Manhattan Mohs Surgery doctors

Ronald Shelton, MD Ronald Shelton, MD
Manhattan Dermatologist
260 E 66th St, New York
50 answers
Jessica J. Krant, MD, MPH Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon
860 Fifth Avenue Ground Floor, New York
10 answers
Kavita Mariwalla, MD Kavita Mariwalla, MD
New Haven Dermatologic Surgeon
10 Union Square East Suite 3C, New York
7 answers
Joshua L. Fox, MD Joshua L. Fox, MD
Long Island Dermatologic Surgeon
165 Roslyn Road, Roslyn Heights
1 answer
David Goldberg, MD David Goldberg, MD
New York Dermatologic Surgeon
115 East 57th St. Suite 710, New York
1 answer

Recent Answers

What Happens to a BCC Left Unremoved?

I'm sure that there are a lot of people out there with basal and squamos cell cancers out there. What really happens if they never get them removed?

A: Basal call carcinoma can be Destructive Basal cell carcinoma rarely metastasizes- spreads to other parts of the body. I had one patient that this happened to . It is known as the rodent ulcer. I had one patient who refused treatment and over three years lost his ear. Basal cell carcinoma can invade deeper tissues and bone How fast any cancer is going to grow can not be accurately predicted. Squamous cell carcinoma kills approximately 3000 people per year . It is unfortunate when patients do not treat conditions which are so relatively easy to treat and avoids these negative risks. If you are afraid of one type of treatment like MOHs surgery( the most effective type of surgery) then at least excision, desiccation and currettage, x-ray, chemical therapy,laser treatment, or some other typeof treatment which matches the patients's needs and concerns should be employed. Please do not ignor these important cancers. !!!!
Joshua L. Fox, MD
Long Island Dermatologic Surgeon
Swollen and Hard After Mohs Surgery

Had mohs 12 days ago. almost all swelling completely gone. 1cm Wound on side bridge of nose closed in linnear type fashion. Stitches from upper side bridge of nose down to crease of ala. Swelling near gone but left with a very hard swollen area begining under skin from bottom of orig 1cm wound (side of nose) extending down to begining of nosolabial fold just above ala. Can push on it and its pliable...but well defined and quite hard. Feels like a hard fish oil (omega 3) gelcap under skin!!!

A: Mohs surgery for skin cancer and reconstruction

Lumps under scars from reconstruction could represent normal swelling, palpable dissolvable suture early in the post operative period and dissolving reactions later in the course, hematoma which is blood that has collected focally, or an infection. If you're not having pain in the area, the firm area will probably resolve in time, but you should see your doctor for reassurance and they may suggest some treatment to hasten the resolution.

Ronald Shelton, MD
Manhattan Dermatologist
Can Mohs Surgery Wait a Month After Diagnosis?

If my recent biopsy of a very tiny, pimple-like thing on my cheek is basil cell cancer, can I wait 4-5 weeks after the diagnosis for Mohs surgery? I have only had this "pimple" for 1 month. I am getting married in 4-5 weeks and don't want to have this show.

A: basal cell carcinoma can be treated by Mohs surgery for conservation of tissue

Basal cell carcinomas are often very slow to grow.  Waiting four or five weeks is not uncommon for some patients to just get an appointment for consultation in some busy practices.  The doubling time for this slow-growing skin cancer allows one to relax if there is a short delay before treatment compared with faster-growing skin cancers such as squamous cell carcinomas or melanomas.  A rare exception would be if there are symptoms of nerve involvement near crucual areas such as the eyelid with shooting pain, new onset of double vision or blurred vision which would suggest you obtain the appropriate consultation prior to delaying the treatment.  The doctor might be able to give someone reassurance that for their case it would not place one's health in jeopardy. In all likelihood you will be able to enjoy your wedding first! 

Ronald Shelton, MD
Manhattan Dermatologist
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