Utilizing Mohs surgical techniques, the surgeon performs precise excision of the skin cancer in stages, one tissue layer at a time. The tissue is then processed onto microscope slides by a Mohs histotechnician. These slides are carefully examined under the microscope by the Mohs surgeon so that any microscopic roots of the cancer can be precisely identified and mapped. Unlike conventional techniques which only sample a small portion of the edges, around 1%, Dr. Ewanowski examines 100% of the edge and bottom of the tissue. When cancer cells are seen, an additional tissue layer is removed only in areas where the cancer is still present, saving as much normal, healthy skin as possible.
This tissue sparing technique results in a smaller post-surgical defect, and once the cancer has been removed entirely, Dr. Ewanowski will explain options for repair of the wound. The chances of developing a recurrence of your cancer is extremely low, less than 1%, in the skilled hands of a fellowship trained Mohs surgeon, such as Dr. Ewanowski. Dr. Ewanowski has performed over 20,000 Mohs surgeries.