Dermatologist Or Surgeon? I’m Unsure Where To Turn

It’s not uncommon for patients diagnosed with skin cancer or their relatives to research for the information whether it is better to address an oncologic surgeon or a dermatologist for removal of the malignant growth.  

The question usually appears because nobody wants to have visible scars or additional surgeries, and people are starting to hesitate. Will the dermatologist be accurate enough? Or maybe the oncologic surgeon will do it better? Will I need to address the plastic surgeon to remove the consequences of the operation?

Let’s try to figure it out.

A dermatologist is a doctor who treats various skin diseases. Some of them get specific training to become dermatologic surgeons or Mohs surgeons. The training includes learning how to perform repairs with minimal cosmetic damage. Dermatologists treat most basal and squamous cell cancers as well as pre-cancers and some particular cases of melanoma. If a dermatologist is not trained to treat skin cancers surgically, he or she will redirect you to the appropriate expert.

An oncologic surgeon is a doctor who does surgery to treat cancer. Doctors of this type usually deal with more advanced cancers. You can ask a particular oncologic surgeon about the realistic expectations on the surgery results and his or her expertise in plastic surgery. In severe cases, when the tumor reaches deeper tissues, the appearance could not be a #1 priority, and you might require a postoperative surgical reconstruction.

Mohs micrographic surgery

Mohs surgery is utilized when skin cancer appears on the areas where the skin is thin, or those which are functionally important, like face, ears, scalp, wrists, feet or genitals, the key task is to save as much healthy tissue as possible while ensuring that all cancerous cells are excised.

This technique allows sparing more healthy tissue and keeps scarring minimal while removing all cancerous cells within a single operation. Such result is achieved due to the fact that the doctor fulfills three functions – tumor excision, specimen analysis and wound reconstruction – during the operation day. When the patient leaves doctor’s office, he or she could be sure that the site of operation is cancer-free.

We have a set of articles covering all aspects of Mohs micrographic surgery:

What Is Mohs Surgery?

Mohs Micrographic Surgery – How The Procedure Is Performed

How Successful Is MMS In The Skin Cancer Treatment?

Mohs Surgery – Typical Recovery And Downtime

Please note that MMS is not appropriate for every skin cancer. You need to consult your dermatologist to find out is it indicated in your particular case.

Essential things in skin cancer treatment are early detection and accurate, timely treatment. Choose an expert you feel you can trust, but don’t forget to check the reviews and some options that are important to you. If you think that you need a second opinion, ask your doctor how to get it.

Skin cancer treatment in Florida

Arsenault Dermatology provides both surgical excision and Mohs surgery for skin cancer with its state-of-the-art surgical facilities located in Bradenton and Lakewood Ranch. If you have any questions regarding skin cancer treatment, do not hesitate to contact us. Our team will be happy to help you!

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About Arsenault Dermatology

Arsenault Dermatology is one of the most complete dermatology centers in Florida. Founded in 2003 by Dr. Emily Arsenault, an award-winning dermatologist, Arsenault Dermatology offers a full range of skin care services, including skin cancer screenings, outpatient skin cancer surgery, dermoscopy and precision full-body mole mapping and Mohs Micrographic Surgery.

Our practice is a pioneer of innovation, developing programs to greatly reduce wait times and improve patient access. Arsenault Dermatology’s healthcare delivery model sets a new standard in quality and efficiency, both protecting your precious time while simultaneously providing world-class care to all our patients.

Latest Reviews

Bob S
13 hours ago
I have no problem with the providers at this practice; they've been excellent. But they outsource patient management to Klara, a third party provider. I had a biopsy, and Klara sent me a text to view the results. It said SCC. How many lay persons know that means Squamous Cell Carcinoma? I had to navigate through Klara to schedule an excision, which was 2 months later. I called Arsenault twice and had to leave messages. No reply. I messaged them through Klara and got a return phone call. Even though Squamous Cell isn't necessarily serious, I expected a call from the practice to go over it with me. Having to go online through a third party is ridiculous. Not everyone is tech/internet savvy. I upgraded my review due to the thoughtful response posted by Dr. Arsenault.
Andrea V
3 days ago
Nicholas Tocco at the SR 70 office is FANTASTIC! Amazing bedside manner and very thorough throughout the whole exam. Made a very anxious mom feel so much better!
Douglas Nelson
6 days ago
Great doctor helped and gave me good advice. My skin biopsy she did didn’t hurt at all she was very fast. The front desk woman destiny was very kind and nice. She made me feel like I’ve Ben there before even though it was my first time.
Brittney Dodd
1 week ago
Great staff and easy going!
Carole Carlin
1 week ago
Excellent dermatology Practice and I have had great experience with Dr. Ellis. She explains everything patiently and never feel rushed. I would highly recommend them.!
B P
1 week ago
I had a cyst that was inflamed. The staff quickly made an appointment for me and the doctor was fantastic. The procedure only took about 10 minutes and I was given thorough instructions for after care. I highly recommend this Dermatology Clinic
Melissa
2 weeks ago
Had a great experience at Arsenault Dermatology. Office is very clean and staff is great. Got called back right away and was seen in a timely manner. Dr Ainsley is fantastic. She did such a thorough assessment. I felt she took her time and looked at everything for the proper treatment. Definitely found my dermatologist!!
Mark Mullen
2 weeks ago
Professional, courteous, thorough.

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