As dermatologists, we have extensive knowledge about the biology and pathology of the skin. This expertise allows us to decide which medical or surgical approach is best for each patient. Most surgical procedures for benign and malignant lesions can be easily performed in our outpatient setting.  

• Cryosurgery (liquid nitrogen) is commonly used to treat warts, precancerous lesions and occasional skin cancers.  The successful elimination of these lesions is a result of the freezing temperature which destroys tissue.

• Electrosurgery is a frequently used form of surgery for removal of benign and malignant lesions. Tissue destruction is accomplished by heat generated by an electrosurgical apparatus.

• Excisional surgery is used for complete removal of benign and malignant lesions when indicated. This procedure allows for microscopic analysis of the tissue.

• Mohs micrographic surgery is a technique that allows a skin surgeon to operate on skin cancer and have the highest certainty that the tumor is completely removed. In this staged procedure, the tumor is removed while leaving as much normal skin behind as possible. In this way, the patient benefits from the highest cure rate and smallest defect possible to remove the cancer. The wound is then closed for the best cosmetic result. Mohs surgery is performed on an outpatient basis in our office under local anesthesia. Patients should plan to spend the entire day with us. Indications for Mohs surgery include locations of the tumor (such as nose or ear), the size, the presentation, the type of tumor or if it is a reoccurring one. Based on one of these criteria, your doctor may recommend Mohs surgery for a skin cancer.

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