Fellowship-trained Mohs micrographic surgery and same-day reconstruction, performed by Dr. George M. Jeha at The Dermatology Clinic in Baton Rouge.
Mohs micrographic surgery removes skin cancer layer by layer. After each layer is removed, Dr. Jeha personally examines every margin under the microscope — himself — before deciding whether the cancer is fully cleared or another layer is needed.
This real-time, margin-by-margin analysis delivers the highest cure rates of any skin cancer treatment, while preserving the maximum amount of healthy tissue. It is especially valuable on the face, where every millimeter matters for both function and appearance.
After Dr. Jeha confirms the cancer is completely removed, he performs the reconstruction in the same visit — using techniques ranging from simple closures to local tissue flaps and skin grafts, depending on the size and location of the defect.
Dr. Jeha is among a select group of Mohs surgeons trained in immunohistochemistry — specialized tissue staining that allows Mohs surgery to be performed for melanoma and other high-risk skin cancers. This technique offers the highest cure rates and longest-term survival benefit for carefully selected cases, and is available at only a small number of centers nationally.
Mohs surgery offers cure rates of up to 99% for primary basal cell carcinoma and 97% for squamous cell carcinoma — the highest of any skin cancer treatment available.
Patients go home the same day with the highest certainty available that their cancer has been fully removed — verified margin by margin under Dr. Jeha's microscope before they leave.
You arrive at The Dermatology Clinic in Baton Rouge. The surgical site is cleaned and local anesthesia is administered. Most patients feel only minor discomfort during this step.
A thin layer of tissue is removed and sent immediately to the in-office lab, where a dedicated team of technicians and lab personnel process your tissue in real time and prepare it for Dr. Jeha to examine microscopically.
Dr. Jeha personally examines every margin of the tissue under the microscope. If any cancer cells remain at the edges, only that precise area is removed in the next layer. This continues until Dr. Jeha confirms the cancer is fully cleared.
Once Dr. Jeha confirms clear margins, he repairs the wound using the most appropriate technique — from simple closures to flaps or grafts, depending on the size and location.
You go home the same day with written wound care instructions — and the confidence that your cancer has been fully removed, confirmed under Dr. Jeha's microscope before you left.