What is Mohs Surgery?
Mohs surgery is the most advanced, accurate, and highly specialized treatment for skin cancer. The procedure is named in honor of Dr. Frederic Mohs, who pioneered the procedure in the 1940s.
Mohs surgery involves surgically removing the skin cancer, processing the tissue in our office laboratory, microscopically examining the cancer cells to ensure complete removal, and reconstructing the surgical defect. This technique maximizes the cure rate for the skin cancer, while minimizing the amount of removed normal skin.
Our surgeons, Dr. Justin Vujevich and Dr. Christie Regula received extensive training through a Mohs surgery and surgical oncology fellowship and are members of The American College of Mohs Surgery.
Scheduling An Appointment
If you are diagnosed with a skin cancer, have your referring physician notify our office first at 412-429-0276. Once we receive the necessary information, our office will call you to schedule an appointment.
Preparing for Surgery
If possible, arrange someone to give you a ride to and from the office. Plan on spending at least one half of the day with the doctor. The morning of your procedure, shower or bathe as normal. Wear comfortable, ready-to-wash clothing. Take your regularly-prescribed medications unless you are told not to by your referring physician. Eat a good breakfast. You may bring snacks and beverages to the office.
Because it is difficult to estimate how much time your surgery will require, we advise that you bring reading materials, work, portable music player, or personal computer. Our office is wi-fi equipped.
Day of Surgery Expectations
Arrive at the office 1/2 hour prior to your scheduled time. There is free parking with disabled accessibility in the lot located in the back of the building.
After arriving, you will be brought into a procedure room by one of the staff. A history and physical exam will be performed. The surgical site will be verified and informed consent obtained.
After numbing the area with local anesthetic, the doctor will remove the skin cancer. Once the tissue is processed onto slides, the doctor will examine the removed tissue under a microscope to identify any remaining cancer. If remaining cancer cells are present, the doctor will remove another layer from your skin where the remaining cancer cells were found.
This process continues until there is no remaining cancer cells seen on microscopic examination. After confirmation of clear surgical margins, the doctor will reconstruct your surgical wound in the ambulatory surgical center the same day.
Plan on wearing a pressure bandage and not getting the surgical area wet for 48 hours. As with any surgical procedure, you may experience some swelling, pain, redness, or bleeding.
Detailed wound care instructions will be provided by our staff. You may need to buy petroleum jelly, gauze or bandages and apply these daily to your surgical wound.
Avoid alcohol, smoking, or non-prescribed blood-thinners during your recovery period. Weight lifting, aerobic exercise, or swimming may be prohibited for several weeks post-procedure.