MOHS Surgery


WHAT IS MOHS SURGERY?

Mohs surgery was initially developed by Dr. Fredrich Mohs. It is a surgery that allows a skilled dermatologic surgeon to remove a skin cancer, layer by layer microscopically examining each section. This allows complete removal of the cancer, sparing the maximum amount of healthy skin.

It provides the highest cure rate for removal of skin cancer (97-99%). Mohs surgery is performed with local anesthetic only.

HOW SHOULD I PREPARE FOR MOHS SURGERY?

  • Plan to spend the day with us.
  • Bring a light lunch.
  • Bring a book, iPad, magazine, light jacket.
  • Please do not bring children.

SHOULD I CONTINUE MY MEDICATION?

  • Take any regular medication prescribed by your physician. Discontinue any non-prescribed agents, such as aspirin, ibuprofen, Aleve, herbal supplements, vitamin E, fish oil, ginko, garlic for 14 days prior to surgery.
  • Continue taking any blood thinning agents that your doctor prescribed, including Plavix, aspirin, Coumadin.
  • Avoid alcoholic beverages two days before and after surgery.

WHAT HAPPENS ON THE DAY OF MOHS SURGERY?

A medical history will be obtained, and you will sign an informed consent. Your regular medications will be checked, and any questions you have will be answered prior to surgery.

STEP 1: The skin around the cancer will be anesthetized (numbed), and the visible skin cancer will be removed.

STEP 2: A thin layer beyond the visible cancer will be surgically removed, processed, stained and examined microscopically. A bandage will be applied to the site, and you will be returned to a waiting area until this is completed. (This usually takes an hour to an hour and a half).

STEP 3: If cancer cells are still present, the above procedure will be repeated, taking tissue only from the site where the cancer cells remain.

Once the skin cancer is removed, we will discuss the closure of the wound with you.

HOW LONG CAN I EXPECT TO BE IN THE OFFICE?

It is impossible to know how many “stages” a skin cancer may require until clear margins are present. Each stage takes about an hour. Usually, it takes 2-3 stages to clear most skin cancers. Please come prepared to spend the entire day with us.

HOW IS THE SKIN CANCER SITE REPAIRED?

After the cancer is “cleared”, we will discuss with you the best possible repair options that will allow the best cosmetic result. These may include:

• Suturing the wound

• Healing by secondary intention (no stitches)

• Skin flap or graft

• Referral to another specialist (usually a plastic surgeon or ENT)

WHAT HAPPENS AFTER SURGERY?

We will usually have you return 1-2 weeks after surgery. You should expect some swelling and bruising. There may be numbness around the site for up to a year after the surgery. While scarring cannot be prevented, every e ort will be made to minimize scarring. You will be given contact information should any problems arise after the surgery. Usually, this is minimal pain for the first 2-3 days after surgery.

Exercise and vigorous physical activity should be limited the first 2 weeks after surgery. Please discuss any concerns with our team.

DO I NEED TO RETURN FOR FOLLOW UP AFTER MOHS SURGERY?

Once you have had a skin cancer, you are at an increased risk for additional skin cancers (50% chance of developing another skin cancer). For this reason, it is very important to follow up with your general dermatologist on a regular basis.

With laser technology UDA can treat anyone living with port-wine stains, making the stains nearly disappear in just a few sessions. Want to know more? Contact our office to speak to a cosmetic specialist. For bookings and inquiries call 817-539-0959 ... See MoreSee Less

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Dr. Hoang’s beautiful patient wanted some work done eliminate fine lines and to restore volume. Using #dermalfillers and #Botox, Dr. Hoang was able to provide the patient with some great results! Dr. Hoang cosmetic experience has helped her to perfect her approach to dealing with concerns such as this.

Provider: Dr. Jeannine Hoang
Treatment: Voluma in cheeks, Vollure around mouth, Volbella in lips
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2 days ago  ·  

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So satisfying. 🤗 ... See MoreSee Less

4 days ago  ·  

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Cosmetic procedures in males has been growing more and more every year. Men are understanding the benefits of procedures like #Botox and #dermalfillers. @phantasticderm patient received treatment in his cheeks and nasolabial to replenish lost volume in his facial features.

Provider👩‍⚕️: Mimi Phan, PA-C
Treatment💉: HA Fillers
Purpose❓: Cheeks & Nasolabial
Duration⏰: 30-45 minutes
Location📍: Arlington, TX
Contact☎️: 817-539-0959
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5 days ago  ·  

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Introducing Boots n’ Botox!!!👢💉 with Kyla Crispe, PA-C.

