Mohs Surgery
The Standard of Care for High-Risk Skin Cancer
Mohs micrographic surgery is the standard of care for many skin cancers, particularly those on the face, ears, scalp, hands, and other areas where preserving healthy tissue matters most. At BlueWater Dermatology, Mohs surgery is performed by Dr. Andrew Kelsey, a fellowship-trained Mohs surgeon and dermatologic oncologist who is double board-certified by the American Board of Dermatology and a Fellow of the American College of Mohs Surgery (FACMS).
In a Mohs procedure, your surgeon acts as both surgeon and pathologist, examining 100% of the surgical margin under the microscope the same day. The process is:
- Removal of the visible tumor: The clinically apparent cancer is removed under local anesthesia.
- Layer-by-layer analysis: A thin layer of surrounding tissue is removed and processed in our on-site Mohs laboratory for immediate microscopic examination.
- Precise mapping: Each tissue section is color-coded and mapped to its exact location on your skin.
- Targeted removal: Additional tissue is removed only where cancer cells remain, sparing healthy skin.
- Reconstruction: Once the margins are clear, the wound is repaired the same day, often with an advanced closure designed for the best functional and cosmetic result.
Dr. Kelsey brings fellowship-level training in cutaneous oncology to Brevard County, including management of high-risk squamous cell carcinoma, perineural invasion, and coordination with radiation and medical oncology when additional treatment is indicated.
FREQUENTLY ASKED QUESTIONS
When is Mohs surgery recommended?
Mohs is the standard of care for skin cancers on the face, ears, eyelids, lips, nose, scalp, hands, feet, and genitals; for tumors that are large, have poorly defined borders, or show aggressive features under the microscope; and for cancers that have recurred after prior treatment. Appropriate use criteria developed by the American Academy of Dermatology and the American College of Mohs Surgery help guide this decision.
What are the benefits of Mohs surgery?
Mohs offers the highest cure rates of any treatment for most basal and squamous cell carcinomas, up to 99% for previously untreated basal cell carcinoma. Because every margin is checked microscopically, the least amount of healthy tissue is removed. Surgery, lab processing, and reconstruction usually happen in a single visit in our office, with no hospital or separate pathology wait.
What should I expect after Mohs surgery?
Expect some swelling, bruising, and mild discomfort for a few days. Most patients go back to light activity within a day or two, with limits on heavy lifting and strenuous exercise while the wound heals. Stitches, if placed, are usually removed in one to two weeks. Scars typically keep improving for several months. You’ll have follow-up visits to check healing and regular skin exams to monitor for new or recurrent skin cancer.
How do I schedule with a Mohs surgeon near me?
Call BlueWater Dermatology at (321) 406-8615 or book an appointment online. We’re located at 2339 Medico Lane, Ste 101, in Viera, and we look forward to caring for you.
