What is Mohs Surgery?
Mohs surgery, named after a general surgeon who developed the advanced micrographic surgery technique in 1938, is a procedure that carefully and precisely removes skin cancer. The goal of the procedure is to remove as little normal skin as possible while still maintaining the highest success rate for skin cancer treatment. It is used to treat squamous and basal cell carcinomas, melanomas and certain types of other less common tumors. Board certified in plastic surgery and dual trained in Mohs surgery and procedural dermatology, Dr. Thornwell Parker will begin this procedure by removing the tumor one layer at a time. After each and every layer, he will examine the cellular makeup of the tissue to determine if cancer remains. Dr. Parker founded Skin Cancer Consultants in Dallas, TX with the mission of providing outstanding treatment and impactful aesthetic outcomes.
Mohs Surgery Reviews
"Dr. Parker is an honest man, and I truly appreciate that. From my first consultation he only described the most realistic expectations anyone could hope for in my situation. I wasn't a typical patient, but he still did for me what no other doctor would. He gave me hope. Everyone in his office treated me with kindness and courtesy."- J.T. / Google / Feb 28, 2019
"Dr. Parker is such an amazing doctor and does wonderful work. I had surgery in 2017 on my nose and you can't even see where he did the surgery. I would recommend anybody in the Dallas area to go see him for Mohs surgery."- A.W. / Healthgrades / Oct 25, 2018
"My 22 yr old was diagnosed with Metastatic Melanoma. Dr. Parker and his staff has been so amazing to her in such a scary time. He took his time to explain everything to her instead of just throwing numbers at an already scary situation. Dr. Parker did the Mohs procedure and thankfully got it All on the first round. I HIGHLY recommend him and his staff. They truly went over and beyond."- D.D. / Facebook / Oct 07, 2020
"I was diagnosed with a Basal Cell Carcinoma on my shoulder and found Dr. Parker via his website. He was very thorough in answering all my concerns and questions, making me feel comfortable about the Mohs procedure. The results were better then I could have ever expected. The scar isn't even noticeable and people would never guess I ever had the Mohs procedure done!! Between Dr. Parker, the nurses and the delightful front staff, I felt very welcomed and treated just life family!"- A. / Wellness / Oct 24, 2018
"Great experience. Dr Parker and staff made me feel at ease when getting four skin cancers removed off my face. Scars barely visible. So thankful my Dermatologist recommended Dr. Parker. Highly recommend."- D. . / Wellness / Feb 17, 2016
The Surgical Process
The Mohs procedure typically utilizes local anesthetics to numb the affected area. Incisions are made just outside the visible edges of the cancer to start removal, and a map similar to a clock face is created to correspond with the orientation of the skin that was removed. The removed layer is frozen, processed, and examined under the microscope. If additional cancer roots are seen they are marked on the corresponding map and the process is repeated, excising another layer from the areas marked on the map. The process continues until a clean layer with no remaining cancer is achieved. The number of layers removed and the length of the procedure is dependent upon each patient, the stage of the cancer, and the length of time the cancer has been present. Completion of the procedure will leave a wound. Healing solutions range from simple sutures to close the wound to more complex reconstructive (plastic) surgery for larger wounds. This will be guided by Dr. Parker.
What to Expect
A Mohs procedure is not a simple proposition. It requires a highly trained and well-oiled team to properly administer all aspects — from the surgical removal to the to the microscope pathology to the plastic surgery. Dr. Parker himself is one of only seven doctors in the world who is not only fellowship trained in Mohs surgery, but also a board-certified plastic surgeon. With the proper amount anesthesia, most patients report a minimum amount of pain. Mohs surgery is usually performed on an outpatient basis, and after patients can drive themselves home or are taken home by a loved one.
Dr. Parker is an expert in restorative facial surgery. Although the site is heavily bandaged, it is possible to resume routine non-strenuous activities the next day. This rules out strenuous exercise or heavy activities for up to 1 – 2 weeks. If sutures were utilized, they will be removed within 6 – 14 days. Dr. Parker’s skill with suturing minimizes scarring but will vary depending on the procedure. However, the success rate of removing the cancerous tissue from the site is very high with primary basal cell carcinoma and thin melanomaas receiving up to a 99% rate. Primary squamous cell carcinoma has a slightly lower cure rate around 97%.
Tell Me More About MOHS
To read more about MOHS or skin cancer in general, please explore the pages below:
Plan Your Procedure
- Average Cost
- $900 - $3,000
- Recovery Time
- 1-2 weeks
- Average Procedure Time
- 1-6 hours
- Post-op Follow-up
- 5-7 days
- Procedure Recovery Location
Seek Superior Care
When facing a skin cancer diagnosis, it is imperative to do your research and find a trained Mohs surgeon like Dr. Parker, who is a good fit for meeting your expectations and needs. Success rates of the procedure are directly correlated to the doctor’s skill and experience. So be sure to ask your doctor questions pertaining to their experience, training, and personal success rates. Ideally, you and your doctor will be able to strategize the most effective way forward. An excellent place to start would be to call Dr. Parker now and simply schedule a consultation to talk about options for treatment, risks, outcomes, and post-surgical care.