What is Mohs?

Simple answer….the surgeon analyzes and diagnoses each layer of skin.

Why Choose Mohs?

Dr. Foster is fellowship-trained in Mohs micrographic surgery. Mohs micrographic surgery is a state-of-the-art treatment for most types of skin cancers. It offers the highest cure rates of any surgery (up to 99% for non-melanoma skin cancers), with minimal discomfort, and the greatest preservation of normal tissue (which means less scarring and superior cosmetic results).

Certification in this procedure requires extensive training and involves teaching the physician to act as the surgeon, pathologist, and reconstructive surgeon. We perform Mohs micrographic surgery on an outpatient basis, in a single day, under local anesthesia.

If left untreated, skin cancer can progress to the point that it is disfiguring or even life threatening. Early detection and treatment of skin cancers saves lives and minimizes the area of skin that needs to be removed and reconstructed.


skin cancer examples

Dr. K. Wade Foster

Dr. K. Wade Foster received his M.D and Ph.D. (Biochemistry) from the University of Alabama Birmingham. He completed both his internship and residency at UAB School of Medicine and his Procedural Dermatology Fellowship at UCLA David Geffen School of Medicine and the West Los Angeles V.A. Medical Center. Dr. Foster has fellowship training and experience in Mohs surgery for skin cancer. He has been in private practice at Florida Dermatology and Skin Cancer Centers since July 2008.

The Mohs Procedure

Step 1 When skin cancer is diagnosed, we know the tumor’s roots are deeper than we can see. We have to remove the roots to prevent a recurrence.

Step 2 The section of tumor we can see is surgically removed.

Step 3 A layer of skin is removed. The surgeon divides the tissue into segments, color-codes them with dye, and marks the skin to show where each section came from. The surgeon then draws a map of the surgical site.

Step 4 The surgeon examines the edges and underside of each segment with a microscope to see if any cancer cells remain.

Step 5 If cancer cells are identified with the microscope, the surgeon reviews the map and removes another layer of skin, but only from the precise place the remaining cancer cells were found.

Step 6 The procedure continues in this manner until all evidence of cancer is gone. By removing only tissue that contains cancer, the healthy skin remains intact and less scarring occurs.

Skin Cancer Risk Factors

    • A history of sunburns and exposure to ultraviolet rays
    • Fair skin, which burns easily
    • Multiple moles or unusual moles
    • Family history of skin cancer
    • Weakened immune system
    • Aging

Skin Cancer Warning Signs

    • Changes in mole shape or pigmentation
    • Bleeding or oozing from a bump
    • A skin growth or that wasn’t there before or an older growth which changes is size or shape

Prevention Tips

    • Avoid tanning beds and sun lamps

    • Wear protective clothing, hats, and sunglasses

    • Use sunscreen and lip balm

    • Try to reduce outdoor time between 10 a.m. – 3 p.m., when the sun’s rays are most direct

About Us

We perform Mohs micrographic surgery, excisional surgery, and radiation treatments. Our treatments remove the cancerous growth, minimize the risk of recurrence, and leave as little scarring as possible.