Encino Mohs Surgery doctors

Edgar Franklin Fincher, MD, PhD Edgar Franklin Fincher, MD, PhD
Beverly Hills Dermatologic Surgeon
421 N. Rodeo Dr 2nd Floor Terrace Level, Beverly Hills
5 answers
Peyman Ghasri, MD Peyman Ghasri, MD
Los Angeles Dermatologist
5363 Balboa Blvd. Suite 333, Encino
2 answers
Don Mehrabi, MD Don Mehrabi, MD
Beverly Hills Dermatologist
9735 Wilshire Blvd. Suite 421, Beverly Hills
2 answers
Sarmela Sunder, MD Sarmela Sunder, MD
Beverly Hills Facial Plastic Surgeon
201 S. Lasky Drive , Beverly Hills
Malcolm A. Lesavoy, MD Malcolm A. Lesavoy, MD
Encino Plastic Surgeon
16311 Ventura Blvd Ste 555, Encino

Recent Answers

Can I Wait 7 Months for Mohs for 2mm Nodular BCC on Nose?

Biopsy result is 2mm nodular BCCpresent on deep and one peripheral margin. Carcinoma is composed of bland basaloid keretinocytes with peripheral pallsaded of nuclei. Due to a full calendar of raising a 16 year old daughter. I would like to wait until week of July 23rd to have my Mohs procedure done. I do not feel that I am emotionaly ready to go through recovery of my scar in January. In July I would have the privacy of healing that I do not have the luxury of now.

A: The sooner the treatment, the smaller the potential scar

As you know, Basal Cell Cancer, even though not an aggressive tumor by any means, is still a cancer.  Nodular BCC by defnition could be extending vertically and deep in addition to the outside periphery. Mohs surgery could remove the cancer cells entirely while sparing the uninvolved skin.  If the cancer is in fact only 2mm, the potential scar and recovery could be very minimal and should not interfere with your daily activities. However, if the cancer is allowed to progress and get bigger, it would need more removal of tissue with result of a potentially larger scar.

Peyman Ghasri, MD
Los Angeles Dermatologist
Mohs Surgery for Skin Cancer

my research on the web keeps leading me to the conclusion that mohs surgery is the best technique for treating skin cancer on the nose. Is this true? Are there any reasonable alternatives to be considered?

A: Mohs provides the best cure rate

Mohs surgery does provide patients with the best cure rate or least chance of a cancer recurring following removal.  Additionally, Mohs surgery has the possibility of providing a cure with the least amount of skin removed because it utilizes careful mapping and analysis of the tissue specimen during surgery.  In many cases, especially in cosmetically sensitive areas such as the face, it can help to minimize scarring. 

Mohs surgery is appropriate for basal cell carcinoma, squamous cell carcinoma, early melanomas and many other types of rare skin cancers.  Make sure that you locate a fellowship-trained surgeon who is a fellow of the American College of Mohs Surgeons in order to assure the highest level of training in both tumor removal as well as in facial plastic reconstruction.  Typically the tumor removal and the high quality reconstruction is provided by the same surgeon during the same visit making it ideal for the patient.

Edgar Franklin Fincher, MD, PhD
Beverly Hills Dermatologic Surgeon
Is Mohs Surgery Necessary for a Minimally Invasive Squamous Cell on Bridge of Nose?

Is mohs indicated for squamous cell invasive on bridge of nose scattered surface of dermis? minimally invasive squamous cell on bridge of nose, biopsy showed that it was scattered on the surface of dermis. What treatment is recommended for this?

A: Mohs Surgery is Ideal

A minimally invasive squamous cell carcinoma means that the tumor is beginning to invade into the deeper layers of the skin.  Not only will Mohs surgery provide the best chance for obtaining clear margins by allowing for complete margin analysis during the time of surgery, but it will also help to minimize the amount of tissue removed so that only what is needed is removed.  THis is especially important in a cosmetically sensitive area such as the nasal bridge.

Edgar Franklin Fincher, MD, PhD
Beverly Hills Dermatologic Surgeon
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