Mohs Surgery FAQs
Skin cancer is the most common type of cancer in the United States and, when detected and treated early, 99% of cases can be cured. Dr. Alysa Herman specializes in the most effective treatment for most types of skin cancer – Mohs surgery – at her Miami practice. This innovative procedure can best be performed by specialists, such as the elite few surgeons certified by the American College of Mohs Surgery (ACMS). Dr. Herman, a renowned ACMS member and Florida Mohs surgeon, has the skills and experience required to perform the procedure meticulously.
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(305) 444-4979 to schedule your appointment with Dr. Herman.
Dr. Alysa Herman
If you've been diagnosed with skin cancer, you need a physician who is exceptionally qualified, experienced and compassionate. Dr. Herman is renowned among physicians and patients for her credentials and her dedication to patient care.
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Mohs Surgery Questions and Answers
To provide more information for her current and prospective patients, Dr. Herman has developed the following responses to frequently asked questions about Mohs surgery:
Janet Blanco-Pastor — 5 Stars
ABSOLUTELY a wonderful staff and Doctor. Always very accommodating. You are seen at your appointment time, not 2 hour later. Very considerate of your time and always available to answer any question. Dr. Herman is a very down to earth, beautiful young professional. She is a rare find in today's world. She really cares about her patients. Will not go anywhere else from now on for my MOH's.
Metta MacMillan-Hughes — 5 Stars
I have found Dr. Alysa Herman to be extremely professional, a perfectionist when it comes to her surgery and her patient care is excellent. I have 100% confidence and satisfaction in this MOHs surgeon and would highly recommend her.
Susana Mateu — 5 Stars
Excellent Dr. and staff, i went to Dr. Herman for mohs surgery and for other concerns about my skin due to abnormal results they were able to walk with me through the process and answer all my questions and concerns. I highly recommend them for mohs surgeries, skin concerns and 2nd opinions.
Daniela B. — 5 Stars
I took my mom here for a mole removal surgery. The building has a parking garage and plenty of (pay to park app) spaces on the street. Once you walk in, you sign in and head up to the 7th floor. Dr Herman has a beautiful office with modern decor, and ample space. The staff is bilingual in English/Spanish, they are beyond helpful. The secretaries are on top of everything, they were working non stop the whole time were there. Her PAs are very professional and have such sweet bedside manner.
My mom had her mole removed in less than an hour. The doctor was very thorough, explained the procedure and how to take care of it. Mom felt no pain, and had to be back to take stitches off in one week. We had no problem scheduling her for an early appt in 7days..
M A. — 5 Stars
Came in for a consultation and walked out doing a procedure. That is how comfortable Dr. Herman and her staff made us feel. Dr Herman was very professional and took her time explaining everything thoroughly. Office is clean, modern and beautiful. Highly recommend her!
Paul C. — 5 Stars
My surgical procedure went very well. Dr Herman made me feel at ease and relaxed.
Robin in Coral Gables, FL — 5 stars
I was diagnosed with a Kerancanthenoma. Scary stuff. I then tried to find a surgeon for Mohs surgery to remove it. I found Dr. Herman. She was great. Her office is very nice, staff very helpful and Dr. Herman was great. She even gave me her cell number if I wanted to talk to her. Great results. If you need Mohs surgery, Dr. Herman is the greatest.
Janet Blanco-Pastor in Miami, FL — 5 Stars
Dr. Herman and her staff are wonderful. She is a true professional and you can tell she likes was she does and cares. They speak with you not talk at you which is important when you dealing with positive results. She puts you a ease. Her staff is awesome. They are ALL respectfull of your time. If your appointment is at 10am, you are seen at 10 am not bounced around through different rooms. Highly, highly recommend.
Why is it called Mohs surgery – is that an acronym?
The term “Mohs surgery,” or Mohs micrographic surgery, is used to honor Dr. Frederic Mohs, a University of Wisconsin Surgery Professor who developed this surgical technique in the 1930s. Since its origination, the technique has become increasingly precise and effective. Dr. Herman is one of the few Mohs surgeons in Florida who have the experience and skills needed to perform this meticulous surgery.
