Surgical Dermatology

Your dermatologist can remove a vast array of benign (non-cancerous) and malignant (cancerous) growths. Dermatologists have extensive training in cutaneous surgery during residency and we routinely remove growths and skin cancers on the face and use many of the same techniques as plastic surgeons. Drs. Angeloni and Feldman trained together in the military in Texas where they were responsible for diagnosing and treating a tremendous number of skin cancers.

Feel free to browse through Dr. Angeloni's pictures of surgery results.

We also offer the Mohs' Micrographic Surgery technique for treatment of skin cancer. This surgical treatment offers the highest cure rate for the most common skin cancers. This technique highlights the unique skills of your board certified dermatologist who serves as the pathologist and surgeon when performing this procedure. Dermatologists, due to their extensive training in pathology, are qualified to read skin pathology slides which is a crucial element in the Mohs technique.

What is Mohs' micrographic surgery?

Mohs' micrographic surgery is a specialized, highly effective technique for the removal of skin cancer. The procedure was developed in the 1930s by Dr. Frederick Mohs at the University of Wisconsin and is now practiced worldwide. Mohs' surgery differs from other skin cancer treatments in that it permits the immediate and complete microscopic examination of the removed cancerous tissue so that all roots and extensions of the cancer can be treated and eliminated. Due to the meticulous method in which tissue is removed and examined, Mohs' micrographic skin cancer surgery has been recognized as the skin cancer treatment with the highest reported cure rate.

The advantages of the Mohs' micrographic surgical procedure are many. Some skin cancers can be deceptively large. By that, we mean far more extensive under the skin than they appear to be from the surface. These cancers may have roots in the skin or may follow along blood vessels or nerves. The Mohs' surgery technique is specifically designed to remove these cancers by tracking and removing these cancerous roots. Mohs' surgery removes mainly the cancerous tissue while saving as much normal skin as possible. There are special indications for the Mohs' surgical technique. Mohs' surgery is typically used for those skin cancers that have recurred following previous treatment or for cancers in areas that are at high risk for recurrence. This surgery is also indicated for cancers located in areas such as the nose, eyelids, lip, hands, and feet, in which maximal preservation of healthy tissue is critical for functional and cosmetic purposes.

The Mohs' surgical excision technique is typically performed as an outpatient procedure in the dermatologist's office. The patient is awake during the entire procedure. Discomfort is usually minimal and no greater than it would be for a routine skin cancer surgery.