Frequently Asked Questions
What is Mohs surgery?
Mohs surgery is a highly precise technique used to treat certain skin cancers. Dr. Freedman removes the cancer layer by layer and examines each layer under a microscope in real time. This continues until no cancer cells remain. It offers the highest cure rate while preserving as much healthy skin as possible.
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Why was I recommended Mohs instead of a regular excision?
Mohs surgery is recommended when accuracy is especially important such as cancers on the face, ears, scalp, hands, feet, or any area where preserving healthy tissue matters. It’s also used for aggressive, recurrent, or tumors with unclear borders.
How long does Mohs surgery take?
Most patients should plan to be with us for 3–6 hours, although the exact time varies. Much of this time is spent waiting comfortably as your tissue is processed and examined in our on-site lab.
Will it hurt?
You’ll receive local anesthesia to numb the area completely, so you shouldn’t feel pain during the procedure. After the numbness wears off, most patients experience mild soreness that is manageable with over-the-counter pain relief.
What should I expect on the day of surgery?
You’ll check in, review your medical history with our team, and receive numbing medication. Dr. Freedman removes the first thin layer of skin, and you’ll wait while it’s evaluated. If more cancer is found, the process is repeated until the margins are clear. Afterward, Dr. Freedman will discuss the best way to repair the area.
What are my options for reconstruction/closure?
- Simple stitches
- A skin flap or graft
- Healing naturally without stitches (secondary intention)
Dr. Freedman will recommend the option that provides the safest and most cosmetic result.
Can I drive myself home?
Most patients can safely drive themselves after Mohs surgery. However, if your surgery is around the eye or if you feel anxious about driving, we recommend arranging transportation.
How do I care for the wound after surgery?
We’ll give you simple written instructions. Usually this includes daily gentle cleaning, application of ointment, and keeping the area covered. Our team will review everything with you so you feel comfortable before you leave.
Will I have a scar?
Any skin surgery will leave a scar, but Mohs minimizes the size of the wound so the scar is as small and natural-looking as possible. Dr. Freedman uses advanced closure techniques to achieve the best cosmetic outcome.
When can I return to work or normal activities?
Most patients return to normal routines within 24–48 hours, though strenuous exercise, bending, or heavy lifting should be avoided for about a week to prevent bleeding.
What cancers are treated with Mohs?
- Basal cell carcinoma
- Squamous cell carcinoma
- Certain melanomas (using specialized Mohs protocols)
Is Mohs surgery covered by insurance?
Yes, Mohs surgery is typically covered by most insurance plans, including Medicare, when medically indicated. Our team can help verify your benefits before your procedure.
What should I bring to my appointment?
- A list of medications
- Your insurance card
- A snack or book for the waiting periods
- Someone to accompany you if you prefer additional support
How successful is Mohs surgery?
Mohs surgery has the highest cure rate of any skin cancer treatment — up to 99% for many basal cell and squamous cell carcinomas.
What if I have more questions?
We’re here for you. Dr. Freedman and our team are always happy to answer questions before, during, or after your visit so you feel fully informed and cared for.