What is Mohs Micrographic Surgery?
Mohs Surgery is a specialized technique developed by Dr. Frederic Mohs to remove skin cancer while preserving as much healthy tissue as possible. The process involves removing thin layers of skin one at a time, immediately examining each layer under a microscope, and continuing the process until no cancer cells remain.
This allows for: The highest cure rate (up to 99%), Minimal removal of healthy skin, Ideal outcomes in cosmetically and functionally sensitive areas
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Microscopic Examination
The tissue is examined under a microscope by your doctor to identify if any cancer cells remain.
Step-by-Step: What to Expect During Mohs Surgery
Based on the American Academy of Dermatology’s process:
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Tumor Removal
The visible tumor and a thin margin of surrounding skin are surgically removed.
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Additional Layers as Needed
If cancer is still present, more skin is removed in small increments and re-examined.
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Completion
This process continues until the tissue is cancer-free—maximizing precision and preserving healthy tissue.
What to Know Before Surgery
- Stop smoking 1 week before and 2 weeks after surgery to improve healing.
- A nurse will call to review medications and instructions.
- Let us know if you are taking blood thinners (e.g., aspirin, Eliquis, warfarin).
- You may eat a light meal beforehand unless instructed otherwise.
- Wear comfortable clothing with a front-button or loose collar.
- Avoid applying makeup, creams, or lotions the day of surgery.
- Bring snacks, water, and a book or other activity for downtime.
After Your Procedure
- You can usually resume normal daily activities the next day.
- Avoid strenuous activities for approximately 7 days.
- Over-the-counter pain relief (Tylenol, Motrin) is usually sufficient.
- You'll receive complete aftercare instructions and incision care guidance.
Insurance & Cost
We’ll confirm insurance coverage before your appointment and complete any needed pre-authorizations. We’ll also provide an estimate of any out-of-pocket costs beforehand so you can plan with confidence.
Why Choose Ozark Dermatology?
Fellowship-Trained Mohs Surgeons
All Mohs procedures at Ozark Dermatology are performed by Dr. Scott Jackson and Dr. Chris Schach, fellows of the American Society for Mohs Surgery. Together, they bring nearly 50 years of experience in skin cancer treatment and surgical dermatology.
Locations & Scheduling
Mohs surgery is offered at both our:
- Fayetteville Clinic: 4375 N. Vantage Drive
- Bentonville Clinic: 901 S.E. 22nd Street
Surgeries are typically scheduled for a half-day visit, with procedures lasting an average of 3–5 hours depending on complexity.
MOHS SURGEONS
Schedule a Mohs Surgery Consultation
If you’ve been diagnosed with skin cancer or referred for Mohs surgery, our experienced team is ready to provide personalized, compassionate care.
FAQ: Mohs Surgery at Ozark Dermatology
How effective is Mohs surgery?
It offers a cure rate of up to 99% for many skin cancers and is the gold standard for treating BCC and SCC.
Will I be awake during the procedure?
Yes. The procedure is performed using local anesthesia, so you'll be awake but comfortable.
How long does it take?
Plan for 3–5 hours on average. Time varies depending on how many layers need to be removed.
Will I need stitches or reconstruction?
In many cases, yes. Your doctor will discuss closure options after cancer removal, which may include stitches or a small skin graft.
Is there scarring?
All surgeries leave a scar, but our surgeons use advanced techniques to minimize visible scarring and prioritize aesthetic outcomes.