Mohs Surgery

in The Villages FL

What is Mohs Surgery?

Mohs surgery is considered the most effective technique for treating the two most common types of skin cancer today – basal cell carcinomas and squamous cell carcinomas. The procedure is done in stages, which include lab work, while the patient waits. This allows for the removal of all cancerous cells resulting in the highest possible cure rate. At the same time, because the surgery is done in stages, the Mohs Surgeon is able to spare healthy tissue leaving the smallest possible scar. Mohs micrographic surgery has been refined into the most advanced, precise and effective treatment for an increasing variety of skin cancer types.


Award-Winning Mohs Surgeon in The Villages Florida

Dermatologist The Villages FL Dr Johnny Gurgen

Top 1% of Mohs Surgeons Nationwide

Dr. Gurgen is double-certified in Mohs Micrographic Surgery by the American Osteopathic Board of Dermatology, and the American Society of Mohs Surgery. Prior to establishing his practice, Dr. Gurgen worked exclusively as a Mohs Micrographic Surgeon where he performed thousands of Mohs Surgeries, placing him in the top 1% of all Mohs Surgeons in the nation.

Patients’ Choice Award 8 Years in a Row!

Dr. Gurgen is honored to be one of Florida’s Favorite Physicians. He has received the “Patients Choice Award” every year since 2012. Quality Measures and Patient Ratings are analyzed to determine the physicians admired most by their patients.

Most Compassionate Doctor Award

Received for “treating patients with the utmost kindness”, Dr. Johnny Gurgen has been awarded the “Most Compassionate Doctor Award” every year since 2012. 

On-Time Doctor Award

Reported by his patients, Dr. Johnny Gurgen received the “On-Time Doctor Award” for the shortest average wait time.

Other Awards

2008 “Intendis Research Award”
2008 “Fifth Annual North American Clinical Dermatologic Society Research Award”

If you are in need of Mohs Surgery in The Villages area, contact Lady Lake Dermatology & Mohs Surgery today.

How Does Mohs Surgery Work?

During surgery, after the removal of tissue, the surgeon examines the tissue specimen for skin cancer cells while the patient waits. Each examination tells the surgeon where to remove tissue next. Mohs surgery allows for the removal of skin cancer with a very narrow surgical margin and a high cure rate. Because the Mohs procedure is micrographically controlled, it provides for precise removal of the cancerous tissue, while healthy tissue is spared.

Slide How The Skin Cancer Shown in Dark Brown in this diagram. It is Important to note that the Skin Cancer extends below the surface of the skin. Any treatment method must remove the entirety of the cancer to prevent recurrence. Mohs Surgery Works Slide How The First Step in the Mohs procedure is to surgically remove the topmost layer of the skin cancer. The Mohs procedure then Involves removing the skin cancer in Additional small excisions. Mohs Surgery Works Slide How The removed layer of skin is divided into sections so that each may be analyzed. Each section is marked and mapped to the source location. Mohs Surgery Works Slide How Each section is examined microscopically. If cancer cells are Detected in any of the sections, these sections are marked so that your Mohs Surgeon can remove additional layers from the corresponding location. Mohs Surgery Works Slide How This process is repeated excising smaller and smaller sections until no cancer cells are detected. By removing the skin cancer in layers, this procedure minimizes total excision size. Mohs Surgery Works

Success Rate of Mohs Surgeons

Mohs surgery is very successful because it evaluates 100 percent of the surgical margins. During the process, skin cancer is surgically removed layer by layer and examined under a microscope by the Mohs Surgeon. This process is repeated until healthy, cancer-free tissue is reached (referred to as clear margins). Because the Mohs Surgeon is trained as a surgeon, pathologist and reconstructive surgeon, the success rate for Mohs Surgery is the highest among all treatments for skin cancer – up to 99%.

Advantages of Mohs Surgery Include:

  • Complete cancer removal during surgery, effectively eliminating the chance that the cancer may grow back
  • The amount of healthy tissue lost is minimized
  • The scarring resulting from surgery is minimized
  • The site of the cancer removal is often repaired the same day
  • Skin cancer is cured where other methods have failed

Other skin cancer treatment methods blindly estimate the amount of tissue to treat, which can result in removing too much healthy skin tissue, or not enough – resulting in cancer re-growth.

This is what our Patients have said about our Mohs Surgery Clinic in The Villages…