Mohs Surgery
Treatment for Skin Cancer
Mohs micrographic surgery is the most advanced and precise method for removing skin cancer. This specialized procedure removes cancerous tissue layer by layer, with each layer carefully examined under a microscope in real time. This process ensures that all cancer cells are removed while preserving as much healthy surrounding tissue as possible—resulting in both exceptional medical outcomes and the most natural cosmetic results.
Performed as an outpatient procedure at our state-of-the-art surgical center in the Woodward Building in downtown Birmingham, and at our Gardendale location, Mohs surgery is typically completed in under four hours.
If you’ve been diagnosed with skin cancer, schedule a consultation with our Mohs surgery team today to discuss your treatment options.
Step 1
The area to be treated is cleansed and injected with a local anesthetic, so you won’t feel any discomfort during the procedure. Then, the visible portion of the tumor is removed.
Step 2
A first layer of tissue with a narrow margin around the tumor is removed. The wound is bandaged temporarily while the on-site lab work begins.
Step 3
The surgeon cuts the tissue into sections and the undersurface and edges of each section are examined under a microscope by the surgeon for evidence of any remaining cancer.
Step 4
If cancer cells are found under the microscope, the surgeon returns to the patient to remove another layer of skin where the cells remain. This process is repeated until there is no evidence of cancer remaining.
The wound will be repaired and closed after there is no cancer evident. The Mohs surgeon will select the most optimal wound closure with minimal scarring, based on your individual needs.
Our Mohs Surgeons
C. Blake Phillips, MD
It is a privilege to care for patients. My task, in treating skin cancer, is to appropriately blend innovative medical science and artistry. There is no more fascinating nor rewarding role in medicine. I believe that clear communication and integrity lead to better health care.
Callie Hill, MD
I am committed to providing the highest standard of skin cancer treatment, from precise tumor clearance to thoughtful reconstruction. My goal is to ensure my patients feel cared for and informed every step of the way. I strive to treat each patient the way I would want my own family to be treated.
Mohs Frequently Asked Questions:
What types of skin cancer does Mohs treat?
Mohs is most commonly used for basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), but it may also be used for other rare skin cancers depending on the location and type.
Who is a candidate for Mohs surgery?
Mohs is typically recommended for basal cell carcinoma and squamous cell carcinoma, especially when the cancer:
- Is located on the face, ears, scalp, hands, or feet
- Has ill-defined borders
- Is large, aggressive, or recurrent
- Appears in areas where it’s important to conserve healthy tissue for function or appearance
What to Expect the Day of Your Mohs Procedure
A member of our surgical scheduling team will call and discuss the Mohs procedure, record all medical history, provide a step-by-step summary of the treatment and schedule the surgery.
On the day of the procedure, a nursing staff member will further discuss the surgery and how the plan of care will progress. After being escorted to the surgical treatment room, preparation for the procedure will take place and the area will be locally anesthetized.
The Mohs surgeon will remove the visible cancer with a mapped layer for microscopic analysis (as described in the graphic). The mapping, the tissue preparation and microscopic examination will take approximately 30-45 minutes. If any further cancer is found, the remainder will be removed and retested until all traces are gone. Next, the area will be reconstructed with the most appropriate procedure providing the best functional and cosmetic result. Following the closure, there will be a brief discussion in the post-treatment consultation room with any family or loved ones to review all post-operative and follow-up care.
Post-op supplies can be purchased at both Gardendale & downtown locations.
Helpful Reminder for Your Surgery
- Get a good night’s sleep the night before
- The morning or day of: bathe or shower, as your wound and bandages must remain dry for the first 24-48 hours. Be sure to eat breakfast and take any prescription medications.
- Wear loose fitting, comfortable clothing; a button down shirt may be a good option, to not disturb the bandages.
- Refrain from wearing perfume/cologne or applying makeup (if the surgery is on your face).
- Bring one friend or family member to your appointment to drive you home following surgery.
- Your guest will be directed to our surgical waiting area during your procedure and will be updated as needed on the progress of your surgery.
- This procedure can sometimes last several hours. You and your friend or family member may want to bring a book, magazine or other activity to help you pass the time.