Surgical Dermatology
Expert care for the removal of skin cancer, moles, cysts, and more.
Your skin deserves thoughtful, precise care – especially when surgery is involved. At Luna Dermatology, surgical dermatology is approached with the same philosophy that guides everything we do: advanced medical expertise, personalized attention, and results that help you feel confident in your skin.
Led by Dr. Brooke Bair, a double board-certified dermatologist and Mohs micrographic surgeon, Luna Dermatology offers surgical treatment options for skin cancer, lesions, benign growths, and cosmetic mole removal. Whether you need a skin biopsy, Mohs surgery, or removal of a bothersome spot, our team is here to guide you through the process with clarity and compassion.
Precise. Personal. Patient-Centered.
Surgical Dermatology at Luna
Surgical dermatology focuses on diagnosing and treating skin conditions that may require a procedure, including skin cancer, atypical moles, cysts, benign growths, and lesions that are uncomfortable, changing, or cosmetically bothersome.
At Luna Dermatology, our goal is always to choose the right treatment for your diagnosis and your comfort. Some concerns may only require a quick in-office biopsy. Others may require a surgical excision, or even Mohs micrographic surgery, a highly specialized technique used to remove certain skin cancers while preserving as much healthy skin as possible.
Not sure what kind of care you need? That’s exactly why we’re here. Dr. Bair and the Luna Dermatology team will evaluate your skin, explain your options, and create a plan that is customized for you.
Treating Your Skin with Care
What We Can Help With
Surgical dermatology may be recommended for medical, preventive, or cosmetic reasons. At Luna Dermatology, we commonly evaluate and treat concerns such as:
- Basal cell carcinoma
- Squamous cell carcinoma
- Melanoma and early stage Melanoma (Melanoma in situ) when appropriate
- Suspicious or changing moles
- Atypical moles
- Pre-cancerous lesions
- Benign growths
- Cysts
- Skin tags
- Cosmetic mole removal
- Lesions that rub, bleed, itch, or become irritated
- Growths in cosmetically sensitive areas such as the face, neck, chest, or hands
If you have a spot that is new, changing, bleeding, itching, painful, or simply making you uneasy, it is worth having it checked. Early evaluation can make all the difference.
Your Skin is in Expert Hands
Surgical Expertise with a Thoughtful Touch
Dr. Brooke Bair is a double board-certified dermatologist and fellowship-trained Mohs surgeon with advanced training from Michigan State University and Johns Hopkins University. She has practiced at leading dermatology clinics including Gulf Coast Dermatology and Greenwich Village Dermatology, authored peer-reviewed publications, and provided care to diverse patient populations through service at the Fatima Pediatric Medical Center and the VA Hospital in Castle Point, NY. Recognized for her holistic, patient-centered approach, Dr. Bair combines expertise in medical and cosmetic dermatology with an unwavering commitment to excellence in surgical dermatology.
That matters because surgical dermatology is never just about removing something from the skin. It is about understanding what the lesion is, choosing the right procedure, protecting healthy tissue whenever possible, supporting proper healing, and considering the aesthetic outcome from the beginning.
At Luna Dermatology, patients appreciate that Dr. Bair combines medical precision with an artist’s eye. That balance is especially important when treating visible areas such as the face, lips, ears, neck, chest, and hands.
Advanced Skin Cancer Treatment
Mohs Micrographic Surgery
Mohs micrographic surgery is a specialized technique used to treat certain skin cancers with exceptional precision. It is often recommended for basal cell carcinoma and squamous cell carcinoma, especially when the cancer is located on the face, ears, hands, feet, scalp, genitals, or other areas where preserving healthy tissue is especially important.
During Mohs surgery, thin layers of tissue are removed one at a time and examined under a microscope. If cancer cells are still present, another thin layer is removed only from the area where cancer remains. This process continues until no cancer cells are seen.