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Amazing results after just 3 treatments! For anyone who suffers from #PORTWINE stains the Excel V laser was made for you! This treatment targets the tiny blood vessels all the while you don’t feel a thing. Excel V laser sessions only take about 30 mins of your time and you’ll start seeing results instantly. Patients love the efficiency of this treatment and we’re sure you will to!

For bookings and inquiries call 817-539-0959 ext 1220
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Please vote for our office!

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Our aestheticians’ clients SWEAR by #SkinPen🧏‍♀️🖊. #SkinPen has become the gold standard for microneedling across the country. #Microneedling is one of the best ways to stimulate collagen growth, by creating controlled micro injuries to the skin that our body heals naturally 🍃🥑🌱. The results are the resurfacing of the skin, correcting any imperfections and discoloration🙅‍♀️. Why do our patients swear by it🤔? Because #SkinPen treatments are a quick, #noninvasive, and require minimal downtime😃. Want to get the most out of a #SkinPen session? Try to incorporate #SkinPen into your annual skincare regimen to help your body continuously produce #fresh, even skin🥰! Best of all #SkinPen is offered at every office!!

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Our #VampireFacial patient, Shelly is back 4 weeks after her treatment. Her thoughts? SHE LOVES IT❤️ Shelly says compared to other treatments she done in the past, #VampireFacial has by far been the best! For bookings and inquiries call our office at 817-539-0959 ... See MoreSee Less

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I was blessed to meet this kind, generous soul today before we left Atlanta. We needed to eat before heading to the airport, and I did not want junk/fast food. My body was craving #healthynutrition. I was so lucky to find @avivabykameel just across the street from our hotel. If you are ever in downtown Atlanta and want #deliciousvegan food with outstanding #customerservice, this is your place. The owner and chef, Kameel, personally came out to greet all of us. He gave us free samples to try. And he prides himself on cooking real food that fuels the body. He must be doing something right bc the line was out the door. @ Peachtree Center ... See MoreSee Less

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I’m so proud of this girl. I can see the disappointment in her face. They placed 4th out of 15. Her team hit their routine both days, and performed their hearts out. They did their best, and that’s all we can ask. There were some really great teams here from all over the country. Love you @sot__chloe! So very proud of you and all your hard work! ... See MoreSee Less

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Happy Valentine’s Day! We love our patients and we love what we do!! ♥️♥️♥️ ... See MoreSee Less

2 weeks ago  ·  

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Here Mimi Phan👩‍⚕️, PA-C, had a young patient who wanted more definition in his cheeks. Using 3 syringes 💉💉💉 of hyaluronic acid fillers (#Voluma), Mimi gave him more volume in his cheeks, giving his facial features more structure.

Provider👩‍⚕️: Mimi Phan, PA-C
Procedure💉: Voluma fillers
Purpose❓: Volume in cheeks
Duration⏰: 30-45 minutes
Pain⁉️: hardly any
Downtime💤: 1-2 day, mild bruising
Location📍: Arlington, TX
Contact☎️: 817-539-0959
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2 weeks ago  ·  

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Tiffany Bivens’, PA-C, patient wanted to bring back some volume in her face😄 with Hyaluronic Acid fillers (@juvederm #Voluma XC, XC, #Volbela, Ultra, #Vollure, etc). Using 3 syringes💉💉💉, Tiffany was able to correct restore volume in her cheeks and eliminate fine lines around the mouth. Subtle differences can make a big impact🧑‍🦳! Great job Tiffany!

Provider👩‍⚕️: Tiffany Bivens, PA-C
Procedure 💉: Voluma filler
Purpose❓: Volumize cheeks
Duration⏰: 30-45 minutes
Pain⁉️: slight pressure
Downtime💤: none! bruising can occur
Location📍: Mansfield
Contact☎️: 817-539-0959
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2 weeks ago  ·  

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Brian Cook, PA-C, 👨‍⚕️performs a #VampireFacelift🧛‍♀️ on a patient to help her age spot and smile lines. After just a single treatment the patient saw major improvement.

Provider👨‍⚕️: Brian Cook, PA-C
Procedure💉: Vampire Facelift (PRP + Fillers)
Purpose❓: Brightening, fine lines, age spots
Duration⏰: 1 hour
Pain‼️: slight discomfort and pressure, very mild
Downtime💤: 4-6 days
Location📍: Mansfield, TX
Contact☎️: 817-539-0959
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