Which Skin Cancer Removal Surgery Has the Most Success?

A cancer diagnosis is always a scary one, but when it’s skin cancer and caught early, the disease is at its most treatable. Whether you need skin cancer removal surgery or a non-surgical solution, with the help of your dermatologic surgeon, you’re sure to receive the right treatment with the best possible outcome.

Skin Cancer Removal Surgery in Indianapolis at the LASSI

When it comes to treatment options through the Laser and Skin Surgery Center of Indiana, the choices are considerable. Our claim to fame, specifically, is Mohs surgery, or Mohs Micrographic Surgery, a name coined by Dr. Hanke himself in the late 1980s. Dr. Hanke has contributed to the development of modern-day Mohs skin cancer removal surgery techniques, a treatment first developed by Dr. Frederic Mohs. Dr. Hanke also served as president of the American College of Mohs Surgery and developed the first Mohs surgery training program at Indiana University School of Medicine.

In addition to Mohs surgery, other skin cancer treatment options we offer include cryosurgery, excision, and curettage with electrodesiccation.

Mohs Micrographic Surgery: When you need skin cancer removal surgery, Mohs micrographic surgery is one of the most effective options, but is currently limited to non-melanoma skin cancer*. It’s been around since the late 1930s, which means that dermatologic surgeons have had time to perfect it. During this procedure, tumors are precisely identified and removed while the surrounding healthy tissue is left intact.

Cryosurgery: During cryosurgery, your dermatologic surgeon will freeze precancerous skin lesions, causing them to fall off. Many people prefer this method because it doesn’t require the use of a scalpel. Stinging, swelling, and blistering are common side effects of cryosurgery.

Excision: Excision is a skin cancer removal surgery that removes the cancerous area as well as the surrounding tissue to prevent the disease from returning. Your dermatologic surgeon will then use sutures to close the area. Once the cancer is removed, your surgeon will send it to a lab just to make sure that the cancerous cells are gone.

Curettage and Electrodesiccation: With curettage and electrodesiccation, your dermatologic surgeon will give you a local anesthetic. They will then use a curette, which is a device that features a sharp ring-shaped tip, to remove part or all of a precancerous lesion. Electrodesiccation is a process that uses heat to cauterize the area and eliminate any remaining cells that may be abnormal.

Mohs Micrographic Surgery: The Gold-Standard in Skin Cancer Removal Surgery

Dr. Frederic Mohs

The Mohs micrographic surgery is considered the best option for skin cancer removal because the surgery involves extracting the diseased skin layer by layer. Your dermatologic surgeon will then examine each layer under a microscope until reaching skin that is healthy and cancer free around the tumor. Of all skin cancer treatments, Mohs surgery offers you the highest success rate.

The microscopic evaluation process is what makes Mohs surgery unique and exceedingly effective. The pathologic assessment of the excised tissue is completed on site by a Mohs surgeon who has the training to differentiate cancer tissue from tissue that is healthy.

Mohs surgery is preferred because it takes extra precautions to make sure that cancers are completely removed during the surgery. This step practically ensures that the cancer won’t grow back and also minimizes the amount of healthy tissue that you lose. With Mohs surgery, you’ll likely experience a better surgical and cosmetic outcome. In addition, the site of the cancer is repaired at the same time that the cancer is removed. Studies show that Mohs micrographic surgery is able to provide a cure when other techniques have been unable to do so. It’s cost-effective since most people only need one surgery, and it also decreases the psychological impact of skin cancer returning that people experience when they face multiple procedures.

Why Choose the LASSI for Your Skin Cancer Removal Surgery?

When you receive a skin cancer diagnosis, you want only the most experienced professionals providing treatment. You’ll get that at the LASSI. With Dr. C. William Hanke on your case, you’ll have a surgeon who went above and beyond to obtain his educational and medical background. Skin cancer research is also a big part of our mission at the Laser and Skin Surgery Center of Indiana, so you’ll have access to the latest treatment techniques and a knowledgeable staff for your skin cancer removal surgery.

Whether you’ve been diagnosed with skin cancer or suspect you may have skin cancer, an appointment with Dr. Hanke will provide you with the best chance for success. Schedule your appointment today.

*Mohs Micrographic Surgery is currently being explored as an option for melanoma skin cancers.

