Some tumors can be adequately treated through standard excision by a dermatologist, but in some cases, a more precise surgical technique is needed. Mohs, or micrographic surgery, is a highly accurate surgical and pathological technique for identifying the deep roots of skin cancer lesions and removing skin cancers with a real-time analysis.
As a Mohs surgeon and member of the American College of Mohs Surgery, Dr. Bailey has a broad understanding of cancer, its pathology, and the reconstructive surgery process. In a Mohs procedure, Dr. Bailey begins by marking the visible tumor and taking a small margin of normal skin around and underneath this tumor. He then processes this tissue and evaluates it in three dimensions under a microscope to see if the tumor is fully removed. The processing of each piece of tissue takes approximately one hour. If there are cancer roots anywhere at the edges of what has been removed, he maps the location of the cancer roots and returns to the operating room. Dr. Bailey then removes more tissue at the precise location of the roots while using a three-dimensional map of the tumor to mark and remove another tissue sample. This process is repeated until the cancer is fully removed. Once a tumor is fully excised, Dr. Bailey immediately reconstructs the patient, providing the best functional and cosmetic outcome.
Mohs surgery has the dual advantage of providing the highest cure rate available while also preserving as much healthy tissue as possible. To achieve these benefits, however, requires that the Mohs surgeon be expertly trained by an accredited fellowship and that the surgeon has performed a sufficient number of surgeries. Dr. Bailey participated in over 2,000 surgeries during his training, and currently performs more 2,500 surgical procedures each year. He uses this wealth of experience to help patients understand their condition and to provide them with the highest level of care.