Mohs Surgery
Galina Roussos

Columnist · Editorial staff

Galina Roussos

Specializes in myth-checking common claims about Mohs surgery against the published literature.

18 stories by Galina Roussos

What 100 Percent Margin Assessment Actually Means, and Why It Drives the Mohs Cure Rate

Explainer · 5 min · Galina Roussos

What 100 Percent Margin Assessment Actually Means, and Why It Drives the Mohs Cure Rate

The 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.

August 10, 2026

Second Intention Healing After Mohs: When Leaving the Wound Open Beats Stitches

Explainer · 5 min · Galina Roussos

Second Intention Healing After Mohs: When Leaving the Wound Open Beats Stitches

Not 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.

August 4, 2026

A patient waiting in a quiet clinic waiting room with a dressing on their cheek, coat folded on the chair beside them

Dispatch · 8 min · Galina Roussos

When Mohs does not clear it: what happens after the fourth stage

Mohs is described to patients as the technique with the highest cure rate, which is true and quietly implies something false. A small number of tumors keep going, and nobody explains the day in advance.

July 24, 2026

What Actually Happens to Your Tissue Between Mohs Stages

Explainer · 5 min · Galina Roussos

What Actually Happens to Your Tissue Between Mohs Stages

Patients often spend more time waiting than in the chair. Here is a plain-English walkthrough of the lab work that fills those hours, and why it is the whole point of the procedure.

July 24, 2026

Blood thinners and Mohs: the medication list nobody asks you for correctly

Dispatch · 8 min · Galina Roussos

Blood thinners and Mohs: the medication list nobody asks you for correctly

The default in dermatologic surgery is to keep medically necessary blood thinners running, and the bleeding risk of stopping them is worse than the bleeding risk of the operation. The list that does need reviewing is the one patients never think to mention.

July 24, 2026

The risks and complications of Mohs surgery, honestly explained

Dispatch · 7 min · Galina Roussos

The risks and complications of Mohs surgery, honestly explained

Mohs is one of the safest cancer operations performed, and knowing the small risks makes consent real.

July 21, 2026

Mohs vs curettage and electrodesiccation: which fits your skin cancer?

Dispatch · 7 min · Galina Roussos

Mohs vs curettage and electrodesiccation: which fits your skin cancer?

The quick scrape-and-burn treatment has a real place, but it cannot prove the margin the way Mohs does.

July 15, 2026

A dermatologist in gloves examining the back of a seated patient's hand with a handheld dermatoscope in a bright clinic exam room

Dispatch · 6 min · Galina Roussos

Mohs surgery beyond the face: scalp, hands, and lower legs

The technique is best known for facial skin cancer, but tight scalps, working hands, and slow-healing shins each change the plan in their own way.

July 8, 2026

Running shoes, a water bottle, and a small wound dressing kit arranged on a clean bright surface

Dispatch · 5 min · Galina Roussos

Driving, work, and exercise: returning to normal life after Mohs

Most patients drive home the same day and are back at a desk within days; exercise takes longer.

July 6, 2026

A wall clock above a calm dermatology clinic waiting area with clean seating and soft daylight

Dispatch · 6 min · Galina Roussos

How long does Mohs surgery take? The honest timeline

Plan for two to four hours, sometimes a full day, and know why the waiting is the feature.

July 3, 2026

A dermatology nurse in gloves gently checking a healing dressing on a calm seated patient's cheek in a bright clinic exam room

Dispatch · 6 min · Galina Roussos

Signs of infection after Mohs surgery, and when to call

Most wounds heal cleanly; knowing the warning signs lets you act early.

July 2, 2026

Broad-spectrum sunscreen, a wide-brim hat, and sunglasses arranged on a clean bright surface in warm natural light

Dispatch · 5 min · Galina Roussos

Sunscreen and skin checks: a year-round plan, not a summer habit

The prevention routine that catches skin cancer early works all twelve months.

June 30, 2026

Mohs surgery vs standard excision: what is the difference?

Dispatch · 7 min · Galina Roussos

Mohs surgery vs standard excision: what is the difference?

Both remove skin cancer, but only one checks every margin the same day.

June 16, 2026

A dermatology procedure tray with a small local anesthetic syringe, vial, and gauze on a sterile drape

Dispatch · 5 min · Galina Roussos

Is Mohs surgery painful? Anesthesia and comfort

What patients actually feel during and after the procedure.

May 9, 2026

A dermatologist in a white coat reviewing a patient's chart and skin imaging on a clinic tablet

Dispatch · 6 min · Galina Roussos

When Mohs is the right choice, and when it is not

It is not for every skin cancer; here is how the decision is made.

February 19, 2026

A surgeon's gloved hands holding fine suture and a needle driver over a sterile draped field

Dispatch · 7 min · Galina Roussos

Reconstruction after Mohs surgery

Closing the wound is its own art, from simple stitches to local flaps.

February 3, 2026

A calm modern dermatology procedure room with an exam chair and a clean instrument tray

Dispatch · 6 min · Galina Roussos

What to expect on the day of Mohs surgery

A long appointment with a lot of waiting, and why that is a good sign.

November 28, 2025

Mohs for skin cancers that came back

Dispatch · 6 min · Galina Roussos

Mohs for skin cancers that came back

Recurrent tumors are trickier, and a strong reason to choose Mohs.

November 28, 2025