Mohs Surgery Recovery

Mohs Surgery Recovery: Minimizing the Appearance of Scars After Surgery

When you are recovering from a skin cancer treatment and have received the relieving news that your cancer is gone, you may focus on the scars commonly visible after surgery. This is particularly true for patients who had cancer removed from the facial area. Fortunately, there are things you can do to reduce the visibility surgical scars. After your Mohs surgery recovery, our skin care team can help you diminish the appearance of scars with different treatments, including our new Microneedling treatment and our tried and true laser skin resurfacing device.

What is Mohs Surgery?

Mohs surgery is specifically designed for the treatment of skin cancer. The treatment was developed in the 1930s by Dr. Frederick Mohs, and has become increasingly popular in the past decade. Mohs surgery is the single most effective method for removing the two most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma. Mohs surgery has the ability to remove nearly all cancer cells, while maintaining the integrity of the surrounding healthy tissue. Cure rates with this type of surgery are very high, at 98 percent or greater.

Actor Hugh Jackman Talks Skin Cancer and Mohs Surgery

How Does Mohs Surgery Differ From More Traditional Surgical Techniques?

Mohs micrographic surgery differs from traditional excisional surgery because it is performed all at one site. A dermatologic surgeon trained in Mohs micrographic surgery gives you a local anesthetic before removing a thin layer of skin from the affected area. The skin is then examined microscopically by the Mohs surgeon using frozen sections at the on-site lab. If cancer cells still remain, you are called back into the operating room and another thin layer is removed. The process is repeated until the edges of the final tissue sample are cancer-free. At this point, the dermatologist will suture the wound. In some cases, a skin graft may be necessary.

Laser Skin Resurfacing: Laser Away Scars and Regrow Healthy Skin Tissue

Laser skin resurfacing is performed using an ablative laser. Ablative lasers vaporize the skin on the surface of the body and are an effective method for removing the topmost layer, leaving room for healthy new skin to grow. The CO2 laser can be focused to a very thin beam for scalpel-thin cuts. It can also be used in a more diffused mode to vaporize a greater amount of soft tissue. This process is commonly used to treat a wide variety of skin conditions, including acne scars, extensive sun damage and surgical scars.

The process can take anywhere from a couple minutes to an hour depending on the size of the area to be treated. Because of the ablative nature of the procedure, an anesthetic or numbing agent will be required. The laser skin resurfacing technique stimulates the production of new collagen in the skin to complete the healing process. This is useful in Mohs surgery recovery, reducing the appearance of residual surgical scars once the cancer has been completely removed.

Microneedling: How This Celebrity Beauty Craze Helps Mohs Surgery Recovery

microneedling scar treatment before and after

Individual results may vary from person to person.

Microneedling, or collagen induction therapy and percutaneous induction, is a minimally invasive procedure and effective skin rejuvenator that helps stimulate the production of healing collagen. The procedure uses a device containing many fine needles that are applied across the skin to create a controlled micro-injury. This injury triggers the body to produce collagen and elastin. The result of microneedling is improved skin texture and increased firmness. Microneedling is also an effective treatment for scars and stretch marks, and the depth of the treatment can be controlled by your provider to ensure the best results.

Before treatment, you will receive a topical anesthetic cream on your face. You will hardly feel anything when your skin care specialist applies the microneedling device. Multiple treatments are often required to achieve the desired final result. You may also benefit from maintenance treatments every six to 12 months. Because it can be performed on all skin types and colors, microneedling is occasionally preferred over laser treatments that can cause pigmentation issues in some darker skin tones.

Microneedling requires no downtime following the first treatment. Initial redness may occur, but this usually dissipates by the next day. For Mohs surgery recovery scars, however, you should expect to receive more than one treatment. Repeat treatments are spaced four to six weeks apart to give your body a chance to rebuild healthy skin cells.

Start Your Scar Treatments to Help With Mohs Surgery Recovery in Indianapolis

Dr. C.William Hanke is an expert in Mohs surgery, skin cancer treatments and scar revision. As a board-certified dermatologic surgeon and past president of the American College of Mohs Surgery, Dr. Hanke has contributed research and innovation to the field of Mohs micrographic surgery. Furthermore, Dr. Hanke’s skill as a general and cosmetic dermatologist provides patients with advanced skin care through lasers and other technologies to reduce the appearance of scars.

Schedule a consultation today with Dr. Hanke and our team of skin care experts and find out which treatments for scar reduction are right for you.