Surgical suite at Florida Institute of Dermatology

Surgical Dermatology & Mohs Surgery

We treat everything from benign growths to high-risk skin cancers.

How we evaluate

The clinical approach to evaluating a lesion

Every surgical decision begins with a careful evaluation. Our dermatology physician assistant explains how a suspicious spot is examined, documented and biopsied before any treatment is recommended.

That groundwork is what allows us to choose the least invasive procedure that fully addresses the problem.

Overview

At Florida Institute of Dermatology, we are experts in surgical dermatologic procedures. We treat everything from benign growths to high-risk skin cancers.

What it is

Procedures we perform

Mohs micrographic surgery is a special technique for the treatment of high-risk skin cancers with the highest cure rate.

Excisional surgery: we are experts at the removal of skin cancers, cysts, moles, fatty tumors and other benign lesions.

Cosmetic mole removal: we perform cosmetic removal of unwanted moles, skin tags, seborrheic keratoses (“barnacles”) and similar lesions.

Earlobe repair: we can repair fully split or stretched earlobes to their original shape. Keloid surgery: we specialize in both surgical and non-surgical removal of keloids.

Clinical preparation before a dermatologic procedure

Conditions & indications

Indications for surgical dermatology

Confirmed from current FID surgical dermatology content.

High-risk skin cancers

Skin cancers

Cysts

Moles

Fatty tumors

Other benign lesions

Unwanted moles, skin tags and seborrheic keratoses

Split or stretched earlobes

Keloids

What to expect

What patients can expect

  1. 01

    Consultation

    During your consultation, your dermatologist will evaluate the condition or lesion, discuss the appropriate treatment approach, and explain what to expect before, during, and after the procedure. Treatment is selected according to the diagnosis, the lesion or tumor type, its location and your overall health.

  2. 02

    Procedure

    Mohs surgery is performed in our state-of-the-art office with fully equipped surgical and laboratory facilities and experienced staff. The procedure is performed under local anesthesia.

  3. 03

    Recovery and follow-up

    Aftercare depends on the procedure performed. Detailed pre- and post-procedure guidance is published in our Procedural Instructions, and your care team will point you to the instructions that apply to your procedure.

Mohs micrographic surgery

From diagnosis to Mohs surgery, explained

When a biopsy confirms skin cancer, Mohs micrographic surgery removes it layer by layer while sparing as much healthy tissue as possible.

Our team walks through how the diagnosis is reached and what the day of surgery involves.

Mohs surgery and laboratory facilities

The procedure

Featured: Mohs micrographic surgery

Mohs micrographic surgery is a specialized, highly effective technique for the removal of skin cancer. It is typically reserved for treatment of cancers that are large, recurrent, aggressive histologically and at high risk for recurrence or metastasis. Mohs surgery is also indicated for cancers located in areas such as the nose, ears, eyelids, lips, hairline, hands, feet and genitals, in which maximal preservation of healthy tissue is critical for cosmetic or functional purposes.

The procedure was developed in the 1930s by a general surgeon, Dr. Frederic Mohs, at the University of Wisconsin and is now practiced throughout the world. Mohs surgery differs from other skin cancer treatments in that it permits the immediate and complete microscopic examination of the removed cancerous tissue, so that all “roots” and extensions of the cancer can be eradicated. Due to the methodical manner in which tissue is removed and examined, Mohs surgery has been recognized as the skin cancer treatment with the highest reported cure rate.

Dr. Wangia is board-certified in Micrographic Dermatologic Surgery and in Dermatopathology. He has had an incredible level of exposure from common and rare malignant tumor pathology to challenging tumor locations and complex wound reconstruction.

Benefits

Why patients are referred for Mohs

Highest reported cure rate

Mohs surgery has been recognized as the skin cancer treatment with the highest reported cure rate.

Immediate microscopic examination

The removed tissue is examined immediately and completely, so all roots and extensions of the cancer can be eradicated.

Maximal tissue preservation

Indicated where preserving healthy tissue is critical for cosmetic or functional purposes.

In-office surgical and lab facilities

Performed in our state-of-the-art office with fully equipped surgical and laboratory facilities and experienced staff.

Questions

Frequently asked

Is Mohs surgery performed under general anesthesia?

No. The procedure is performed under local anesthesia in our office.

What should I expect for wound care and healing?

Follow the Procedural Instructions provided for your specific procedure — we publish separate instructions for Mohs surgery, excisional surgery and other dermatologic procedures. Your care team will review them with you and you can find them under Patient Resources.

Will my procedure be covered by insurance?

We participate in most major health insurance plans, including Medicare, Blue Cross Blue Shield, Cigna, Aetna, UnitedHealthcare, Medicaid, Freedom, Optimum, Orlando Health, Multiplan and DNS (including Magellan, Devoted and ABH). Coverage depends on your specific plan and the procedure performed, so we recommend verifying participation and benefits with your insurer at the time of scheduling.

Appointments

Schedule an appointment

Book a visit at any of our four Central Florida facilities.

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