At Dermatology and Plastic Surgery Specialists, Dr. Michael Messina performs Mohs micrographic surgery for patients with certain types of skin cancer. Dr. Messina is a specialized, double board-certified dermatologist in Dermatology and Mohs Micrographic Surgery, giving him the advanced training needed to provide highly precise, tissue-sparing care.
Mohs surgery is designed to remove skin cancer as completely as possible while helping preserve healthy surrounding skin. It is especially beneficial for cancers in delicate or highly visible areas, such as the face, ears, hands and scalp, where both accuracy and cosmetic outcome matter. During the procedure, Dr. Messina removes the cancer in thin layers. Each layer is examined under a microscope, allowing him to identify whether cancer cells remain and where additional tissue should be removed.
This staged approach makes Mohs surgery one of the most effective techniques for treating many skin cancers. Because only areas with remaining cancer cells are treated further, the procedure helps limit the size of the wound, support precise reconstruction and promote a more natural-looking result whenever possible.
What to Expect During Mohs Surgery
Your appointment begins with our team confirming the biopsy site and numbing the treatment area with local anesthesia. Once you are comfortable, Dr. Messina removes a thin layer of tissue from the affected area. The tissue is then carefully mapped, color-coded and processed in our lab so it can be examined under a microscope.
If the tissue sample shows remaining cancer cells, Dr. Messina removes another thin layer only from the specific area where cancer is still present. This process continues until the margins are clear. While many skin cancers are fully removed in one stage, others require more than one layer. We recommend leaving your schedule open on the day of your procedure so your care is not rushed.
After the cancer has been completely removed, Dr. Messina and our team will discuss the best repair option for your surgical site. Depending on the size, depth and location of the area, it may heal on its own, be closed with stitches or require a flap or skin graft. You will also receive clear wound care instructions and a follow-up visit to support proper healing.
To learn more about Mohs micrographic surgery in Palm Desert, California, or to schedule an appointment with Dr. Messina, please contact Dermatology and Plastic Surgery Specialists at 760-773-6616.