Mohs micrographic surgery is a highly specialised surgical technique for removing certain types of skin cancer. Considered the ‘gold standard’ treatment, it ensures that all of the skin cancer is removed, while removing as little of the surrounding healthy tissue as possible. 

“Mohs micrographic surgery is the most effective treatment for a variety of skin cancers providing maximum chance of cure while minimising scarring.“

Dr Juber Hafiji

Specialist Dermatologist and Mohs Surgeon

Mohs micrographic surgery FAQs

Mohs micrographic surgery is carried out as a day case procedure under local anaesthetic. Unlike standard excisional surgery, the process of Mohs surgery involves a series of stages in real time. The skin cancer is removed one thin layer at a time, along with a very small margin of healthy tissue around it. Each section is then checked, layer by layer, under the microscope in our onsite laboratory by Dr Juber. You will be able to rest in our comfortable patient lounge whilst your tissue is being analysed. 

If necessary, further layers of tissue will be taken until the skin cancer has been fully removed. This allows for minimal removal of healthy tissue, keeping the wound as small and as shallow as possibleSurgical reconstruction by Dr Juber ensures that your entire treatment is completed on the day. 

Mohs micrographic surgery is a precise surgical technique ensuring that the skin cancer is fully removed on the day of your procedure. The process of evaluating skin tissue in stages allows 100% of the tissue to be examined. This is in contrast to standard excisional surgery where only 1% of the tissue is analysed

Mohs surgery maximises the chances of cure whilst minimising scarring, giving our patients peace of mind as only one procedure is usually required. Patients who undergo standard excisional surgery to remove skin cancer may need repeat procedures if the cancer is not fully removed, or if it returns. 

Only dermatologists with advanced surgical training can perform Mohs micrographic surgery. Dermatology Hawke’s Bay’s Dr Juber Hafiji completed his international fellowship surgical training in Mohs micrographic surgery, dermatopathology, and complex facial reconstruction.  He is only one of a handful of American College of Mohs Surgery (ACMS) accredited surgeons in New Zealand. For more information, click on the ACMS logo below.

Mohs micrographic surgery costs vary depending upon anatomical site, tumour type and surgical reconstruction required. Our team will be happy to provide more information. 

Mohs Surgery Videos

The American College of Mohs Surgery has prepared the following videos explaining why Mohs is the most effective treatment for skin cancer, and information on post-operative care following skin surgery. Please note, these videos are for general informational purposes only - you will receive personalised treatment recommendations and post-operative care instructions from Dr Hafiji.