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Skin Cancer Treatment (Mohs Surgery and Reconstruction) - Houston, TX

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About Skin Cancer Treatment

After receiving a skin cancer diagnosis, many patients are faced with the prospect of skin cancer treatment, which often includes surgery. Houston, TX double board-certified facial plastic surgeon, Dr. Anthony E. Brissett, uses surgery to treat various types of cancer. Mohs micrographic surgery is used to treat squamous cell carcinoma, melanoma-in-situ, and primary basal cell carcinoma. Since the surgery is so detailed and technical, it’s imperative to seek treatment from an experienced surgeon like Dr. Brissett who meticulously performs the surgery to effectively remove a patient’s cancer. Successful surgery should provide a patient with a good prognosis and healthy future.

Best Candidates

The best candidates for skin cancer treatment:

  • Have squamous cell carcinoma, melanoma-in-situ, or primary basal cell carcinoma cancer
  • Have cancerous lesions
  • Want to successfully get rid of cancer

What to Expect

Cancer surgery is an outpatient procedure and can often be performed right in the office, but it’s a labor intensive surgery that can go on for hours. Besides the plastic surgeon, a patient can expect another surgeon, a histotechnician, and a pathologist to be in the room. Before Mohs surgery, the surgeon will numb the treatment area with a local anesthetic. Then, starting from the bottom of the cancerous lesion, the plastic surgeon will remove thin, horizontal layers of the tumor carefully.

As each layer is removed, a histology examination will occur to check for the presence of cancer. During this process, the layers will be dyed and frozen and examined under a microscope. If more cancer is found, more layers will continue to be removed and examined until no more cancer is found.

After all signs of cancer are removed, the wound will be assessed to determine the best way to close it and make it as cosmetically appealing as possible. For some patients, stitching up the wound with sutures is enough. In other cases, reconstructive surgery will be needed to minimize scarring and help the wound blend in seamlessly with the rest of the skin.

Anticipated Results

Since a local anesthetic is used, there should be minimal pain and discomfort; therefore, pain medication usually isn’t required. If there’s any pain, over-the-counter medication can be taken. Most patients can return to work and normal activities by the following day. Strenuous exercise and activities should be avoided for about 1 – 3 weeks after surgery. Stitches can be removed about 4 – 14 days afterwards.

The best part of Mohs surgery is its high success rate, which can be anywhere from 75% - 99%, depending on the type of cancer, its severity, and the skill of the surgeon. For example, melanoma-in-situ has a success rate of 75% - 95%, squamous cell carcinoma is around 94%, and primary basal cell carcinoma is 97% - 99%.

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When it comes to treating your skin cancer, choosing the right doctor is imperative. You should look for a doctor with experience and who is highly skilled in Mohs surgery due to its technical nature. Our medical team holds thorough consultations to go over all aspects of the surgery and to answer any questions. If you have been diagnosed with skin cancer and are looking to seek quality treatment, we suggest that you call our office as soon as possible to schedule a consultation.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.

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