Skin Surgery

Dr Touma has a large experience in evaluating moles, particularly those that are at risk, and digitally and clinically monitoring them or removing them when necessary.


Dr Touma has more than 20 years of experience in cosmetic surgical excision of moles and skin cancer, and specimens are always sent to the best dermato-pathological labs for evaluation. Pre-cancerous lesions, such as solar or actinic keratoses, which appear as flat, scaly, reddish patches caused by overexposure to the sun, can be treated by medical creams, or laser. Benign moles, cysts and other growths are often removed, with a very refined technique leaving no significant scars.


Skin cancer is the most common type of cancer. It most often occurs among older, fair-skinned people. Most skin cancers are of the basal cell type. This type of cancer tends to grow slowly and spread little, and the vast majority are cured when treated early. Squamous cell carcinoma tends to be more locally aggressive and may invade lymph nodes or rarely metastasize. Malignant melanoma is a much more serious form of skin cancer. Its rate is now increasing faster than any other type of cancer- 4% every year. The lifetime risk of developing melanoma is now about one in 70 people and this is expected to rise. 


Although most cases of skin cancer are not life threatening, they may occur on the face or other delicate areas of the body and require very specialized surgical techniques for their removal. Moh’s micrographic surgery is the ideal surgical procedure for the complete removal of recurring or delicately located tumors by microscopically tracking cancer cell extension. Widely used in the U.S., Moh’s surgery allows the preservation of as much of the surrounding healthy skin as possible, and the near perfect reconstruction of the skin, all in one comfortable session. Dr Touma is an experienced Moh’s surgeon with over 5000 surgeries for skin cancer removal and reconstruction particularly on the delicate areas, such as the nose, eyelids, and the rest of the face. 

Even when a skin cancer has been completely removed and is considered cured, follow-up examinations are needed to see if the cancer has recurred. That is most likely to happen in the first two years after treatment. In addition, a person who has had one skin cancer may still be at risk of developing another. Persons cured of skin cancer should continue to examine their skin every 6 to 8 weeks, have follow-up examinations as advised, and avoid overexposure to the sun. For advanced or critical cases of skin cancer, Dr Touma works with a team of specialized physicians such as oncologic surgeons and plastic surgeons in order to ensure the best possible medical outcome. 


Surgical removal of congenital nevus in 2 stages
 
Mole removal Before and after 2 weeks