Precision and Peace of Mind: Why Mohs Surgery is the Gold Standard of Care

Posted on: November 22nd, 2024 by Dr. Michelle Pennie

The field of dermatology, particularly in skin cancer treatment, is advancing rapidly. As new options emerge, it is vital to know which treatments meet your specific needs in the most effective manner. At Bliss Dermatology, our commitment to providing the best treatment for skin cancer is represented by our strong endorsement of Mohs Micrographic Surgery. Dr. Michelle Pennie, one of the few double board-certified and fellowship trained dermatologists and Mohs surgeons on the West Coast of Florida, remains confident in her advocacy of this procedure. She recognizes this method as the gold standard for skin cancer removal over more recently developed techniques like Superficial Radiation Therapy (SRT). 

Layer by Layer: Mohs’s Margins

Mohs Surgery is a highly precise method for removing skin cancer, specifically proven effective against early-stage basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. This innovative treatment involves a dermatologist specifically trained in dermatopathology diligently examining tissue samples under a microscope, then removing cancerous cells layer by layer. One of the key advantages of Mohs Surgery is its ability to provide immediate analysis of the surgical margins, which significantly reduces the likelihood of any cancerous cells being left behind in the surrounding tissue. This approach ensures the complete removal of all cancer cells while preserving as much healthy tissue as possible, which minimizes potential scarring and promotes better cosmetic outcomes. Mohs Surgery is especially beneficial for cosmetically sensitive areas, such as the face, ears, hands, feet, and scalp, making it a preferred choice for patients concerned about their appearance post-treatment. Its minimally invasive nature not only enhances recovery times but also improves the overall patient experience.

Alternative procedures like Superficial Radiation Therapy often require multiple sessions spread over several weeks to complete treatment, which can be time-consuming and may leave patients uncertain about the effectiveness of their care. In contrast, Mohs Surgery is typically completed in a single visit, allowing patients to leave with the assurance that their cancer has been entirely removed. This immediacy not only provides peace of mind but also contributes to a significantly higher cure rate. Research shows that 99% of cancer tumors removed through Mohs Surgery do not return, making it one of the most effective options for skin cancer treatment. The efficiency of Mohs Surgery, combined with its high success rate, emphasizes its value as a preferred choice for patients seeking definitive skin cancer treatment.

Superficial Radiation Therapy: A Closer Look

Superficial Radiation Therapy (SRT) offers a non-invasive approach by utilizing targeted, low-energy radiation to eliminate cancer cells. While SRT is an effective treatment option for non-melanoma skin cancers such as basal cell carcinoma and squamous cell carcinoma, it is generally more fitting for patients with less aggressive forms of the disease or those who are not suitable for surgery. However, because SRT does not remove cancer cells as thoroughly and precisely as Mohs Surgery, there is a higher risk of recurrence. Ultimately, while SRT provides a valuable alternative, Mohs Surgery is the favored treatment for aggressive skin cancers. 

Mohs Surgery Remains on Top

Both Mohs Surgery and Superficial Radiation Therapy provide effective treatments for skin cancer, however Mohs remains the gold standard of care. Its high cure rate, accuracy, and efficiency in managing complex and aggressive cases ensure lasting results, making it the ideal choice for our patients.  Dr. Pennie’s extensive experience in performing Mohs Surgery coupled with her exceptional skill in cosmetic reconstruction allows us to not only remove skin cancers from the face with minimal scarring but also to schedule follow-up treatments with laser therapy for any remaining scars. Her primary goal is always to deliver treatment that ensures the best outcomes while minimizing the impact on her patients’ quality of life. This commitment to excellence solidifies Bliss Dermatology as the premier choice for optimal skin cancer care. For more information on the differences between Mohs Surgery and Superficial Radiation Therapy, please visit MohsCollege.org.

For a consultation and exploration of why Mohs Surgery could be the right treatment for you, schedule an appointment with Dr. Pennie today.