The advantage is precision. Mohs allows the surgeon to remove the cancer while sparing as much healthy surrounding skin as possible. This can be especially important for both function and cosmetic outcome.
At Luna Dermatology, Dr. Bair performs Mohs surgery with a careful, patient-centered approach. Our team will explain what to expect, how to prepare, how the wound may be repaired, and how to care for your skin after the procedure.
Mohs Surgery May Be Recommended For:
- Basal cell carcinoma
- Squamous cell carcinoma
- Skin cancers on the face, ears, nose, lips, scalp, hands, feet, or other delicate areas
- Skin cancers with poorly defined edges
- Skin cancers that have returned after prior treatment
- Larger or more aggressive tumors
- Skin cancers where preserving healthy tissue is a priority
Step by step
What Happens During Mohs Surgery?
Every patient and every skin cancer is different, but Mohs surgery generally follows a careful, step-by-step process.
1. We identify and numb the area
The treatment area is cleaned, marked, and numbed with local anesthesia. Most Mohs procedures are performed in an outpatient setting while the patient remains awake and comfortable.
2. The visible cancer is removed
Dr. Bair removes the visible portion of the skin cancer along with a very thin layer of surrounding tissue.
3. The tissue is examined
The tissue is carefully processed and examined under a microscope to check the margins for remaining cancer cells.
4. Additional layers are removed only if needed
If cancer cells are still visible, another thin layer is removed only from the precise area where cancer remains. This preserves as much healthy skin as possible.
5. The wound is repaired
Once the cancer has been fully removed, Dr. Bair will discuss the best approach for healing and repair. Some wounds may be closed with stitches, while others may require a flap, graft, or natural healing depending on the size and location.
6. We guide your recovery
After surgery, our team will provide clear wound care instructions and follow-up guidance so you know exactly how to care for your skin at home.
Not every skin cancer needs Mohs
Other Surgical Skin Cancer Treatment Options
Mohs surgery is an excellent option for many skin cancers, but it is not the only option. The right treatment depends on the type of skin cancer, its size, location, depth, pathology, your health history, and your cosmetic goals.
At Luna Dermatology, your treatment plan may include one or more of the following:
Standard Surgical Excision
For some skin cancers, a standard excision may be recommended. During this procedure, the lesion is removed along with an appropriate margin of surrounding skin. The tissue is then sent to a lab for evaluation, and the area is typically closed with stitches.
Standard excision may be appropriate for certain basal cell carcinomas, squamous cell carcinomas, atypical moles, and other lesions that need complete removal.
Curettage and Electrodesiccation
Curettage and electrodesiccation, sometimes called “scrape and burn,” may be used for select superficial skin cancers or pre-cancerous growths. The area is numbed, the abnormal tissue is gently scraped away, and heat is used to treat remaining abnormal cells.
This treatment is not right for every lesion, but it can be effective for certain low-risk growths in the right location.
Skin Biopsies
A biopsy is often the first step when a mole, spot, or growth looks suspicious. Depending on the concern, your provider may perform a shave biopsy, punch biopsy, or excisional biopsy. The sample is then sent for pathology so we can better understand what is happening under the surface.
Pre-Cancerous Lesion Treatment
Pre-cancerous lesions, such as actinic keratoses, can develop after years of sun exposure. Treating these spots early can help reduce the risk of progression and support healthier skin long-term.
Melanoma Evaluation and Surgical Planning
Melanoma requires prompt diagnosis and a careful treatment plan. If a lesion is concerning for melanoma, our team can perform an evaluation and biopsy, then guide you through the next steps based on pathology results. In some cases, surgical excision may be appropriate. In others, referral or coordinated care may be recommended depending on the diagnosis and stage.
Schedule A Skin Cancer Evaluation
For Benign Moles that Bother You
Cosmetic Mole Removal
Not every mole is dangerous, but that doesn’t mean it has to stay if it bothers you. Some moles rub against clothing or jewelry. Others sit in highly visible areas and affect how confident you feel in your skin.
