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Mohs Surgery Specialist

Ohio Dermatology Center

Dermatology located in Gahanna, OH & New Albany, OH

Mohs surgery is the most effective way to treat skin cancer, but very few surgeons have the specialized training needed for this advanced approach. At Ohio Dermatology Center, board-certified and fellowship-trained surgeon Larisa Ravitskiy, MD, has extensive background in Mohs surgery and is a fellow of the American College of Mohs Surgery (ACMS). She regularly performs Mohs surgery in the Gahanna and New Albany, Ohio, offices, and is ready to help with all aspects of skin cancer screening, diagnosis, prevention, and treatment. Call the office nearest you or book an appointment online.

Mohs Surgery Q & A

What is Mohs surgery?

Mohs surgery is an advanced skin cancer surgery that focuses on complete cancer removal while preserving healthy tissue. 

Dr. Ravitskiy is a fellowship-trained Mohs surgeon with many years of experience in this type of surgery. She’s an expert in this highly intricate form of cancer surgery, making her the ideal provider to diagnose and treat all types of skin cancer.

When would I need Mohs surgery?

There are many situations in which Mohs surgery is the best option, including:

  • Lesion in a delicate area
  • Recurring lesion
  • Scar tissue in or around the lesion
  • Large cancerous lesion
  • Lesion that lacks clear borders
  • Rapid growing lesion

If a high cure rate is the top objective of skin cancer treatment, Mohs surgery is unquestionably the best option. 

How does Mohs surgery work?

Mohs surgery includes many steps. Dr. Ravitskiy starts by examining your skin lesion and creating a treatment plan. She administers local anesthesia to numb your skin.

Next, Dr. Ravitskiy removes your skin lesion and one layer of skin beneath the lesion. She may remove multiple layers of tissue, one at a time, with lab exams between each removal to check for signs of cancer. 

Through the immunohistochemistry process, Dr. Ravitskiy uses antibodies to look for specific antigens (markers), like MART1 and CK20, in tissue samples. This can help with differentiating cancers like basal cell carcinoma, squamous cell carcinoma, and melanoma.

The process of incremental tissue removal and lab testing continues until Dr. Ravitskiy finds no trace of cancerous cells. This process allows her to remove all the cancer without losing the healthy tissue around it.

What happens after Mohs surgery?

A small wound might not require reconstruction because the skin can heal naturally. But many tumor removals leave behind larger wounds requiring skin reconstruction. Usually, Dr. Ravitskiy does so immediately after your procedure. 

Depending on the depth and size of your wound, there are a few options:

  • Bandage over wound
  • Stitches to close the wound
  • Skin graft (a skin transfer without its blood supply)
  • Skin flap (a skin transfer with deeper tissues attached)

At your post-surgery appointment, Dr. Ravitskiy examines your wound and makes sure that you're healing well. 

Because skin cancer has a high recurrence rate, it's extremely important to come into Ohio Dermatology Center for each of your regular checkups on time. Dr. Ravitskiy can identify skin cancer in its earliest stages so you can take action to prevent serious outcomes.

For Mohs surgery from a fellowship-trained ACMS fellow, contact Ohio Dermatology Center or click the online scheduling tool.