Of the many skin cancer treatments available, Mohs micrographic surgery is the most precise, with the highest cure rate and least cosmetic damage. It is among the most sophisticated and complex skin surgeries, requiring extensive training and a high skill level. Dr. Ostad is among New York’s top Mohs surgeons, known for exceptional results and artisan aesthetic outcomes. He was fellowship-trained at UCLA in Mohs micrographic surgery and has considerable experience with skin cancer diagnosis and treatment.
In this procedure, cancerous cells are removed one layer at a time. As each layer is removed, it’s tested and the cancerous portion is mapped, providing a guide for removal of the next layer. The process continues until the entire tumor is removed, including microscopic cancer roots. The wound is then repaired for an optimal aesthetic outcome.
Mohs surgery is an outpatient procedure, performed under local anesthetic. The procedure is completed here in our comfortable office, which is an AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities) certified surgical facility.
The benefits of Mohs include:
As one of the most respected Mohs micrographic surgeons in the nation, Dr. Ostad has co-authored journal publications and medical textbooks on the subject. He is frequently requested to speak or lecture about the Mohs technique.
If you have been diagnosed with skin cancer, or believe you may have a cancerous lesion, call (212) 517-7900 and schedule a consultation with Dr. Ostad to find out if Mohs is right for you.
Another beautiful closure by Dr. Ostad! This patient had a very large Basal cell above her lip which Dr Ostad was able to close beautifully. Since Dr. Ostad always uses two layers of stitches for every closure to prevent dehiscence (separation) and provide a flat very faint line, there will be some redness for 3-5 months. As the stitches dissolve, the redness fades.
Five weeks later and virtually no evidence of a scar! Dr. Ostad performed Mohs surgery on this patient for a basal cell carcinoma on her nasal bridge. We know skin cancer surgery can be a scary thought, but seeking an experienced board certified Mohs surgeon is highly recommended. With over 20,000 surgeries performed, Dr. Ostad is known for his artistic and beautiful closures.
Unbelievable results only 4 weeks after Mohs Surgery ! This patient had a full-thickness graft on her nasal ala due to an infiltrative basal cell carcinoma. 4 weeks later and she is thrilled with the results. Aside from some mild redness that will fade, the patient\'s graft survived and is blending into the surrounding skin.
Seeing a Mohs surgeon who performs their own closures is key. A well trained and efficient Mohs surgeon is also a fantastic reconstructive surgeon. Dr. Ostad performed a skin graft on this patient after an infiltrative basal cell carcinoma. The after photo is 12 weeks later with very little evidence of the surgery and no makeup on! Do your research and see a board certified Dermatologic surgeon for Mohs surgery. Ask for before and after photos and REAL testimonials.
Check out this beautiful closure by Dr. Ostad 6 months after Mohs Surgery there is no evidence of surgery.
This patient had a large Squamous Cell Carcinoma in the center of his cheek. I performed an advancement flap and hid the scar in a natural fold. The after photo was taken only two weeks post-op. I truly love what I do and perform over 1000 Mohs surgeries per year. Get your skin checked yearly and wear sunscreen.
It looks like magic! Photo 1. Skin cancer on the surface after the biopsy. 2. The defect after performing Mohs micro graphic surgery. 3. The intricate closure. 4. The results only 2 weeks later! We wanted to show you all the stages of skin cancer and Mohs surgery. We know it\'s a scary thought but putting your face in our hands is a privilege. Dr. Ostad strives to provide the best cosmetic outcome while ensuring that patients are cancer free!
Jennifer is doing well and resting at home. I assured her that she will heal beautifully! It is a tricky and dangerous area to treat . Basal Cell Carcinoma Is locally destructive and can compromise the function of the area affected. This skin cancer was close to her eye and nose, and if left alone, could have been much more serious. Skin Cancer can happen at any age. It is also important to bring any lesion that is concerning to your dermatologist attention.
Don\'t forget your ears! We usually remember to apply sunscreen on our face, arms and chest but often neglect our ears! It is important to apply sunscreen to your ears every 2-3 hours when in the sun. Dr. Ostad performed mohs surgery followed by a skin graft on this patient\'s ear and 6 months later, the scar is invisible!
Before and after of a forehead flap post Mohs surgery for a very large basal cell carcinoma on the tip of her nose. The forehead flap is one of the oldest yet most difficult recorded surgical techniques for nasal reconstruction and the gold standard for nasal soft tissue reconstruction. The forehead flap uses a vascular pedicle (photo on the left) that supplies nutrient supply to the skin during the neovascularization process. In order for this to be successful, the patient must keep the pedicle attached for two weeks. This two-step process requires detachment once blood supply and tissue survival is achieved. The photo on the right shows the patient one year later.
Can you find the scar ? I can\'t! This patient is 5 months post op for a Squamous Cell Carcinoma on his frontal scalp. It is important to moisturize twice daily after your procedure to help the healing process.
This patient had an invasive squamous cell carcinoma on his scaphoid fossa of right ear. I performed mohs surgery to remove the cancer followed by a skin graft from his post-auricular. The after photo is only 3 weeks post surgery! Mohs surgery can be frightening for the patient but it can also be beautifully done.
When mathematics and art meet medicine. Dr. Ostad is well known for his beautiful surgical closures. This patient had a squamous cell carcinoma on her shin which made it complicated to close. Typically, skin on the lower leg has a lot of tension making a simple closure impossible. Dr. Ostad performed a Keystone myocutaneous flap by freeing up the adjacent skin and therefore avoiding a skin graft.
“My Botox looks great. I look refreshed and happy and it shows! Dr. Ariel Ostad and the staff were very helpful throughout the procedure. I look forward to my next treatment.”
~ Mark. J Thompson