What is Mohs surgery?
Mohs surgery is an extremely precise and specialized skin cancer treatment. Because only one very thin layer of tissue is removed at a time for examination under a microscope, this method saves as much healthy, normal skin as possible. Dr. Mohs developed this methodology when he discovered that a skin cancer tumor is not fully visible from the surface. In addition to what can be seen, a skin cancer tumor often has more tumor cells growing downward and outward into the skin like the roots of a tree. Although these “roots” are not visible with the naked eye, they can be seen under a microscope, which is why we often refer to the surgical procedure as Mohs micrographic surgery.
I don’t see anything after my biopsy; do I really need treatment?
If your physician has detected skin cancer, it is essential to be treated. Even though a biopsy may remove the visible signs of skin carcinoma, the surface lesion typically represents only the top part of the area containing tumor cells. Skin cancer cells often branch out like tree roots into the deeper layers of the skin. Although you cannot see them, if these cells are not removed, the tumor may recur and require even more extensive surgery. In some cases, they can even invade organs in your body.
Why does my skin cancer require Mohs surgery?
Dr. Herman specializes in Mohs surgery in her Florida practice because it offers the highest cure rate and has been proven to be the most effective and appropriate treatment for most types of skin cancer. It is particularly suited to skin cancer that:
- Occurs in an area where it is important to save the healthy skin tissue for functional and cosmetic reasons, particularly areas of the face such as the eyelids, nose, lips, and ears
- Has recurred after prior treatment
- Is located adjacent to or within scar tissue
- Is large in size
- Lacks clearly defined borders
- Is developing quickly or uncontrollably
- Is an aggressive variety, such as infiltrating basal cell carcinoma
- Develops in organ transplant patients, leukemia patients, or other immune-suppressed patients
In addition to the criteria above, there are many other skin cancers for which Mohs surgery is an appropriate option. To determine which treatment is best for you, schedule an appointment with an experienced Mohs surgeon.
How long does Mohs surgery take?
The procedure typically takes 1 to 3 hours, although it varies depending on the extent of the tumor and any reconstruction to be performed that day. By consulting with Dr. Herman, you can acquire an understanding of your unique carcinoma and what will be involved, including the estimated timeframe, for your Mohs surgery in Miami.
Will Mohs surgery leave a scar?
Among its other advantages, Mohs surgery saves as much healthy skin tissue as possible, which helps to minimize scarring. However, as with any skin cancer treatment requiring the removal of cancerous skin cells, some degree of scarring will result. After Dr. Herman has completely removed your skin cancer by using Mohs surgery, she will discuss options for any related reconstruction. The focus of reconstructive surgery, if needed, is to provide you with the optimal functional and cosmetic results.
Post-surgical scars typically become less visible over time. During the healing process, the scar may temporarily appear red, due to the development of new blood vessels. In addition, the scar may temporarily appear bumpy or hardened due to normal skin contraction during the recovery period. Such changes generally are temporary. Dr. Herman always is available throughout your recovery period to respond to any questions or concerns.
Is Mohs surgery the most cost-effective treatment option?
Yes. To understand the cost-effectiveness of Mohs surgery, it’s important to recognize several different factors, such as:
- Success rate. Mohs surgery has been shown to be the most effective and successful treatment for most types of skin cancer.
- Number of procedures needed. Due to the effectiveness of Mohs surgery, most patients require only a single surgery. In addition, that procedure typically includes both the complete and confirmed removal of the carcinoma and the closure of the wound.
- Additional fees. Other methods may appear to be less expensive initially. However, those methods may require additional surgeries and separate pathology readings, each of which has associated separate costs. In contrast, a single Mohs surgery procedure includes the pathology readings.
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Dr. Herman is honored as one of Miami’s Top Doctors by Indulge Magazine, highlighting her as one of the city’s few dermatalogic surgeons specializing in Mohs micrographic surgery for skin cancer.
Indulge Top Doc 2017 ▸
Indulge Top Doc 2020 ▸