Mohs Micrographic Surgery

Pioneered by Dr Frederic Mohs in the 1930s, this is a thorough, accurate and highly specialised technique of skin cancer removal. Initially a layer of skin with the cancer is removed, processed onsite immediately, and examined under a microscope to check for complete removal. If there is more cancer remaining, another layer is then removed and processed, until there is no more tumour.

The Dermatologist:

Perform surgery, examine the slides under a microscope and closes the removal site. Some lesions may be more extensive than they superficially look and thus result in large surgical wounds. These can need complex closures, in which case Dr Tng will use skin flaps and/or grafts.

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Pros:

• Only the smallest area of skin that is required to clear the tumour is removed

• At the end of the surgical day, the patient knows that the tumour has been removed

• The Highest cure rate for previously untreated tumors: up to 99%

• The highest cure rate for recurrent tumors: up to 94%

• Specimen processing occurs on-site at the time of surgery.

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The procedure may be performed in specialist rooms or in a private hospital. Dr Tng may also work with Plastic Surgeons and Oculoplastic Surgeons for some tumours close to certain structures..

Dermatologists spend extra years in training to become the experts in all medical issues related to hair, skin and nails. Regardless of age and skin type, a dermatologist can help with diagnosis and management of your skin issues.

Conditions include:

Acne

Actinic keratosis / Sun spots

Atopic dermatitis / Eczema

Autoimmune disorders including lupus, scleroderma, morphoea

General skin checks

Hair disorders including alopecia

Hidradenitis suppuritiva

Hyperhidrosis/ Excessive sweating

Infections of the skin, hair and nails including viral, bacterial and fungal

Melasma

Molluscum contagiosum

Nail disorders

Perioral dermatitis

Pigmentation disorders ( hyper and hypopigmentation)

Psoriasis

Rashes

Rosacea

Scar management including from burns, trauma, acne

Seborrhoeic keratoses

Skin cancers - Basal cell carcinoma (BCC), squamous cell carcinoma (SCC), melanoma and other rare skin cancers

Vitiligo

Warts

Procedures can be done in the rooms, or in a private hospital.

Procedures performed include:

Punch biopsies

Shave biopsies

Curette and cautery

Excisions

Mohs surgery

Cyst removal

Lipoma removal

Benign lesion removal

Dermatologists have special training in skin care, cosmetic injections and laser treatments. Dr Tng offers consultations and advice regarding restoring your natural appearance after injury, such as surgery or trauma, and medical conditions such as acne.

Treatments offered may include a combination of topical products, laser treatments and injectables.

Laser treatments are available for

Vascular lesions

Acne

Rosacea

Skin cancer treatments

Scars

Anti aging