Bravia Dermatology is committed to skin cancer prevention and management. We see it as the most important thing that we do.
For surgical management of skin cancer, Dr. Molenda treats skin cancers with Mohs surgery, Excisions, Cryosurgery, and other local methods.
Dr. Molenda has extensive experience in skin cancer management and reconstructive surgery, especially for the face. Most reconstruction happens the same day in the office, all under local anesthesia. In less common cases, general anesthesia or coordination with another surgeon may be necessary.
What are the benefits of office-based skin surgeries?
1. Starling J 3rd, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. Dermatol Surg. 2012 Feb;38(2):171-7.
2. Cook JL. "The reconstruction of two large full-thickness wounds of the upper lip with different operative techniques: when possible, a local flap repair is preferable to reconstruction with free tissue transfer." Dermatol Surg. 2013 Feb;39(2):281-9.
Dr. Matthew Molenda has specialized training in Mohs Micrographic Surgery which includes the removal, mapping, pathology, and reconstruction of skin cancer. Patients with basal cell and squamous cell carcinoma on the head and neck (including scalp, ears, face, eyelids, nose, cheeks, lips), hands, feet, shins, genitals, and other sensitive areas are good candidates for Mohs Micrographic Surgery. Additionally, this procedure is used on large or aggressive skin cancers on the trunk, arms, and legs.
Click here for an article from the Toledo Blade. Publish date: Jan 20, 2014
Some benefits of Mohs surgery when compared to conventional excision are:
• Tissue Sparing
Mohs surgery is tissue sparing, allowing preservation of as much normal skin as possible.
• 100% margin check
Mohs surgery checks 100% of the margin for residual skin cancer; whereas traditional excision (such as those done in the operating room by Plastic Surgery) checks <1% of the true margin. This is because of the unique way Mohs specimens are mapped and processed.
• Highest Cure Rate
Mohs surgery has the highest cure rate available for non-melanoma skin cancers such as basal cell and squamous cell carcinoma.
• Smallest Scars
Mohs surgery creates smaller surgical wounds, allowing for smaller reconstructions. Smaller repairs have less complications and usually have better cosmetic and functional outcomes.
• Same Day Cure
Reconstruction of the surgery site often commences on the same day with a definitive cure.
• Less risk of needing repeat surgery
Mohs surgery minimizes the need for repeat surgeries on different days because of positive margins found on tissue that is sent out for pathology.
Dr. Molenda completed his residency in Dermatology at The Ohio State University Medical Center. Afterwards, he completed a Procedural Dermatology fellowship at the Cleveland Clinic Dermatology and Plastic Surgery Institute with comprehensive training in Mohs and Reconstructive Surgery, Cosmetic Surgery, and Laser Surgery. He is an associate Member of the American College for Mohs Surgery, which is an organization reserved for physicians who are fellowship-trained in this procedure.
Reconstruction Frequently Asked Questions:
1. Do I need to see a plastic surgeon for reconstruction?
No, not usually. In fact, fellowship-trained dermatologic surgeons spend 1-2 years after their residency (which also includes comprehensive surgical training) focusing on skin surgery and reconstruction. Generally, this additional focused surgical training results in more training in skin repair than any other specialty.
Dermatologic surgeons do complex reconstruction of facial wounds, skin flaps, and skin grafts. The vast majority of these procedures are done under local anesthesia in the office setting. Occasionally, a plastic surgeon, oculoplastic surgeon, otolaryngologist, or surgical oncologist will be coordinated with for the repair of larger wounds based on patient and physician preference.
However, if you prefer to see another surgeon for your reconstruction, we can refer you to some excellent ones.
Dr. Molenda is a fellowship trained dermatologic surgeon. To find other fellowship trained dermatologic surgeons, please visit: http://acms.execinc.com/edibo/SurgeonFinder
2. What is the difference between a dermatologic surgeon and a plastic surgeon?
Plastic surgeons typically deal with repairing trauma repair and larger surgeries that require general anesthesia (e.g. breast reconstruction, breast implants). Some even do bone repairs such as hand trauma.
Dermatologic surgeons, on the other hand, typically perform their surgeries under local anesthesia, often in an office setting. Local anesthesia has many advantages for patients because it is safer, less expensive, does not require fasting, and does not carry the risks associated with general anesthesia. Fortunately, nearly all non-melanoma skin cancers (basal cell carcinoma, squamous cell carcinoma) can be removed and reconstructed safely in an office-based setting by a dermatologic surgeon.
Request an Appointment
Bravia Dermatology is committed to excellent care for our patients. We offer comprehensive medical, surgical, and cosmetic dermatology care.
For your convenience, you may submit the request appointment form, and a member of our staff will reply shortly to schedule your consultation. We will do our best to accomodate your appointment preferences. We accept Medicare and all commercial insurance plans.
If you are experiencing an urgent issue, please do not contact us through our website. Call our office directly at 419.948.DERM (3376)