In some cases, your Mohs surgeon may coordinate the repair of your wound with another specialist such as a plastic surgeon, oculoplastic surgeon or hand surgeon. In most instances, however, the Mohs surgeon will repair the wound immediately after obtaining clear margins.

If more than one or two rounds are needed, the entire process can take up to several hours, so be prepared for that. It’s worth it, though, because this precise technique has the highest cure rate of any treatment method and can save the greatest amount of healthy tissue, leaving the smallest scar possible. Carefully follow Dr. Papadopoulos or Dr. Kim’s instructions for wound care, scar care, and follow-up to achieve the best outcome.

Each patient is unique; therefore, results of treatment may vary.

Mohs Surgery Atlanta, GA, MetroDerm, PC

Q: How does Mohs surgery work?

A: Once the affected area is numbed with a local anesthetic, the visible tumor and a thin layer of surrounding tissue known as the safety margin will be removed. The tissue is taken immediately to our in-house laboratory where it is processed and examined under a microscope. If no evidence of skin cancer exists, the procedure is completed. If the tissue tests positive for skin cancer, the precise location is marked and the physician removes another layer from the area where the cancer was detected. The same process is repeated until the doctor reaches a cancer-free layer.

Q: How long does the procedure take?

A: Each layer may take 30 to 60 minutes to process. As a result, Mohs surgery requires patience by both the patient and the physician. Patients should plan to spend half a day at our office.

Q: For what types of skin cancer is Mohs surgery recommended as a treatment?

A: Basal cell carcinomas, squamous cell carcinomas and lentigo maligna melanomas are the cancers most commonly treated by Mohs surgery. Less common tumors treated by Mohs surgery include adnexal neoplasms (including desmoplastic trichoepitheliomas), atypical fibroxanthomas, merkel cell carcinoma and dermatofibrosarcoma protuberans (DFSP).

Q: If Mohs surgery has a 99% cure rate, why isn’t it used to treat all skin cancers?

A: There are certain and specific criteria that justify the utilization of Mohs surgery to treat a skin cancer. Our physicians will evaluate your specific case and suggest the treatment that is most appropriate.

Additional information on skin cancer and Mohs surgery:

Mohs Surgery Atlanta, GA, MetroDerm, PC

REQUEST A CONSULTATION

Mohs Surgery Atlanta, GA, MetroDerm, PC

TESTIMONIALS

“Dr. McClure has no peer in his field. Apart from his incredible skill as a surgeon, he is also wise and compassionate, too. He knows when it’s the right thing to do nothing. I would not be alive today were it not for his treatment of my melanoma years ago. My wife and I trust him more than any other doctor whom we have ever known.”

Robert H.
“Dr. Neckman came highly recommended by my wife, and I was a little nervous on my first visit. She made me feel very comfortable and almost like a sister was looking out for her brother. She explained everything very well and took care of me with speed and compassion. Couldn’t recommend a dermatologist more.”
Tony M.

“Dr. Papadopoulos did a wonderful job on my recent surgical procedure on my arm. He made me feel at ease and explained everything to me in terms that I could understand. He was precise and succinct during the surgery, and my recovery could not have gone any smoother. I highly recommend Dr. Papadopoulos for any and all skin cancer surgery.”

Martha R.
“Dr. Berghoff has been my doctor for years and has identified and repaired significant skin issues on several occasions that could have resulted in serious health issues. I always leave his office feeling like I know what my skin health is!”
John P.
“I’ve been a patient of Dr. Garvey for a little more than six months. She has provided me relief from a serious varicose vein issue. I couldn’t be happier or more impressed with her knowledge, skill, and bedside manner. She has my highest recommendation. Her nurse, Eulene, and office manager, Chris, are also wonderful. Thanks to Dr. Garvey and team!”
Al G.
“I have always had the best of care from Dr. Niren. I’ve been going to her since 1986, and I have nothing but praise for her professionalism and the time she spends with me.”
Debbie J.

“Dr. Pearl and her staff are amazing. I can’t speak highly enough about them all.”

Christye N.

“I’ve been Dr. Kim’s patient for over 10 years and she is amazing! I recommend her to everyone and am grateful for the care and compassion she has shown me. Unfortunately, because of my skin, I see her a lot, but she makes visits and procedures as stress free as possible.”

Tara F.
“I have been going to Dr. Alford for several years. She is great! She is so pleasant and listens to any concerns you may have. She is thorough and professional. I always look forward to seeing her. If you’re looking for a great dermatologist, I highly recommend Dr. Alford.”
Robyn C.

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