Dr. Frederic Mohs developed the Mohs procedure in the 1930s. Mohs Micrographic Surgery is an outpatient procedure that involves the surgeon removing the visible tumor and then creating a map or diagram of the cancer site. The surgeon then removes smaller and smaller sections of surrounding tissue, which the surgeon immediately studies under a powerful microscope, until the surgeon determines that all the cancer has been removed from the diagrammed area. Once the cancer has been removed, the surgeon repairs the wound using the most advanced reconstructive procedures.
Only Fellows of the American College of Mohs Surgery (ACMS) www.mohscollege.org have completed an additional 1-2 years of fellowship training after completing the residency requirements of their specialty. This is to ensure that the surgeon is expertly trained in not only the removal of the tumor, but more importantly, the accurate evaluation of the pathology so that the patient and surgeon can both be assured that the skin cancer is completely removed. This training also includes extensive experience in reconstruction with members of other specialties such as plastic surgery, otolaryngology, and oculoplastic surgery.