At Luna Dermatology, cosmetic mole removal begins with a medical evaluation. Before removing a mole for cosmetic reasons, our team will examine it to make sure there are no concerning features. If removal is appropriate, our team will discuss the best technique based on the mole’s size, depth, location, and appearance.
Moles may be removed with a surgical shave or excision. In many cases, tissue can be evaluated under a microscope after removal to help confirm that the lesion is benign. As with any procedure, a scar is possible, but our team will carefully consider placement, technique, and aftercare to support the best possible cosmetic outcome.
Whether your concern is medical, cosmetic, or both, we’ll help you understand your options and choose a plan that feels right for you.
Clarity Starts with Answers
Skin Biopsies
A skin biopsy is a small in-office procedure used to diagnose a suspicious spot, mole, rash, or growth. While the word “biopsy” can sound intimidating, the process is typically quick and performed with local numbing medication.
Depending on the spot being evaluated, your provider may recommend:
- A shave biopsy to remove a sample from the upper layers of the skin
- A punch biopsy to remove a small, deeper sample
- An excisional biopsy to remove the entire lesion or growth
Your sample is sent to a lab for review, and the results help determine whether additional treatment is needed. If further care is recommended, Luna Dermatology will walk you through your options and help you understand the next best step.
Better skin is just around the corner
Why Choose Luna for Surgical Dermatology?
Choosing the right dermatology team matters. Surgical dermatology requires medical expertise, technical skill, clear communication, and an eye for healing and cosmetic outcome.
At Luna Dermatology, surgical care is supported by a highly trained team of dermatology providers with experience across medical dermatology, skin cancer evaluation, surgical dermatology, cosmetic dermatology, and patient-centered treatment planning. Whether you are seeing one of our board-certified dermatologists, or a board-certified Physician Assistant, our team is here to help you feel informed, comfortable, and confident in your care.
At Luna Dermatology, you can expect:
Experienced Dermatology Providers
Luna’s provider team brings strong clinical experience across medical, cosmetic, and surgical dermatology. Patients may receive medical and surgical dermatology care from providers such as Dr. Jack Cossman, a board-certified dermatologist with experience treating skin cancers and a wide range of medical dermatology concerns; Dr. Marina Matatova, a board-certified dermatologist with over a decade of experience in medical, cosmetic, and pediatric dermatology; and George Marchacos, PA-C, a board-certified Physician Assistant with dedicated experience in medical and surgical dermatology. Together, Luna’s providers offer thoughtful evaluations, clear communication, and personalized care for patients with skin cancer concerns, suspicious moles, biopsies, and other surgical skin needs.
Specialized Mohs Surgery Expertise
For patients who need Mohs micrographic surgery, Dr. Brooke Bair offers specialized expertise as a double board-certified dermatologist and Mohs micrographic surgeon. This gives patients access to advanced skin cancer treatment close to home, with a focus on precision, tissue preservation, and thoughtful repair.
Personalized Treatment Plans
No two lesions – and no two patients – are exactly alike. We tailor your treatment plan based on your diagnosis, skin type, medical history, lifestyle, and goals.
A Cosmetic Eye
Even when a procedure is medically necessary, the cosmetic result matters. We carefully consider wound closure, scar placement, and aftercare whenever possible.
A Calm, Comfortable Experience
We know skin surgery can feel stressful. Our team will answer your questions, explain each step, and help you feel informed before, during, and after your procedure.
Comprehensive Dermatology Care
From skin checks and biopsies to Mohs surgery, excisions, cosmetic mole removal, and follow-up care, Luna Dermatology offers a full spectrum of medical and surgical skin care.
We’ll Walk you Through It
What to Expect Before, During, and After Your Procedure
Before Your Visit
Your visit may begin with a skin exam, review of your medical history, and discussion of the spot or concern you would like evaluated. If a biopsy or procedure is recommended, our team will explain why, what the procedure involves, and how to prepare.
