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Mohs Surgery

Remove cancerous cells while sparing healthy tissue.

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Mohs Surgery

Mohs surgery is considered the most effective technique for treating the most common types of skin cancer. Sometimes called Mohs micrographic surgery, the procedure is done in stages. This allows the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar. You will have a reconstructive team which often includes a dermatologist and our plastic surgeons to help guide you through the process. 

How It Works

Book a Consult

Book a consult at our office to determine goals and concerns.

Treatment Plan

After a thorough evaluation, choose a treatment plan with our surgeons.

Pre-Operative

Learn all about pre-operative safety preparations before your surgery.

Post-Operative

Follow your surgeon's instruction to ensure a smooth recovery.

Before & After

Check Out Our Mohs Surgery Gallery

Frequently Asked Questions

The term “Mohs” refers to Dr. Frederic Mohs, Professor of Surgery at the University of Wisconsin, who developed this surgical technique in the 1930s. The technique has undergone many refinements and has come to be known as “Mohs micrographic surgery” or simply “Mohs surgery” in honor of Dr. Mohs.

Mohs surgery is a highly specialized and precise treatment for skin cancer in which the cancer is removed in stages, one tissue layer at a time. It is an outpatient procedure, performed under local anesthesia, and is distinguished by a specific technique of tissue examination that is unique to Mohs surgery. Although other surgical specialists may check excision margins, this form of pathologic examination of the tissue is not the same as Mohs surgery.

Once a tissue layer is removed, its edges are marked with colored dyes, and a map of the specimen is created. The tissue is then processed onto microscope slides by a Mohs histotechnician. These slides are carefully examined under the microscope by the Mohs surgeon so that any microscopic roots of the cancer can be precisely identified and mapped. If cancer cells are seen, an additional tissue layer is removed only in areas where the cancer is still present, leaving normal skin intact. This saves as much normal, healthy skin as possible.

Once the cancer has been removed, the Mohs surgeon will explain options for repair of the wound, including natural healing (granulation), stitching the wound together using a side-to-side closure, or using a skin flap or graft.

Although Mohs surgery can take longer than other techniques to perform, advances in technology, such as automated staining of tissue samples, have made it quicker. While it is impossible to predict exactly what timeframe to expect for each Mohs surgery procedure, the entire procedure usually lasts several hours. Rarely, clearing the tumor and reconstructing the defect can take the better part of a day. A consultation with the Mohs surgeon prior to your procedure will allow for the surgeon to understand the unique qualities of your situation and enable him/her to more clearly estimate the extent of the timeframe for the surgery.

Yes. As will any treatment for skin cancer, Mohs surgery will leave a scar.

Mohs surgery preserves as much healthy skin as possible and maximizes options for repairing the surgical defect, once the tumor is completely removed. Once the Mohs surgeon has completely removed your skin cancer through Mohs surgery, reconstruction for optimizing the final functional and cosmetic result becomes the highest priority. Generally, a post-surgical scar improves with time and can take up to 1 year or more to fully mature. As your surgical site heals, new blood vessels can appear and support the healing changes occurring underneath the skin. This can result in the reddish appearance of the scar. This change is temporary and will improve with time.

Dr. Cone and his staff were amazing. They took such good care of me and my daughter like family. Highly recommend for adult and kids! Esther Cheung-Phillips
These guys are awesome! The personal care given by Dr. Langevin is absolutely second to none. You will feel like the only patient there Skeeter Ham
From beginning to end Dr. Langevin and his staff took care of me in the most excellent way. From scheduling all the way to post op, they never made me feel like a number but a human that was in good hands. I really appreciated the personal call from Dr. Langevin- not from his staff but from him. That is rare these days to have doctors call you themselves to check on you after surgery. I couldn't be more happy with my results. Aguerra Love
I had a wonderful experience with Dr. Cone at Wellspring. Their entire staff is incredibly kind and obviously care about their patients. Crystal was so sweet and such a pleasure to work with. They did a removal of a large facial nevus for me and I am so happy with the results! The entire thing has been truly lifechanging for me. I am very grateful for Dr. Cone & his team and look forward to seeing them when I go for my follow-up visit. Kaylie Peterman
My experience so far has been amazing, even though my anxiety is over the roof when it comes to Dr's. Dr.Cone and his staff have been awesome and make me feel as comfortable as they can. I got otoplasty done and I can't wait for the final results, I do definitely recommend this place for anything else you'd like to get done. I do plan on getting other things done in the Future and without a doubt this is the place! Thank you Dr.Cone, Crystal, Brandi, & Cici you all are the best! Dori Dori

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