Plano is the place for Mohs surgery

Mohs micrographic surgery is the most precise way to remove a skin cancer. Pioneered by Dr. Frederick Mohs and refined over nearly a century, it is today's gold standard for treating most skin cancers: the tumor is removed one thin layer at a time, and every margin is read under the microscope before you go home.

We perform Mohs surgery for melanoma with immunohistochemical staining — MART-1 and SOX10 — run in our own laboratory during your surgery. These stains make melanoma cells visible at the margin in a way routine frozen sections cannot. The cancer is removed, every margin is tested with the stains, and once the margins are clear the wound is reconstructed — all on the same day. The traditional alternatives are wide local excision, or a staged excision (sometimes called "slow Mohs") that stretches the removal and margin reading over one to three days. True same-day, margin-controlled Mohs for melanoma is what this laboratory was built to do.

The same on-site immunostaining capability is applied to aggressive non-melanoma tumors, including high-risk squamous cell carcinoma. Cancers that are difficult to see on routine sections can be traced accurately to their margins, which makes them amenable to tissue-sparing surgery with higher cure rates.

After skin cancer removal, our surgeons provide expert reconstructive techniques to restore both function and appearance. We work to achieve optimal cosmetic results while ensuring complete cancer removal.

Pilonidal disease — pilonidal cysts and pilonidal abscesses — arises in the natal cleft, the crease between the buttocks near the tailbone, where hair and debris work under the skin and form infected pockets and sinus tracts. It most often affects young adults, and it tends to come back when treated with drainage or simple excision alone. We treat it with the Bascom cleft lift, the current gold standard for cure: the sinus tracts are removed, the cleft is flattened, and the closure is moved off the midline where skin heals reliably. Success rates in large published series run 95 to 97 percent, and patients are typically left with a smaller, off-midline scar and a faster return to normal activity than with traditional wide excision.

Years of sun leave more than individual spots — they leave a field of damage: rough texture, mottled tone, fine lines, and scattered actinic keratoses, the precancers that can progress to squamous cell carcinoma. Skin resurfacing treats that whole field at once. Dr. Modi performs fractional CO2 laser resurfacing and medium-to-deep chemical peels using Jessner's solution and TCA — the same two tools serving two purposes: clearing photodamaged, precancerous skin, and aesthetic rejuvenation. It is resurfacing supervised by a surgeon who spends the rest of his week looking at skin cancer under a microscope.

Hair loss is a medical problem before it is a cosmetic one, and we treat it that way. Evaluation starts with a physical and clinical examination and, where indicated, laboratory testing — because thyroid disease, iron deficiency, and other medical causes need to be found, not covered up. Treatment is then built holistically from the tools with evidence behind them: oral medications, topical medications, and platelet-rich plasma (PRP) — your own concentrated platelets injected into thinning areas over a series of sessions. PRP is one tool in a complete plan, not the whole plan.

Beyond skin cancer treatment, our surgeons perform a variety of dermatologic procedures including mole and cyst removal, nail procedures, and treatment of other skin conditions.