New York 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
Ritu Saini, MD Ritu Saini, MD
New York Dermatologic Surgeon
345 E. 37th Street Suite 209, New York
5 answers
Monica Halem, MD Monica Halem, MD
New York Dermatologic Surgeon
16 East 60th Street Suite 300, New York
2 answers

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
I Am 49 Years Old. Diagnosed with BCC on Bridge of Nose, What's Best for Least Scarring?

Skin cancer specialist advised marginally removing BCC, send me home with a hole in my nose, back next day, if biopsy ok, wound closed like an icecream cone, extending down the side of the nose and zig zag up between the eyes. This allows the skin edges to be drawn together. The plastic surgeon said that he would remove skin from my check and graft it to my nose. I see a dermatologist re MOHS surgery next week. For the least scaring, what's best?

A: Basal cell cancer

The best treatment for a BCC on the nose is Mohs surgery.  Mohs surgery controls the skin cancer by using a microscope to check the margins during the day of the procedure.  It gets rid of the skin cancer and  leaves behind as much normal skin as possible leaving a much smaller defect. A smaller defect after taking the skin cancer out leads to a smaller reconstruction with a better scar.  Dr. Halem

Monica Halem, MD
New York Dermatologic Surgeon
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