Senior Editor · Editorial staff
Fletcher Imafidon
Leads the publication's coverage of Mohs surgery and edits every story for accuracy and plain English.
19 stories by Fletcher Imafidon
Explainer · 5 min · Fletcher Imafidon
Why Mohs Surgery Takes All Day: The Lab Work Happening Between Stages
Patients 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.
August 9, 2026
Explainer · 5 min · Fletcher Imafidon
Slow Mohs, Explained: Why Some Skin Cancers Get Their Margins Checked Overnight Instead of in an Hour
Staged 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.
August 8, 2026
Field Notes · 8 min · Fletcher Imafidon
The week six dip: why a good repair looks worse before it looks right
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
Field Notes · 8 min · Fletcher Imafidon
Nicotine before Mohs: a cessation calendar keyed to your repair
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
Field Notes · 8 min · Fletcher Imafidon
The wait between biopsy and Mohs: how long is too long
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
Field Notes · 8 min · Fletcher Imafidon
Pacemakers, defibrillators and Mohs: the five facts your surgeon actually needs
The electrical device used to stop bleeding during Mohs sits inches from an implanted cardiac device on a face or scalp case. The interference risk is real, manageable, and almost entirely determined by five pieces of information nobody has asked you to bring.
July 27, 2026
Field Notes · 8 min · Fletcher Imafidon
Skin cancer after an organ transplant: why Mohs surgery becomes the default
Immunosuppression multiplies squamous cell carcinoma risk many times over and makes the tumors behave worse. Here is how surgery, drug adjustments, and surveillance change after a transplant.
July 21, 2026
Field Notes · 7 min · Fletcher Imafidon
Mohs surgery vs. radiation therapy for skin cancer
Surgery removes the cancer in a day with proven margins; radiation avoids the knife over several weeks. Here is how the two really compare.
July 18, 2026
Field Notes · 7 min · Fletcher Imafidon
Can Mohs surgery treat melanoma?
Classic same-day Mohs was built for basal and squamous cell cancers; staged excision and immunostains are changing what it can do for early and facial melanoma.
July 15, 2026
Field Notes · 6 min · Fletcher Imafidon
How to prepare for Mohs surgery: medications, questions, and the week before
Almost nothing about Mohs prep is dramatic, but a short checklist in the week before makes the day itself markedly easier.
July 7, 2026
Field Notes · 6 min · Fletcher Imafidon
What Mohs surgery costs, and what insurance actually covers
Mohs is almost always covered as medically necessary; the variables are stages, site, and repair.
July 5, 2026
Field Notes · 6 min · Fletcher Imafidon
What your skin biopsy report means before Mohs surgery
The pathology report is the document that decides the plan; here is how to read it.
July 4, 2026
Field Notes · 6 min · Fletcher Imafidon
Why the nose, ears, and lips are prime Mohs surgery territory
On the central face, precise margins and tissue conservation matter most.
June 18, 2026
Field Notes · 5 min · Fletcher Imafidon
Finding a qualified Mohs surgeon
Fellowship training and experience make a measurable difference.
June 5, 2026
Field Notes · 5 min · Fletcher Imafidon
After a skin cancer: preventing the next one
One skin cancer means a higher risk of another, and a clear prevention plan.
March 11, 2026
Field Notes · 5 min · Fletcher Imafidon
Mohs recovery and scar care
Wound care, the swelling timeline, and how to help the scar fade.
February 13, 2026
Field Notes · 5 min · Fletcher Imafidon
Aggressive skin cancer subtypes and why Mohs matters
Some basal and squamous cell cancers behave worse than others.
January 10, 2026
Field Notes · 6 min · Fletcher Imafidon
Basal cell vs. squamous cell carcinoma: the two most common skin cancers
Both are usually curable, and Mohs treats both, here is how they differ.
January 8, 2026
Field Notes · 6 min · Fletcher Imafidon
What is Mohs surgery, and why does it have the highest cure rate?
The technique that checks the margins under the microscope while you wait.
October 8, 2025