Mohs AND SLOW Mohs SURGERY

Excising Skin Cancer With Precision

Mohs and slow Mohs surgery are precise surgical techniques used to treat skin cancer. It involves the removal of thin layers of cancer-containing skin, one portion at a time, and examining each layer under a microscope until no more cancer cells are detected. This method allows for the complete removal of cancerous tissue while sparing as much healthy skin as possible. Dr. Chang and our team are proud to offer both traditional Mohs and slow Mohs surgery techniques to effectively treat skin cancer while offering our patients minimal scarring and the best possible cosmetic outcomes, including a low recurrence rate.

Testing samples of skin at Chang Dermatology

Benefits Of Mohs And Slow Mohs Surgery

Developed by Dr. Frederick E. Mohs, Mohs and Slow Mohs Surgery surgery is a precise surgical technique used to treat skin cancer. By at first only removing the visible part of the cancer and the surrounding tissue, it ensures that only the greatest amount of skin is preserved. The surgery:

  • Reduces scarring
  • Requites minimal downtime
  • Has high cure rates

Skin Cancers It Treats

While Mohs surgery is not suitable for every skin cancer, it is especially effective for non-melanoma skin cancers such as basal cell carcinoma and squamous cell carcinoma. It is also a suitable treatment for cancers that:

  • Are on the head and neck
  • Have come back
  • Grow quickly
  • Are large
  • Have difficult to define edges
  • Are in a noticeable or sensitive area such as the mouth, nose, feet, eyes and hands
Dr. Chang laughing with team member over ipad.

How We Perform Mohs Surgery At Chang Dermatology & Skin Surgery Center

Using a scalpel, our dermatology team carefully removes one portion of skin and examines it in our lab under a microscope. If Dr. Chang and our team find cancer, an additional layer of skin is removed and examined and this process is repeated until there is no remaining evidence of cancer. This technique allows for extra precise removal while preserving the most amount of healthy skin.

While our team examines the portion of the skin in the lab, our specialist will place a temporary bandage over the affected area. We mark the spot where the cancer was removed so that our surgeon knows where to take an additional portion if necessary.

After removing all the cancer, we will repair most wounds that day. Some wounds, however, such as more complex or larger ones, may require more attention and additional surgery.

Slow Mohs Surgery

A modified version of the procedure is slow Mohs, also known as staged excision. This procedure involves examining the excised portion for a longer period of time as compared to traditional Mohs. Though requiring more appointments, it is very effective for treating melanoma, especially melanoma early or stage 0 melanoma, or melanoma situ, which is shallow and sits on top of the skin. It involves examining the cancer for around 24 hours under a microscope as opposed to right away. However, it may not be the best option for all melanomas, including deeper ones and those that have spread.

Mohs And Slow Mohs Surgery FAQs

We want you to feel not only informed, but also at ease before surgery at Chang Dermatology & Skin Surgery Center. It’s normal to have questions before your procedure. We are happy to answer some of the most commonly asked questions about Mohs and slow Mohs surgery.

Yes! It’s our goal to keep you as calm and comfortable as possible during both Mohs and slow Mohs surgery. While it does not require deep sedations, our team will use a local anesthetic to numb the area.

It depends on how much cancer we find and how much skin needs to be removed. For patients receiving slow Mohs surgery, their tissue sample will take longer to examine—closer to 24 hours.

Because Mohs and Slow Mohs surgery are both outpatient procedures, patients can go home that day. Your wound will be bandaged and you can expect some soreness or pain, which can be managed by medication. You should wear the bandage for about a week or as instructed by our team and follow our aftercare instructions closely. If you experience extreme pain or notice signs of infection, call us immediately at (757) 689-8183.

Dr. Chang smiling talking to an older male patient
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Your Skin Is Precious—Choose a Trustworthy Team

Ready to take the next step toward healthier skin? At Chang Dermatology & Skin Surgery Center, we’re committed to exceptional care in general dermatology, skin cancer treatment, and preventative care—all with your comfort in mind. Whether you’re in Virginia Beach or nearby, our minimally invasive approach ensures effective, natural-looking results. Schedule your appointment today and experience patient-first care that sets us apart.

Expert Dermatology Delivered With Precision

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