Welcome!
The Surgery Center
at Plano Dermatology
We are committed to providing world-class care in a safe and comfortable environment. Dr. Modi, Dr. Wells, and Dr. Parry are each board certified and fellowship trained in the surgical treatment of skin cancer and other dermatologic conditions. This includes Mohs micrographic surgery, reconstructive surgery, mole and cyst removal, nail procedures, as well as the treatment of melanoma and other high-risk skin cancers.
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What is Mohs Surgery?
Mohs micrographic surgery is a highly specialized procedure for the removal of skin cancer. Developed by Dr Frederick Mohs in the late 1930s, Mohs surgery has been refined into an incredibly precise and tissue-sparing process, and is the gold standard for treating most skin cancers.
The Mohs Process
The roots of a skin cancer may extend beyond the visible portion of the tumor. If these roots are not removed, the cancer will recur.
The Mohs Surgery Process
Step 1
The roots of a skin cancer may extend beyond the visible portion of the tumor. If these roots are not removed, the cancer will recur.
Step 2
The visible tumor is surgically removed.
Step 3
A layer of skin is removed and divided into sections. The ACMS surgeon then color codes each of these sections with dyes and makes reference marks on the skin to show the source of these sections. A map of the surgical site is then drawn.
Step 4
The undersurface and edges of each section are microscopically examined for evidence of remaining cancer.
Step 5
If cancer cells are found under the microscope, the ACMS surgeon marks their location onto the “map” and returns to the patient to remove another layer of skin – but only from precisely where the cancer cells remain.
Step 6
The removal process stops when there is no longer any evidence of cancer remaining in the surgical site. Because Mohs surgey removes only tissue containing cancer, it ensures that the maximum amount of healthy tissue is kept intact.
Skin Cancer and the Sun
The prevalence of skin cancer is on the rise. Most skin cancers are due to intense and cumulative sun exposure. Fortunately, most skin cancers are curable when caught early.