Deerfield, IL Dermatologist
Deerfield Dermatology Associates
707 Lake Cook Road, Suite 280
Deerfield, IL 60015
(847) 480-0004
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Who provides Mohs surgery at Deerfield Dermatology Associates, Ltd.?
Dr. Singh-Behl received her MD degree at the age of 24, from an accredited six-year medical program: Northeastern Ohio Universities College of Medicine. She completed her internship in Internal Medicine and Dermatology residency at the prestigious Cleveland Clinic for four years before deciding to pursue a fellowship in Mohs micrographic surgery. Singh-Behl received her Mohs training at the Cleveland Clinic with the leaders in Mohs surgery performing surgeries on challenging and complicated cases. Moreover, Dr. Singh-Behl preceptor learned Mohs surgery first hand from Dr. Frederick Mohs in Wisconsin. Dr. Singh-Behl is board certified in dermatology by the American Board of Dermatology, and the American College of Mohs Surgery.

Dr. Singh-Behl is a member of the American Academy of Dermatology, American Society of Dermatological Surgery and the American College of Mohs Surgery. She is affiliated with the Northshore University Health Care System hospital Group.

Members of the American College of Mohs Surgery (ACMS) are fellowshipped trained surgeons who have the expertise and experience to offer the highest potential cure rate (99%) for skin cancer and superior cosmetic results. Since ACMS surgeons are trained in reconstruction, it enables them to repair the skin precisely and properly and minimize scarring.

What are the advantages of Mohs Micrographic Surgery?
Highest possibility of curing tumor. In previously untreated skin cancers the cure rate is as high as 99%. When a recurrent skin cancer is treated with other methods the success rate is only 80% while with Mohs surgery it is as high as 95%.
  • Lowest recurrence rate, as low as 1%
  • Least amount of scarring

Click on this link to watch Patient Education Video

Why does my skin cancer need Mohs?
When considering your options it is important to understand that skin cancer that is visible represents the tip of the iceberg. Invisible cells may form roots that extend beyond the boundaries of the visible cancer. If all the skin cancer is not removed, it will recur, necessitating treatment again.

Most common type of skin cancer treated with Mohs surgeries are:
Basal cell carcinoma, squamous cell carcinoma and superficial malignant melanoma in-situ.

The type of skin cancer that warrant Mohs surgery:
  • The cancer is cosmetically sensitive areas such as the face, eyelids, lips, nose, ears, hands, feet and genitals.
  • The cancer was previously treated but has come back
  • Anatomical areas of high recurrence such as the face, ears, nose, lips and eyelids
  • Tumors that have uncertain borders or are large or aggressive
Where will I have the surgery?
MOHS surgery is an outpatient procedure performed at Deerfield Dermatology Associates, Ltd. offices and hospitalization is not necessary. Local anesthesia is injected around the tumor site so the patient is awake the entire time. The patient is able to return home the same day.

Preparing for the surgery:
If you have any questions about your surgery, please feel free to give us a call. Most patients are in the office for a few hours, however we recommend that you plan for the possibility of spending four to five hours with us, as we cannot predict how long your surgery will take. Although not required, you may wish to arrange for someone else to drive you home.

Aspirin (ASA) and aspirin like drugs are known to prolong bleeding. If aspirin was not prescribed by your doctor for a specific medical condition, e.g. stroke/heart disease/stent, we request that you discontinue it 14 days prior to your surgery. Aspirin-like drugs include Motrin, Ibuprophen, Excedrin, Aleve, Celebrex, Naprosyn etc. Do not restart ASA and ASA like drugs for two-three days after the surgery. Discontinue vitamin E supplements, and herbal supplements two weeks prior to surgery. Do not restart two-three days after surgery.

Surgery day checklist:
  • Take your usual prescribed medication except for as indicated in the previous section.
  • Wear comfortable clothing that can easily be removed.
  • Take any preoperative medications that may have been prescribed to you.
  • You may want to bring someone to drive you home. 
  • Plan to arrive 15 minutes prior to your appointment.
The Mohs surgery procedure:
The area around the lesion will be numbed. Subsequently, a layer of tissue, 1 mm beyond the cancerous skin is removed. A temporary dressing is placed. This process takes about 15-20 minutes. The tissue is carefully marked and mapped by the surgeon and taken to the laboratory where the technician processes the slides. The process of preparing the slide may take anywhere from 30-45 minutes depending on the size of the tumor. The process is repeated until all the skin cancer is removed.

After skin cancer removal, Dr. Singh-Behl will discuss post-operative repair:
  • Secondary intent healing - allowing the wound to heal on it's own if the wound is very small
  • Primary closure - closing it side to side with some stitches
  • A local flap - moving the adjacent skin to close the defect
  • A graft - removing the skin form another location to close the defect
What to expect after surgery:
  • Detailed written wound care instructions will be provided to you after the surgery
  • Most patients have mild discomfort after the procedure for which extra-strength Tylenol is usually all that is needed. Avoid ASA or ASA containing products as they increase the likelihood of post-operative bleeding.
  • Localized bruising, swelling may occur.
  • Usually one or two follow-up visits are required to remove stitches and examine the healing surgical site.
What to expect during the healing process:
Any type of surgery leaves a scar. The advantage of MOHS surgery is since the least amount of normal skin is removed, the scarring can be minimized. It takes a wound 18 months to completely heal, In the first several months, the surgical site may feel lumpy, firm, and reddened. There are various treatment options available to fully minimize the scar. These are specific to patient and the type of wound and include scar massage, topical applications of creams, cortisone injections, laser surgery and dermabrasion.

Conclusion:
More than 1.2 million Americans are diagnosed with skin cancer annually. If left untreated, skin cancer will continue to increase in size and potentially be disfiguring and possibly life-threatening. If you have been diagnosed with skin cancer you may be wondering how this might have happened.

Skin cancers and pre-cancers are the result of the buildup of sun damage the skin received over the years. Unfortunately, the skin cannot repair damage from the sun, radiation therapy, or other forms of ionizing radiation. Even damage you received as a child is still present, and any additional sun exposure only adds to this damage. Although there is nothing you can do to reverse the damage, you can prevent further sun damage by routinely using sunscreen.

Don't delay getting treatment and schedule your appointment today. Call at (847) 480-0004 extension 51

Board Certified Dermatologists

Dr. Burton E. Silver, M.D., Emeritus
Marcia E. Johnson, M.D.
Jonathan A. Dalton, M.D.
Divya Singh-Behl, M.D.
Madhuri V. Konanahalli, M.D.

Stefanie Kadolph, MMS, PA-C

Office Hours
M-T-Th-F
8:00 AM - 5:00 PM
Wed & Sat
8:00 AM - 12:00 PM
Appointments only,
walk-ins not accepted.

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Deerfield, IL Dermatologist Deerfield Dermatology Associates 707 Lake Cook Road, Suite 280 Deerfield, IL 60015 (847) 480-0004
Call For Financing Options