Mohs Surgery: Precision Skin Cancer Removal

Mohs surgery is the most precise and effective treatment for non-melanoma skin cancers, including basal cell carcinoma and squamous cell carcinoma. This specialized procedure is designed to remove cancerous tissue while preserving as much healthy skin as possible, minimizing scarring and optimizing cosmetic outcomes. At Chapel Hill Dermatology, Dr. Jarett Casale, a board-certified dermatologist and fellowship-trained Mohs micrographic surgeon, provides expert care for patients with high-risk skin cancers located on the nose, eyelids, lips, ears, hands, feet, and genitals.

What sets Mohs surgery apart from traditional excisional surgery is its systematic, step-by-step approach. After removing thin layers of tissue, each layer is immediately examined in an on-site lab to ensure all cancer cells are eliminated before proceeding. This method allows for the highest cure rates and the most precise removal of skin cancer, reducing the need for additional procedures.

At Chapel Hill Dermatology, our goal is to provide compassionate, patient-centered care while delivering the most effective treatment for skin cancer. Dr. Casale combines his expertise in Mohs surgery with a focus on education and innovation to make dermatologic care accessible and precise.

• Initial Consultation: Dr. Casale evaluates your skin cancer, reviews your medical history, and explains why Mohs surgery is the recommended treatment for your specific condition.
• Preparation: The surgical site is numbed with local anesthesia to ensure comfort throughout the procedure.
• Layer-by-Layer Removal: Dr. Casale carefully removes the cancerous tissue in stages, examining each layer under a microscope to confirm all cancer cells are gone.
• Reconstruction: Once the cancer is fully removed, Dr. Casale repairs the area using techniques that preserve both function and appearance. Some patients may require simple closure, while others may need more advanced reconstructive surgery.
• Recovery & Follow-Up: Most patients experience minimal discomfort and can return to normal activities quickly. Dr. Casale provides detailed aftercare instructions and schedules follow-up visits to monitor healing and long-term outcomes.