Mohs Skin Cancer Surgery • DermaBlue Asheville

The procedure is performed under local anesthesia, so the treatment area is numbed before Dr. Levine makes the first incision. Most patients feel only mild pressure or movement—not pain. Some discomfort may occur as the anesthesia is injected, but this passes quickly. Post-procedure soreness is common and typically manageable with over-the-counter pain relievers.

Depending on the scope of the treatment, you’ll want to plan to spend most of the day at our office, though many procedures are completed in 2–4 hours. Because tissue processing takes time between stages, and the number of stages isn’t known in advance, it’s best not to schedule anything else for the day of your surgery. Bring something to read or listen to—there will be waiting involved.

Some scarring is unavoidable with any surgery, but Mohs is specifically designed to minimize it. Because the technique removes the smallest possible amount of tissue needed for complete cancer clearance, the resulting wound is typically smaller than with traditional excision. Dr. Levine is experienced in wound repair techniques chosen to optimize cosmetic outcomes — including layered closures, flaps, and grafts when needed.

In most cases, a referral from your primary care provider or dermatologist is not required to schedule a consultation with Dr. Levine. However, we recommend checking with your insurance carrier, as some plans do require a referral for specialist visits. Our team is happy to help you navigate that process

Mohs micrographic surgery is considered a medically necessary procedure for qualifying skin cancers, and is covered by most major insurance plans, including Medicare and Medicaid.

Coverage for wound repair may vary. We recommend contacting your insurance provider prior to your consultation to understand your specific benefits and any out-of-pocket costs. We can help you navigate your insurance, however—just contact us!

You’ll receive detailed pre-operative instructions after your consultation.

In general: avoid blood-thinning medications (aspirin, ibuprofen, certain supplements) if your physician approves; eat a normal meal before you arrive; wear comfortable, loose-fitting clothing; and arrange a ride home if you’d like, though most patients drive themselves. You should not use any numbing creams or apply anything to the area on the morning of surgery.

Most patients return to normal activity within a few days, depending on the size and location of the wound. You’ll be given specific wound care instructions to follow at home.

Common post-procedure experiences include mild swelling, bruising, and tenderness. Stitches (if used) are typically removed within 1–2 weeks. Dr. Levine will schedule a follow-up visit to check healing and answer any questions.