MOHS Micrographic Surgery is an advanced, highly effective treatment for skin cancer, offering the highest cure rates while preserving as much healthy tissue as possible. This state-of-the-art procedure is performed by Dr. Schlam.
What is MOHS Surgery?
MOHS Surgery is a precise, microscopically controlled technique used to remove common skin cancers, such as basal cell carcinoma and squamous cell carcinoma. It involves removing thin layers of cancerous tissue one at a time, examining each layer under a microscope, and continuing the process until no cancer cells remain.
The MOHS Procedure: A Step-by-Step Approach
The MOHS procedure is characterized by its meticulous, layer-by-layer approach to ensure complete cancer removal while minimizing damage to surrounding healthy skin.
Initial Surgical Removal
The process begins with the surgical removal of the visible tumor, along with a very thin margin of surrounding skin. This initial layer is carefully mapped to track the precise location of the cancerous cells.
Microscopic Examination
Following the initial removal, the excised tissue is immediately sent to an on-site laboratory. Here, each layer is meticulously processed and examined under a microscope by the Mohs surgeon. This critical step allows for the identification of any remaining cancer cells at the edges or within the removed tissue.
Further Tissue Removal (if needed)
If cancer cells are detected during the microscopic examination, another thin layer of tissue is removed, specifically from the area where the cancer was identified. This new layer is then also examined under the microscope.
Continuation Until Clear Margins are Achieved
This cycle of tissue removal and microscopic examination continues until all margins of the excised tissue are microscopically free of cancer cells. This ensures that the entire tumor has been removed.
Same-Day Reconstruction (if needed)
Once clear margins are confirmed, the wound is ready for reconstruction. Depending on the size and location of the removed tissue, Dr. Schlam can perform immediate reconstruction, often on the same day as the surgery. This may involve simple wound closure, skin grafting, or other reconstructive techniques to restore both function and appearance.
Recovery and Aftercare
Following the procedure, most patients experience mild swelling and redness, which subside within a few days. Stitches, if used, are typically removed within a week. Dr. Schlam provides detailed post-operative instructions to ensure optimal healing and recovery.
Schlam Dermatology: Experts in Skin Care Innovations & Technologies
Schlam Dermatology specializes in general dermatology and advanced skin care treatments. Their board-certified dermatologists, Drs. Evan and Edward Schlam, are experts in diagnosing and treating a wide range of skin, hair, and nail conditions. They provide comprehensive skin cancer screenings, treatment for rashes and other dermatologic concerns, as well as cosmetic dermatology services to help you look and feel your best.
We offer a comprehensive selection of advanced skin care products designed to promote healthy, youthful-looking skin. Our collection includes cutting-edge formulations developed using the latest scientific advancements in dermatology.
Meet Our Team: Your Dermatologists in Plantation
Dr. Evan H. Schlam, MD
Dr. Evan H. Schlam, MD, is a double board-certified dermatologist, specializing in Dermatology and MOHS Micrographic Dermatologic Surgery through the American Board of Dermatology. He earned his medical degree from Chicago Medical School and completed his dermatology residency at the University of Miami, where he graduated with honors.
With expertise in treating a wide range of skin conditions, Dr. Schlam specializes in MOHS Micrographic Surgery for skin cancer removal and advanced reconstructive techniques. Dr. Schlam is a respected leader in the field and currently serves as President of the Florida Academy of Dermatology. He is the former President of both the Florida Society of Dermatologic Surgery and the Broward County Dermatological Society, as well as a past president of the esteemed Noah Worcester Dermatological Society. His dedication to dermatologic excellence has earned him numerous accolades, including being named the 2024 Florida Dermatologic Surgeon of the Year by the Florida Society of Dermatologic Surgery.
Dr. Edward Schlam
Dr. Edward Schlam is a Board Certified dermatologist in Plantation, FL and is affiliated with multiple hospitals in the area, including Westside Regional Medical Center, University of Miami Hospital, and Plantation General Hospital. He received his medical degree from State University of New York Downstate Medical Center College of Medicine and completed his residency at the same Institution. He has been in practice for 48 years.
Certifications and Licensure
- FL State Medical License: 1973 - 2027
- American Board of Dermatology: Dermatology
- American Board of Medical Specialties (ABMS) board certification
Awards, Honors, & Recognition
- Top Doctors: South Florida Castle Connolly, 2012
- Super Doctor: SuperDoctors.com
- Fellow (FAAD): American Academy of Dermatology
Publications & Presentations
PubMed lists 9 citations, including:
- Immunohistochemical evaluation of toxic epidermal necrolysis treated with human intravenous immunoglobulin. Paolo Romanelli, Schlam E, Schlam E, Schlam E, Jeremy B. Green. Giornale Italiano Di Dermatologia e Venereologia.
Contact Schlam Dermatology today to learn more about our services.
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