Mohs Surgery

Dr. Laing will be glad to answer all of your questions during your consultation.

Expert Care You Can Trust

Dr. Laing is an expert in MOHS surgery. She has been performing MOHS surgery since 1992. She founded the MOHS Surgery section at the Brody School of Medicine, East Carolina University in Greenville, NC and was the region’s first MOHS surgeon.

MOHS Micrographic Surgery is the most advanced and effective treatment procedure for skin cancer available today. The procedure is performed by specially trained surgeons who have completed at least one additional year of fellowship training (in addition to the physician’s three-year dermatology residency) under the tutelage of a MOHS College member.

 
Valerie Laing Board-Certified Dermatologist Mohs Surgeon
Valerie B. Laing, MD, FAAD, FACMS

Skin Cancer Diagnosis

Thorough Examination

Conduct a thorough skin examination to determine whether your skin changes are likely to be skin cancer. Further testing may be needed to confirm that diagnosis.

Diagnosis

Take a skin biopsy by removing the suspicious-looking skin for lab testing. A biopsy can determine whether you have skin cancer and, if so, what type of skin cancer you have.

Treatment

If your doctor determines you have skin cancer, Dr.Laing will discuss all available treatment options.

Treatments Options for Non-Melanoma Skin Cancer

If you are diagnosed with non-melanoma skin cancer, which make up the vast majority of skin cancers, Dr. Laing and her team will design a treatment plan specifically designed for you.

Mohs Surgery

Mohs surgery is the most precise and accurate technique for the removal of non-melanoma skin cancer. A saucer-shaped piece of tissue is removed and processed immediately on location for microscopic evaluation. Additional layers of tissue are removed as needed if any tumor remains after the initial stage. Once the cancer is removed, the defect in the skin is repaired. Mohs surgery affords a 99% cure rate while sparing the maximum amount of healthy tissue. It is not indicated for all skin cancers, but is used for recurrent or large lesions, as well as lesions in cosmetically or functionally important locations such as the nose, ears and lips.

 

Melanoma Skin Cancer

If you are diagnosed with melanoma skin cancer, the characteristics and depth of your melanoma will be factored into the type of treatment options recommended by Dr.Laing. Many patients diagnosed with melanoma skin cancer may require additional imaging, immuno-diagnostic testing, or lymph node biopsy of the tissue.

Fortunately, if you have been receiving regular skin checks, most melanoma skin cancers can be addressed with a wide excision by your Dr.Laing. 

For this reason, it is recommended that you schedule an appointment for a skin check if you notice any changes in your skin.

For deeper melanoma lesions, a diagnosis on the biopsy sample itself can determine if a lymph node biopsy is required. If the cancer has spread to lymph nodes, your physician will refer you to a medical and possibly surgical oncologist for further treatment.