Surgical Dermatology

Skin Cancer Surgery and Mohs Surgery

1 in 5 people will develop skin cancer in the United States. There are three main types of skin cancer: basal cell carcinoma, squamous cell carcinoma, and melanoma.

A majority of non-melanoma skin cancers are associated with the ultraviolet radiation from sun rays. Sun protection is therefore the first line of defense against skin cancer.

Surgical Dermatology
When caught early and treated properly, skin cancer is highly curable.

The first step is having a board certified dermatologist take a close look at your skin. Any “skin spots” which have been changing in size, shape, or color should be brought to your doctor’s attention. Suspicious lesions are biopsied and a pathologist weighs in the type of cells within the specimen and if a cancer is detected.

A number of treatments are available, including traditional surgery, scraping and burning, freezing, radiation, topical medications, and advanced Mohs micrographic surgery.

Mohs micrographic surgery

Mohs micrographic surgery is an advanced treatment for certain types of skin cancer. This revolutionary treatment offers the highest potential for a cure, while also minimizing the cosmetic impact of treatment.

Mohs Surgery is named after Dr. Frederic Mohs, a surgeon who developed the technique in the late 1930s. Skin cancers are removed one layer at a time in a specific way. After each specimen is removed, it is frozen on-site by a licensed histotechnician and subsequently examined by the Mohs surgeon under a microscope to determine whether cancer remains in the skin. If the cancer is present at the margin, the Mohs surgeon is able to precisely map and remove it, sparing healthy tissue. Mohs surgery allows only the diseased tissue to be removed, thus sparing as much of the normal skin as possible.


Melanoma, the most serious type of skin cancer, develops in the cells (melanocytes) that produce melanin — the pigment that gives your skin its color. The exact cause of all melanomas isn’t clear, but exposure to ultraviolet (UV) radiation from sunlight or tanning lamps and beds increases your risk of developing melanoma.

The risk of melanoma seems to be increasing in people under 40, especially women. Knowing the warning signs of skin cancer can help ensure that cancerous changes are detected and treated before the cancer has spread. Melanoma can be treated successfully if it is detected early.

The ABCDE of Melanoma

A is for Asymmetry: One half of the mole does not match the other half.
B is for Border irregularity: The edges are ragged, notched, or blurred.
C is for Color that varies from one area to another.
D is for Diameter: While melanomas are usually greater than 6mm (the size of a pencil eraser) when diagnosed, they can be smaller.
E is for Evolving: A mole or skin lesion that looks different from the rest or is changing in size, shape, or color.

Why do patients love Haryani Dermatology?

  • 5 star review  This was one of those amazingly smooth, professional, delightful appointments we all long for. I didn’t want to go to be examined and was putting it off…but from the moment… read more

    thumb Karen Cramer
  • 5 star review  All around the best experience I ever had at any doctors office; would highly recommend! Everybody, including Debbie at front desk and ladies at check out are wonderful, friendly, polite, efficient. Tom… read more

    thumb Lilo White
  • 5 star review  Prior to seeing Dr. D. Haryani I went to another dermatologist (Dr. Haskel) who spent only a few minutes to write a prescription without examining condition. Dr. Haryani… read more

    thumb Ibis Artiles
  • 5 star review  I was welcomed immediately when entering the front door. The front desk staff was kind and very polite. When I was placed into the room to be seen, the decor… read more

    thumb Rachel Tea
  • 5 star review  I was very impressed by the professionalism and friendliness of the staff. Dr Haryani was very thorough and answered all my questions. I didn’t feel the appointment was rushed. I… read more

    thumb James Campbell
  • 5 star review  Haryani Dermatology is a super clean and very professional practice and yet very personable too! The staff were all very helpful and down to earth as well. Dr. Haryani was… read more

    thumb Jeff Parks
  • 5 star review  This was my first visit to Haryani Dermatology. The office was modern and bright. The receptionist was engaging, helpful, and delightful. I waited a short period of time until Tom,… read more

    thumb Susan DiGiandomenico
  • 5 star review  Asked my primary care doctor for a referral to a very good dermatologist and was not at all disappointed. Visit was extremely efficient, attentive and friendly. I have… read more

    thumb Paul Manning
  • 5 star review  My initial/primary examination was very professional and caring. I was very nervous and concerned about my condition but Dr Haryani and the entire technacal ( Pamela) and office personnel made… read more

    thumb Lawrence McNamee
  • 5 star review  Very well run office with pleasant staff. Dr. Haryani answered all of my questions and I felt I had a thorough yearly skin screen by her. Our entire… read more

    thumb Cathleen Clifton
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