MOHs Reconstruction (Skin Cancer) - Dr. Arash Moradzadeh
Serving Beverly Hills, Los Angeles, Santa Barbara and surrounding areas
It’s estimated that over one million cases of skin cancer are diagnosed in the United States each year, and that numbers seems to be rising. Moreover, approximately 93 to 97% of all skin cancer occurs on a highly visible part of the body such as the head, face, ears, neck, hands, and arms since these are the parts of the body that typically receive the most sun exposure.
The good news is that early detection (while the cancer is still in its localized stage) means a near 99% survival rate. The survival rate drops steadily in proportion to how far the cancer has spread at the time of detection, so regular screenings are important.
While certain types of skin cancer can be treated with cryotherapy (freezing), lasers, electrodessication and curettage (alternate scraping and burning of the lesion), and even topically applied chemotherapy, others types require surgical removal.
Mohs Micrographic Surgery is the most advanced and effective treatment procedure for skin cancer available. The procedure is performed by specially trained surgeons who have completed at least one additional year of fellowship training under the tutelage of a Mohs College member.
Initially developed by Dr. Frederic E. Mohs, the Mohs procedure is a state-of-the-art treatment, continuously refined over 70 years, that allows the surgeon to precisely identify and remove the entire tumor layer by layer while leaving the surrounding healthy tissue intact and unharmed. As the most exact and precise method of tumor removal, it minimizes the chance of re-growth and lessens the potential for scarring or disfigurement.
When performed by an experience Mohs surgeon, Mohs surgery has the highest success rate of all treatments for skin cancer. Clinical studies conducted at various national and international medical institutions such as the Mayo Clinic, the University of Miami School of Medicine and Royal Perth Hospital in Australia have shown that Mohs surgery provides five-year cure rates — exceeding 99 percent for new cancers, and 95 percent for recurrent cancers.
The Mohs technique is also the treatment of choice for cancers of the face and other sensitive areas because it relies on the accuracy of a microscopic surgical procedure to trace the edges of the cancer and ensure complete removal of all tumors down to the roots during the initial surgery. Mohs Micrographic Surgery is also an effective and precise method for treating basal cell and squamous cell skin cancers.
Mohs Surgery can be used when:
- The cancer is in an area where it is important to preserve healthy tissue for maximum functional and cosmetic result, such as the eyelids, nose, ears or lips.
- Scar tissue exists in the area of the cancer.
- The cancer is large.
- The edges of the cancer cannot be clearly defined.
- The cancer is growing rapidly or uncontrollably
Mohs surgery is usually an outpatient procedure performed in the surgeon’s office. Typically, it starts early in the morning and is completed the same day, depending on the extent of the tumor and the amount or reconstruction necessary. Local anesthesia is administered around the area of the tumor so the patient is awake during the entire procedure. Dr. Moradzadeh will coordinate your surgery with only the best Mohs surgeons.
Once the Mohs surgery is completed, Dr. Moradzadeh will then evaluate the cosmetic defect and determine what type of repair will restore form and function. Dr. Moradzadeh’s Moh’s reconstruction techniques will often leave your face with no evidence of the prior excision. The goal is to restore your appearance as close to normal as possible.
It’s important to keep in mind that there’s no one “formula” for performing post-Mohs reconstructive surgery since the locations, amounts, and types of tissues affected vary from patient to patient. Certain techniques that commonly used include:
- Flap techniques (the most commonly used technique in post skin cancer facial reconstruction)
- LBone grafting (Bone is taken from the skull and shaped to be placed into the excision site.)
- Cartilage grafting (The most common donor site is the ear, but rib cartilage is also used.)
- Tissue expansion (used in a small percentage of cases)
The experience I had with Dr. Moradzadeh as my surgeon was phenomenal. His unmatched craft coupled with his amazing bedside manner made for a very pleasant experience. Dr. Moradzadeh has gone above and beyond to achieve the absolute best and natural results possible.
One year ago, Dr. Moradzadeh performed a septoplasty/rhinoplasty on me. I was an athlete all through school and broke my nose multiple times while playing softball. After college, I wanted to pursue my modeling career but missed a lot of opportunities because of the external deformity of my nose. I saw a few local Facial Plastic Surgeons but after meeting with them, I never felt comfortable enough to commit. -Marry
For many years, I suffered from severe breathing problems through my nose. I had been delaying any medical procedures to fix the problem because I was uncomfortable with the process, especially the packing typically inserted into the nasal passages and the difficult recovery period. I went to see Dr. Moradzadeh for any alternative solutions. He described a quick, special surgical process that he can perform which alleviates the problem, improves nasal breathing and has no negative side effects. I willingly agreed since my discomfort was only getting worse. After the brief surgery, I immediately noticed the improvement. I haven’t been able to breathe this freely in years...-R.D.
He is amazing! Already recommended to family and My father is going in on Monday. An excellent doctor and so glad I was referred to him. :) His office staff is also on point and very friendly. What an awesome experience.-Diana
Very professional and skilled at administering botox. I highly recommend!
It was interesting to feel my forehead muscles trying to relax, but I took it easy the day I had my face done and although he said that the results show 7 to 10 days after... I noticed my expression lines chilling out 48 hours later. It is nice to have had a good experience and I am pleased thus far with the service.
I was pleasantly surprised at how the office is welcoming and they were even able to get me in sooner, as I was early. Parking is a little tricky, so I took valet across the street and it was about $10 (tip included). The doctor was friendly and gentle, getting the areas that I wanted to target....-Anonymous
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