Mohs Surgery

Dr. Zain Husain, Heather, and Courtney explain Mohs surgery as a tissue-sparing, in-office procedure for skin cancers—most commonly basal and squamous cell carcinoma—highlighting its microscopic margin control, same-day cure confirmation, and 99% cure rate. They compare Mohs to standard excision, radiation therapy, ED&C, and other destructive methods, emphasizing the reassurance of immediate histologic proof and reduced removal of healthy tissue. The episode walks through a typical Mohs day from consent, marking, local anesthesia, staged tissue removal and slide processing, to reconstruction options including second-intent healing, linear closure, flaps, and grafts. They discuss appropriate-use criteria, post-op wound care (keep moist and covered), sutures, antibiotics in select cases, continuing blood thinners, expected pain/swelling, activity restrictions to prevent dehiscence, and scar care with sun protection and silicone-based treatments.00:00 Creative Mohs Intro00:31 What Is Mohs01:15 Why Mohs Wins02:20 Other Treatments Downsides03:22 Step By Step Procedure05:47 Waiting Between Stages06:18 Reconstruction Options08:07 Who Needs Mohs09:48 Aftercare Basics11:50 Antibiotics And Blood Thinners15:17 Pain Swelling Expectations17:02 Scar Care And Sun21:29 Misconceptions And Melanoma23:39 Wrap Up And Subscribe