Dermatologic Surgery

Mohs Micrographic Surgery

MOHS micrographic surgery named after Dr. Frederic E. Mohs is a highly advanced and precise technique for removing skin cancers while leaving the surrounding healthy tissue intact and unharmed.

The procedure involves surgically removing a skin cancer layer by layer and examining the tissue under a microscope for evidence of tumor roots and repeating the process until a cancer free margin is reached. Your fellowship trained dermatologist will serve as a cancer surgeon, identifying and removing your cancer, a pathologist, determining if your margins are cleared and the cancer is cured, as well as a plastic reconstructive surgeon, to ensure the best cosmetic result.

 Mohs micrographic surgery offers the highest potential cure rate, up to 99%. Mohs surgery is used primarily for basal cell and squamous cell carcinomas, but can also be used for less common tumors affecting the skin and even for melanomas in certain circumstances. Indications include:

Skin cancers located in cosmetically sensitive and functionally important locations on the face, scalp, ears, and hands.

Recurrent skin cancers

Large skin cancers

Skin cancers where the edges are not clearly defined

Skin cancers with aggressive pathology which makes them grow fast and have a higher chance to spread.

Radiation induced skin cancers or cancers in areas of scar tissue

Cancer in young patients (<40 years old)

Cancers in immunocompromised individuals or those with proven difficulty with skin cancers.

What Makes Mohs Surgery So Effective

Surgical
Instruction
Sheets

Mohs Pre-Operative Instructions
Excision Pre-Operative Instructions
Cryosurgery/ Liquid nitrogen Wound Care
Stapled Scalp wound care
Leg wound care and Unna boot care
Wound Care for Sutured Sites
Skin Graft Wound Care
Open Wound Care

Testimonials

Slide Dr. Tedaldi, you are absolutely right, the botox you administered the other day, with your very steady hand, was exactly what I needed. You never do too much, which is why I know I can always count on you to know what I need and to rely on your judgment. I’m not afraid to tell you, “Do a lot!” because I know you won’t! I think what this comes down to, is that I appreciate your taste and style. It is right for me, natural looking and respectful of my desired sensibility (like yours). THANK YOU, I am very grateful and I love you very much. A.C. " " Slide After years of seeing several different dermatologists for treatment of acne and scars, I decided to switch doctors and schedule an appointment with Dr. Litani. I had spent thousands of dollars on every cream, medication, laser treatment, and other procedures over the course of several years prior to seeing Dr. Litani. Since the switch, my acne scars are unnoticeable to the eye. She has become more than just a medical professional to me.

Dr. Litani removed a melanoma from my neck last month. You can hardly see the scar from the surgery and everything has gone well. The procedure was beyond my expectations for results and am very pleased. She has seen me through not only my skin issues but also my aesthetic needs.

Dr. Litani is always informative as to what will happen during and after the procedure. She and her team are very professional and show they care whether you are seeking medical treatments or aesthetic treatments. She will guide you to the proper procedure for your specific needs and will tell you what’s best for you, what’s not best for you, what you are ready for and what you are not ready for. In her busy schedule, she always makes the time if urgent issues arise and is very responsive.

Dr. Litani has such a unique perspective when it comes to taking care of her patients, both inside and out. Seeing a board certified dermatologist for cosmetic and medical dermatology is extremely important as you will come to realize...it is all related. She remembers to listen to what life has in store and takes into account the reasons why skin reacts to the things the way it does. I would not trust any other specialist with my skin. Katelyn C. " " Slide Dr. Litani was excellent! She was skilled, professional, and the results were wonderful but not overdone. I would definitely return for any procedures, cosmetic or otherwise, and would highly recommend her! Rachel J. " " Slide Dr. Herschenfeld is fabulous! Every time I see her, whether for a routine screening, a consultation, or a procedure, I feel she is absolutely giving me her 100% undivided attention and the best medical care I could find anywhere. She goes above and beyond. A+ all around. I recommend Dr/ Herschenfeld without hesitation! W.S. " " Slide I have been a patient at Dermatology Partners for at least 7 years, long enough to be comfortable stating that it is an excellent practice. I have been a patient of many medical practices of several types. Dr Litani's attention to her patients stands out it my mind as several levels above all who have cared for me. She is terrific as a doctor and of equal importance, as a person. I'm sure she has saved me from many a bad outcome re. my skin. Paul R. " " Slide My nose got "Mohsed" by Carin Litani 3 months ago. I was a willing participant from the getgo as she had performed her expertise on my other body parts in the past. I was worried about the return to normal of my most precious nose but I need not have worried...my nose is back to complete normalcy and I and it are happy! I recommend her surgical skills to all those needy noses out there! Pat C. " " Slide I have been a patient at Dermatology Partners for over 20 years. I started at this practice due to our then-teen’s persistent facial acne. Two of our three children were treated successfully at Dermatology Partners with this emotionally challenging problem. I became a patient myself at Dermatology Partners for both medical and aesthetic reasons. I recommend Dermatology Partners for world class and compassionate care. I have no scars from many successful surgical removals of lumps, tumors, and moles all found at my bi-annual medical skin check appointments. Aesthetic procedures at Dermatology Partners are flawless. I recommend combining both Dermatology Partners medical and aesthetic practices for optimal and outstanding results. I give five stars and counting to Dermatology Partners. Deborah C. " " Slide Dr. Litani and the staff at Dermatology Partners are wonderful! They are always prompt to respond, thorough with check-ups, and always make the time to answer questions! I've since moved farther away from this office but refuse to switch to a doctor closer to where I live because I'm so happy with the service Dermatology Partners provides! Brittany D. " " Slide Cool Sculpting with Gabi was an AMAZING 5 star experience! I would recommend the treatment without reservation and would not go anywhere but Dermatology Partners. Karen H. " " Slide I got the cool sculpting treatment and it was a great experience! Gaby explained everything in depth so I understood what would happen before/during/after. There is also a TV in room with Netflix to watch during the treatment. Jianna V. " " Slide The staff are all professional and helpful. The cool sculpting process was as comfortable as possible while yielding the results I was looking for! I highly recommend. Gabby is the best! Debbie I. " " Slide Had first time cool sculpting with Gabi and it was great! She explained everything and the process went smoothly. They make you feel really comfy during the treatment! Would highly recommend! Michelle S. " " Slide I’ve been seeing Dr. Litani for many years. She is wonderful. Unfortunately she found melanoma on my shoulder, but luckily caught it early and everything is fine. I have also had two mohs procedures done by her. One was on my face, near my ear. You would never know anything was done. You can’t see any scar. I highly recommend her. Jeanne B. " " Slide A patient for over twenty five years (first Dr Tedaldi and more recently Dr Litani), I have great confidence and trust in their knowledge and abilities. The doctors and staff are very professional yet warm and caring. The bad news, I have to be there too often (through no fault of theirs). The good news, I always receive a welcome reception. William L. " " Slide I have been going to this practice for 10+ years. They provide great care and always fit me in for a last minute appointment. Dr. Hirschenfeld is my doctor, but I have seen a number of her colleagues over the years. All excellent. Michael L. " "
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