Mohs Micrographic & Reconstructive Surgery Near Chattanooga, TN


Mohs Micrographic & Reconstructive Surgery

Please view this 4-min tutorial by the American College of Mohs Surgery to learn more about the procedure:

Mohs micrographic surgery is a specialized surgical procedure that boasts the highest cure rate of any skin cancer treatment. It enables the surgeon to remove the tumor and examine the margins underneath a microscope in real-time. Once the cancer is definitively removed, the surgical defect is reconstructed at the same visit, providing the patient with a convenient, optimal outcome.

In addition to performing Mohs surgery on basal cell carcinoma and squamous cell carcinoma, our facility is equipped with a state-of-the-art process called immunostaining. This enables us to perform Mohs surgery on melanoma (MART-1 stain), ensuring the highest possible cure rate and the least amount of scarring.

Dr. Miller is among the few fellowship-trained Mohs micrographic and reconstructive surgeons in the region. In addition to skin cancer removal, his expertise includes advanced facial reconstructive techniques that minimize scarring and maximize cosmetic outcomes. Learn more about Dr. Miller today.

For more information about Mohs surgery available at our office near Chattanooga, TN, call us at (423) 206-2777 to schedule your appointment today.

Skin cancers we treat with Mohs surgery:

Frequently Asked Questions about Mohs Surgery

We typically recommend avoiding activities for two weeks that will raise your heart rate or blood pressure. Such activities include exercising, manual labor, lifting heavy objects, and swimming. It is especially important to avoid these activities in the first week to reduce the risk of bleeding, swelling, and impaired wound healing.

Mohs surgery is an outpatient, awake procedure that most people tolerate very well. However, some skin cancers are larger or in locations that can be more serious and stressful to patients. For patients who are anxious about their procedure, we offer medications that can help relax them during the procedure.

It depends on the extent of surgery and type of reconstruction performed. However, many patients are able to return to work the next day. Patients who are needing to return to work quickly are advised that discomfort and swelling can persist for several days following surgery.

24 hours (unless otherwise directed in your post-operative instructions).

The length of a Mohs surgery depends on the location, size and type of tumor being removed. The majority of Mohs procedures last 2-3 hours. Some cases can be as quick as 1 hour. Rarely, cases can last as long as 8 hours. Lab processing is the bulk of the procedure time. During this time, patients wait comfortably in their room while the lab technician prepares the tissue to be read under the microscope by the Mohs surgeon.

The vast majority of patients are able to drive themselves home after surgery. Exceptions are when a patient receives “relaxing” medicine for the surgery or has a surgery near the eye which requires the eye to be covered after surgery.

Early basal cell carcinoma typically looks like a pink or shiny lesion that is either flat or raised. Sometimes it bleeds or itches, but typically is not painful.

Early squamous cell carcinoma typically presents as a red, raised, scaly area of skin. It can occasionally be painful.

Yes. With a fellowship-trained Mohs surgeon, the patient is able to conveniently undergo Mohs surgery and reconstruction at the same visit.

Most skin cancers, including melanoma, can be treated with Mohs surgery. However, Mohs surgery is not always indicated for low-risk skin cancers on the trunk or extremities. For these tumors, other options (ie, electrodessication and curettage, excision, or topical therapy) may be a better option. When skin cancers have spread to other organs (ie, metastasize), Mohs surgery is no longer a good treatment option because immunotherapy and other systemic agents are better-suited for widespread cancer.