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

Laura Kleiman-Ledner
Dr Ellis is an amazing dermatologist!! She is sensitive, great listener and very caring!!!
John Snedaker
Kristen & Arsenault always do what I request. What a team!
charlie robb
I had an appointment today at Arsenault Dermatology on 77th Terrace in Lakewood Ranch. A biopsy they had done came back positive for Squamous Cell Carcinoma (SCC). Today, I was there for Mohs surgery to be performed by Dr. Bryan Bishop. I was not in a great mood as this did not qualify as the ideal way to start the day. Having said that, Dr. Bishop was terrific. I don't recall ever laughing during a surgery appointment before, so this was a first. Granted the pre operation numbing shots were a pain but after that all went well and he was finished so fast, I was surprised it was over. After that I went to wait for the lab results to determine that all the SCC cells were now gone. About 20 minutes later. The results were back and the cancer was gone. Dr. Bishop came back to close the wound. All in all, the appointment was faster than I expected. Dr. Bishop is obviously very good at what he does and his one liners were quite funny. My favorite was, as he finished the stitches, he told me when the wound healed, I would have the best looking forehead in Lakewood Ranch! LOL. And a great time was had by all...even me. Thanks Dr. Bishop!
Martha Johnson
Once again a great experience. So confident in treatment needed. Appreciate the explanations of concerns.
Rp Powers
Staff was great, Kelsey and her assistant were very friendly and super thorough.
They were also on-time and the intake and check-out process was very good.
It was a very good experience.
Claudia Lee (Claude)
A Very Professional diagnosis on my face and Concerns.
Jim
Saw Dr.Lewis for the first time what a bubbly personality she has.It is a shame that this practice has grown too large to staff a Dr. at each location an you have to rely on using a PA. to visit a location close to home.
Kathleen Law
Very pleased with staff Arsenault Dermatology has at their office. So glad they have Venice office as it's closer to Pt. Charlotte. Dr. Kessler is very kind, gentle with freezing my skin lesions.

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