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Midwest Skin Cancer Surgery Center decorative images featuring Mohs micrographic surgery for skin cancer and tumors

Skin Cancer Center | Mohs Surgery

Midwest Skin Cancer Surgery Center


Mohs Micrographic Surgery for Skin Cancer

Mohs micrographic surgery is a specialized technique developed for the removal of skin cancers. It is considered the best treatment for complicated tumors. This state-of-the-art technique offers the highest cure rate of any treatment option, upwards of 98%. It minimizes the chance of tumor regrowth while preserving as much normal skin as possible, allowing for the smallest possible scar.

The Mohs Micrographic Surgical Procedure

The Mohs technique is a complex procedure that combines the surgical excision of skin cancers with immediate microscopic examination of the tumor margins. The visible skin cancer is first removed by the Mohs surgeon. The tissue is then marked and divided into sections. Slides are rapidly prepared from the fresh tissue by our histotechnologists while the patient waits. The slides are examined by the Mohs surgeon who can then determine if any tumor is left behind while pinpointing its exact location. This allows the surgeon to remove only the involved skin, minimizing the amount of normal tissue removed. Since some skin cancers are extensive, multiple tissue layers may be required for complete tumor removal. Each layer takes approximately 30-60 minutes. Mohs surgery is done under local anesthesia for maximal patient safety. The patient is awake and alert throughout the procedure.


Once the entire cancer has been removed, a defect remains. Our Mohs surgeon is extensively trained in all aspects of skin repair, including skin grafts and flaps. Most defects will be expertly closed on the same day as the tumor removal. Some complicated cases may require plastic surgical consultation and slightly more in depth repairs.

Preparation Instructions for the Mohs Procedure

If you require pre-operative antibiotics, take your first dose one hour before arriving for surgery.

Take all of your routine medications.

You may shower normally, but please do not apply make-up, perfume, aftershave or cologne.

Eat a normal breakfast or lunch on the day of surgery.

Please have someone drive you to and from the office – although you will be awake and alert, the procedure can be extensive and tiring.

Mohs hours Mon-Thur 8a to 4p and Fridays 8a to noon.

Location for Midwest Skin Cancer Center

Midwest Skin Cancer Surgery Center
Northeast Medical Building
43900 Garfield Road, Suite 129
Clinton Township, MI 48038
Phone: 586-228-5850
Fax: 586-412-5911

Mohs Surgeons

Kent J. Krach, M.D., F.A.C.M.S.

Zijian Zheng, DO

Congratulations to Dr. Kent Krach

Dr. Kent Krach On Time Doctor Award, 2014

Dr. Kent Krach On Time Doctor Award Compassionate Doctor Recognition, 2013 Patients’ Choice Award, 2012-2013

Vitals Patient Choice Award Dr. Kent Krach

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