Waccamaw Dermatology Offers Mohs Micrographic Surgery To Treat Skin Cancer

Mohs surgery is an effective procedure for treating basal and squamous cell carcinoma.


Mohs surgery, sometimes called Mohs micrographic surgery, is used to remove all cancerous cells. While this can be used to treat most skin cancers, it is considered the most effective treatment for basal cell carcinoma and squamous cell carcinoma.

Brandon J. Coakley at Waccamaw Dermatology are board-certified dermatologists and fellowship-trained Mohs Surgeons. They are the only two in the area to provide the most effective technique for treating common skin cancers.

Before & After Photo Library

Fellowship-trained vs. Non-Fellowship Trained Mohs Surgeons

Only fellowship-trained ACMS members have received rigorous, hands-on direction and education from experienced practitioners of Mohs surgery.

  • 1-2 years additional training post-residency
  • Minimum 650 cases during training
  • Exposure to rare tumor pathology, difficult tumor locations, and complex wound reconstruction
  • Those in the training programs must pass rigorous application and review process

Lear more at mohscollege.org

Mohs surgery is conducted in stages. First, a thin layer of tissue is removed using a scalpel and then examined under a microscope. If the Doctor finds any remaining cancer cells you will be called back to remove another layer. The process is repeated until all the cancer is removed.


While Mohs surgery can treat most skin cancers, it is most commonly used for:

    • Dermatofibrosarcoma protuberans (DFSP)
    • Atypical fibroxanthoma (AFX)
    • Pleomorphic Dermal Sarcoma (PDS) / Undifferentiated Pleomorphic Sarcoma (UPS) / Malignant Fibrous Histiocytoma (MFH)
    • Sebaceous carcinoma
    • Extramammary Paget’s disease (EMPD)
    • Adenocystic carcinoma
    • Microcystic adnexal carcinoma (MAC)
    • Apocrine / Eccrine carcinoma
    • Bowenoid papulosis
    • Leiomyosarcoma
    • Other rare and complex skin tumors.


  • Examination & Prep
  • Top layer removal
  • Lab analysis
  • Microscopic examination
  • Wound repair
  • Instructions for wound care and follow-up for the best recovery
  • Before & After Photo Library


See Why Patients Choose Waccamaw Dermatology

“Had MOHS surgery today on my face with Dr. Brandon Coakley.
Amazing doctor, and Jen, his assistant through the procedure were both the best of the best.
Thanks to both of these professionals, couldn’t be happier with the results”

– Bill Caugherty

“Dr. Coakley and his staff were EXCELLENT! They were efficient, kind, caring, and professional. This was the first time in my life when a procedure using needles did not hurt! Thank you!”

– Lisa VanTress