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Mohs Micrographic Surgery is an advanced, highly precise technique for the removal of skin cancer. It has the highest cure rate of all treatments available. During the procedure, our specially trained surgeons remove skin cancer tissue one thin layer at a time, sparing as much healthy tissue as possible.
After each layer is removed, the surgical margins are microscopically examined immediately in our on-site lab. This evaluates the presence of any remaining skin cancer cells in the layer. The procedure is repeated in stages until all cancer cells are removed. After the successful removal of the skin cancer tissue, the wound is closed to achieve the best cosmetic results possible.
Mohs micrographic surgery preserves the maximum amount of healthy tissue while completely excising skin cancer tissue. This precise surgery is used primarily to treat basal and squamous cell carcinomas. It is ideal for areas where precise tissue preservation and cosmetic results are essential – – like the face, head and neck. The Mohs technique allows the surgeon to examine the skin tissue at the time of the surgery so that all cancer cells can be identified and removed in one outpatient procedure.
No, Mohs micrographic surgery is a complex technique that requires a skilled dermatologist with advanced and specialized training. Dr. Richard Eisen is a fellow of the American Society of Dermatologic Surgery. Dr. Navid Bouzari is a fellow of the American College of Mohs Surgery and the American Society of Dermatologic Surgery. Dr. Lara Butler is a fellow of the American College of Mohs Surgery and American Society of Dermatologic Surgery.
The procedure is done under local anesthesia. You may experience minor discomfort during the injection of local anesthesia, but the actual procedure will be painless. Some patients may experience mild soreness on the day following the procedure.
It is usually performed on an outpatient basis. While most Mohs procedures take a few hours, you should allow a whole day, as it is difficult to predict the exact extent of the tumor and therefore the exact amount of time for removal, analysis, closure and reconstruction, if needed. Mohs begins early in the morning and is usually completed the same day.
Richard F. Eisen, MD is a Board Certified Dermatologist and highly skilled Mohs Micrographic Surgeon. As a well-known dermatologist in the northeast, he has held several teaching positions and is a published author for general medicine and dermatology. Dr. Eisen is a fellow of the American Academy of Dermatology and a member of the Massachusetts Medical Society. He is a recognized expert in laser therapy and is a fellow of the American Society of Dermatologic Surgery and American Society of Lasers in Medicine and Surgery. He received his doctoral degree from Jefferson Medical College, Philadelphia, PA and completed his dermatology residency at Boston University/Tufts University, Boston, and his fellowship in Cutaneous Surgery and Oncology at Tufts New England Medical Center, Boston. He is on staff at South Shore Hospital and Beth Israel Deaconess Hospital-Plymouth.
Navid Bouzari, MD is a Board Certified Dermatologist and a Boston-trained Mohs Micrographic Surgeon. Dr. Bouzari completed his dermatology residency at University of Miami, Department of Dermatology and Cutaneous Surgery. He completed his clinical fellowship in Mohs Surgery and Cutaneous Oncology at Lahey Clinic/Harvard University Department of Dermatology. He is a fellow of the American Academy of Dermatology, the American College of Mohs Surgeons, and the American Society for Dermatologic Surgery. He is a member of the Women’s Dermatologic Society, the Massachusetts Medical Society and the Melanoma Skin Cancer Committee of the American Academy of Dermatology. Dr. Bouzari is an internationally published author on dermatological issues and diseases. He is on staff at South Shore Hospital and Beth Israel Deaconess Hospital-Plymouth.
Lara K. Butler, MD is a Harvard trained, Board Certified Dermatologist and Mohs Micrographic Surgeon. She also specializes in reconstructive and cosmetic surgery. She is a diplomate of the American Academy of Dermatology, and a fellow of the American College of Mohs Surgery and American Society of Dermatologic Surgery. Following her Dermatology residency, she completed a fellowship in cutaneous oncology, Mohs micrographic, and reconstructive surgery with the Harvard Medical School Department of Dermatology at the Lahey Medical Center. She has been a researcher at the Johns Hopkins and Mount Sinai Hospitals and has published numerous articles and chapters on skin cancer, scar revision and cosmetic surgery in leading medical journals. She has taught at the Harvard Medical School Department of Dermatology, and is a lecturer on complex reconstruction techniques after Mohs surgery.
Ramzi W. Saad, MD is a Board Certified Dermatologist who joined South Shore Skin Center in 1995. Before joining the practice, Dr. Saad had a distinguished career in the U.S. Army, holding positions as Chief of the Department of Dermatology at Keller Army Hospital, West Point, as well as Assistant Chief of the Dermatology Department at William Beaumont AMC. Dr. Saad has published numerous dermatology papers and has held teaching positions throughout the U.S. He is a fellow of the American Academy of Dermatology, a member of the Massachusetts Academy of Dermatology, a member of the Massachusetts Medical Society, and a lifetime member of the Amonette Circle. He received his doctoral degree from New York Medical College, Valhalla, NY and completed his dermatology residency at Walter Reed Army Medical Center, Washington, DC. He is on staff at South Shore Hospital and Beth Israel Deaconess Hospital-Plymouth.