Mohs micrographic surgery is one of the most precise and effective treatments in dermatology for skin cancers, particularly basal cell carcinoma and squamous cell carcinoma. Providers remove cancer layer by layer while examining the tissue under a microscope. Mohs surgery's tissue-sparing technique is especially important when treating cancers on the face, where both function and appearance must be preserved.

Nose

The nose is one of the most common sites for skin cancer due to constant sun exposure. Treating this area can be complex because the nose has limited excess tissue and plays a key role in facial symmetry. One of our most frequently asked questions about Mohs surgery is whether it's safe and effective for retaining cosmetic appearance. 

Mohs surgery helps ensure that all cancerous cells are removed while leaving enough healthy tissue to allow for natural contour and function. In some cases, reconstructive techniques such as skin grafts or local flaps may be used immediately after skin cancer surgery to restore appearance. You may consider other procedures to complement any changes, like dermal fillers, which also are common for restoring or augmenting appearance like lips, forehead, and cheeks (see below).

Eyelids

Skin cancers on or around the eyelids require the highest level of precision. Even small tumors can threaten eye function and vision. Mohs surgery is often recommended for this skin cancer site because it minimizes tissue removal while ensuring complete clearance of cancer. Your provider may need to reconstruct the delicate eyelid structures after the cancer is removed, maintaining both eyelid movement and protection of the eye.

Ears

The ear is another high-risk site for skin cancer. Its thin skin, cartilage, and curves make it challenging to treat. When the area's not suitable for cryosurgery, Mohs surgery is particularly effective because it allows the provider to trace cancerous growths that may extend into folds or deeper layers. Reconstructive procedures may involve reshaping the ear to preserve its natural appearance while ensuring the cancer has been fully treated.

Lips

Skin cancers on the lips are not only visible but can also affect eating, speaking, and expression. Mohs surgery helps remove tumors while sparing as much of the lip structure as possible. Careful reconstruction after skin cancer surgery can restore both function and aesthetics, which is essential for quality of life.

Forehead and Cheeks

These areas have more tissue flexibility compared to the nose or eyelids, but Mohs surgery is still valuable to limit scarring and maintain natural facial features. The technique ensures cancers are removed completely, lowering the chance of recurrence in visible areas.

Preventing skin cancer is still your best therapeutic option. By tailoring treatment to each facial site, Mohs surgery provides both medical effectiveness and cosmetic preservation, making it the top choice for treating skin cancers of the face.