The journal of record for Mohs micrographic surgery and skin cancer care..
Almost every Mohs repair on the face passes through a phase where it is firmer, redder and more raised than it was at the stitch removal appointment. Patients read that as failure and start asking about revision at exactly the point where doing nothing is the correct treatment.
July 30, 2026 · Fletcher Imafidon
Stop smoking is the least specific instruction in surgery, and for Mohs it is also the least evenly applied. Whether nicotine matters at all depends almost entirely on how the wound is going to be closed, and nobody knows that on the day the advice is given.
July 30, 2026 · Fletcher Imafidon
A biopsy comes back positive and the surgery date is nine weeks away. Published growth data on nonmelanoma skin cancer says most of that wait costs little, and it also says exactly which tumors and which changes should send you back to the phone.
July 27, 2026 · Fletcher Imafidon
The Full Record
41 entries on file
ExplainerThe difference between Mohs surgery and standard excision comes down to geometry and how pathologists slice tissue. Here is the mechanism, explained without the marketing gloss.
· Galina Roussos
ExplainerPatients often wait hours in the office while their surgeon removes what looks like a small piece of skin. The reason lies in a tissue processing workflow that most people never see.
· Fletcher Imafidon
Myth CheckMohs surgery offers the most complete margin evaluation available, yet recurrence is not zero. Here is what clear margins actually verify, where the residual risk comes from, and what surveillance is really guarding against.
· Hector Lindelof
ExplainerMohs surgery was built for basal and squamous cell carcinomas. A staining technique developed over the past two decades has pushed it into melanoma territory. Here is what the mechanism actually supports, and where the debate still sits.
· Hector Lindelof
ExplainerStaged excision with permanent paraffin sections trades same-day answers for sharper detection of subtle melanocytic disease. Here is how the technique works, when surgeons reach for it, and what the evidence says about trade-offs.
· Fletcher Imafidon
ExplainerNot every Mohs defect needs a flap or graft. Here is the evidence behind letting certain wounds close themselves, which sites heal beautifully, and where the strategy backfires.
· Galina Roussos
§ 04 · Frequently Asked
Plan on a half- to full-day appointment. Most cases require one to three layers, each taking about an hour including waiting for microscopic analysis.
The Briefing
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