The surgical management of benign and malignant skin lesions may include:

  • Incisional biopsy including punch biopsy, shave biopsy
  • Excision biopsy with primary closure
  • Shave excision
  • Curettage
  • Electrosurgery including diathermy, coagulation, and cautery
  • Mohs micrographically controlled surgery
  • Complex reconstruction using flap procedure or skin graft

Combinations of these techniques are often used. The aim is for minimal scarring after any surgical procedure.

Mohs surgery is a technique used in the treatment of several skin cancers that allows for complete removal of the lesion while minimizing removal of otherwise normal adjacent skin. Any location in the body can be treated with Mohs surgery, but it is typically reserved for nonmelanoma skin cancers occurring on the following locations:

  • Ears
  • Eyelids
  • Nose
  • Lips
  • Any sensitive location on the body that would have a higher risk of complications with regular surgical excision

Mohs surgery is a convenient and safe surgical technique that provides precise and complete removal of common nonmelanoma skin cancers while preserving as much normal skin surrounding the lesion as possible. Skin cancers removed typically include:

  • Primary basal cell carcinoma
  • Primary squamous cell carcinoma
  • Recurrent nonmelanoma skin cancers
  • Skin cancers with ill-defined borders
  • Skin cancers with high recurrence rates