Mohs Surgery

Mohs Micrographic Surgery is a precisely controlled technique offering maximum removal of cancer with minimum damage to surrounding healthy tissue. Patients undergoing Mohs procedure have the highest cure rate for basal and squamous cell carcinomas, the most common types of skin cancer.

For many patients, the roots of skin cancer may extend beyond the visible portion of the tumor. If the roots are not removed, the cancer will reoccur. Mohs is an extremely detailed surgery that traces and eradicates areas of a tumor, even those invisible to the naked eye. Because it preserves normal tissue, Mohs is especially advantageous for delicate areas such as the face, ears, hands, feet and genitals.

How is Mohs surgery performed?

Mohs Micrographic Surgery is usually performed on an outpatient basis, in one day and under local anesthesia. During the procedure, the visible portion of the tumor is carefully removed. The undersurface is then microscopically examined for any remaining traces of skin cancer. If cancer cells are found, another layer of skin is removed only in the cancerous area. This process is repeated until the area is cancer-free, ensuring maximum healthy tissue.

Mohs Surgery Criteria

  • High risk location
  • Large size
  • Ill-defined borders
  • Difficulty estimating depth of lesion
  • Rapid growth
  • Long standing duration
  • Local reocurrence
  • Positive margins on excision
  • Site of radiation
  • Skin cancer present in an old scar
  • Genetic diseases
  • Aggressive tumor type

Mohs surgery patient resources

If you have any type of bothersome or abnormal skin growths including moles, cysts, skin tags or lipomas—your healthcare provider may be able to remove the growth through an outpatient excision. While most skin lesions are benign (meaning non-cancerous), your healthcare provider will send the specimen to the lab to verify it is benign. Most excisions are typically permanent, however there are some conditions such as warts, that may need to be treated more than once.


  • Advanced Dermatology addressed my pre-cancerous skin damage as discussed/advised and to my satisfaction. I really appreciate the thoughtfulness and care Dr. Ingraham takes to explain the condition, the solution, and the precaution measures I will need to take. I always feel I'm in expert hands here as a result. Advanced honors my appointments as scheduled and the staff always seem to appreciate my business. I highly recommend these guys.” 

    Joe S. Advanced Dermatology Patient
  • “I’ve been seeing Dr. Ingraham for four years for treatment of wrinkles and aging and her touch and technique with Botox injections (and other aging treatments) is first class.”

    Jenbackupca Advanced Dermatology Patient
  • I will never go to any other dermatologist! Dr. Duncan has taken care of me for about seven years now, and she is an incredible doctor. The best thing about her is that she is an expert on making you look refreshed and younger without any signs that you have had anything done. I get Botox and filler from Dr. Duncan, and no one can believe that I am 44, or for that matter that I have had any work done. Subtlety is her specialty! [She has] a keen eye for assessing your particular needs, without pushing unnecessary treatments or products. Advanced Dermatology takes pride in their work and it shows!” 

    P.B. Advanced Dermatology Patient




Get in Touch

The Advanced Dermatology Mohs and Dermatologic Surgery Department is located in our Sugar Land location. To schedule an appointment or speak with a member of our team, please click below.

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