Laguna Beach Mohs Surgery doctors
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Grace Liu, MD
Newport Beach Dermatologic Surgeon
3991 MacArthur Blvd Suite 228 , Newport Beach |
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2 answers |
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Dan Mills, MD
Orange County Plastic Surgeon
31852 Pacific Coast Hwy Suite 401 , Laguna Beach |
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Arian Mowlavi, MD
Laguna Beach Plastic Surgeon
31542 Pacific Coast Hwy. , Laguna Beach |
Recent Answers
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?
Hi,
The biggest advantage of Mohs is the ability to meticulously and carefully map and remove a skin cancer on a critical area with a high cure rate and avoiding taking too much tissue. The nose certainly falls into this category since this is an important cosmetic unit and avoiding anatomical distortion is very important since everyone looks at your nose. The type of tumor is also important since some are more aggressive and tumor clearance with microscopic mapping is ideal. A lot of information regarding the technique of Mohs Surgery is available from the American Academy of Dermatology, the American Society for Mohs Surgery. If a patient for health reasons is unable to have Mohs, radiation with an experienced radiation oncologist is always an option.
I have Basal Cell Carcinona (BCC) in the face (upper maxilla ), and it was removed on November 22, 2008. However, the surgeon did an incomplete primary excision and the biopsy showed positive margins for BCC. I did some research, and the Mohs Micrographic Surgery (MMS) is a good option for the recurrent BCC. Do I need to have a clinical recurrence to undergo MMS?
Hi, Medicare guidelines for Mohs include positive margins on excision, recurrence of tumor, high risk head and neck areas, anatomically important areas such as hands and feet, immunosuppressed patients, aggressive tumor subtypes. The beauty of Mohs is that is an elegant tissue sparing method of removal of certain skin cancers with a high cure rate.