Please let us know if you take blood thinners, have a history of bleeding issues, have allergies to medications or adhesives, have a pacemaker or implanted device, or have had trouble healing after prior procedures.
During Your Procedure
Most surgical dermatology procedures are performed in-office with local anesthesia. This means the area is numbed, but you are awake. You may feel pressure, movement, or vibration, but the goal is to keep you comfortable throughout the procedure.
After Your Procedure
After your procedure, we will provide wound care instructions tailored to your treatment. You may need to keep the area clean, covered, and protected while it heals. Some redness, swelling, bruising, or mild tenderness can be normal, depending on the procedure performed.
Our team will let you know when to return for suture removal if stitches are placed, when to expect pathology results if tissue is sent to the lab, and what symptoms should prompt a call to the office.
Don’t ignore changes in your skin
When Should You See A Dermatologist?
Please schedule an appointment if you notice a spot, mole, or growth that is:
- New or rapidly growing
- Changing in size, shape, or color
- Bleeding, crusting, or not healing
- Painful, itchy, or tender
- Different from your other moles
- Irregular at the border
- Multiple colors
- Located in an area that rubs, catches, or becomes irritated
- Something you simply feel unsure about
You know your skin better than anyone. If something looks or feels different, let’s take a look.
Book a Skin Check
Frequently Asked Questions
What is surgical dermatology?
Surgical dermatology is a branch of dermatology focused on diagnosing and treating skin conditions that require a procedure. This may include biopsies, skin cancer surgery, Mohs surgery, mole removal, cyst removal, and removal of benign or bothersome growths.
What is Mohs surgery?
Mohs micrographic surgery is a precise technique used to treat certain skin cancers. During the procedure, thin layers of tissue are removed and examined under a microscope until no cancer cells remain. This allows the surgeon to remove the cancer while preserving as much healthy skin as possible.
Is Mohs surgery only for skin cancer on the face?
No. Mohs surgery is commonly used on the face because preserving healthy tissue is especially important there, but it may also be used on the ears, scalp, hands, feet, genitals, or other areas where tissue preservation, recurrence risk, or tumor behavior makes Mohs the best option.
Does Mohs surgery hurt?
The treatment area is numbed with local anesthesia before surgery begins. Most patients remain awake and comfortable during the procedure. You may feel pressure or movement, but you should not feel sharp pain. Some soreness, swelling, or tenderness can occur after the anesthesia wears off.
How long does Mohs surgery take?
Mohs surgery can take several hours because tissue is removed, processed, and examined in stages. If additional layers are needed, the process is repeated. We recommend planning for a longer visit and bringing something quiet to read or do while you wait between stages.
Will I have a scar?
Any procedure that removes skin can leave a scar. The goal is to remove the concerning tissue safely while supporting the best possible healing and cosmetic outcome. Dr. Bair and the Luna Dermatology team will discuss wound repair, aftercare, and scar expectations based on your specific procedure.
Can I have a mole removed for cosmetic reasons?
Yes, many patients choose cosmetic mole removal because a mole is visible, raised, irritating, or bothersome. At Luna Dermatology, we always begin with a medical evaluation to make sure the mole does not have concerning features before discussing cosmetic removal options.
Should I try to remove a mole or skin tag at home?
No. At-home removal can increase the risk of infection, scarring, incomplete removal, and delayed diagnosis if the spot is actually skin cancer. A dermatologist can evaluate the growth, remove it safely when appropriate, and determine whether pathology testing is needed.
What happens if my biopsy shows skin cancer?
If your biopsy shows skin cancer, our team will explain the diagnosis and recommended next steps. Depending on the type, size, depth, and location of the skin cancer, treatment may include Mohs surgery, standard excision, curettage and electrodesiccation, topical treatment, monitoring, or coordinated care with another specialist.
Do I need a referral?
Some insurance plans require a referral for dermatology or specialist visits, while others do not. Please check with your insurance carrier before your visit, or contact our office with questions.