Mohs micrographic surgery

Mohs micrographic surgery is the most reliable way to cure certain skin cancers such as basal cell carcinomas and squamous cell carcinomas, especially those on the head and neck. Unlike standard excision, the edges of the skin tumour are assessed, under a microscope by Dr Mann, during the procedure. Because of this approach, less skin is removed overall. The result is higher cure rates and smaller scars.

Dr Mann can offer this procedure at 152 Harley Street where the specialist equipment and technical assistance needed are available.

Skin lesion assessment

Dr Mann is an expert in the diagnosis and management of skin cancer and skin lesions.

The most reliable way to assess a suspicious skin lesion is to remove it surgically and send it for formal analysis. However, the vast majority of skin lesions are benign (harmless), and where appropriate, an assessment using dermoscopy (specialist magnifying device) and monitoring photographs can help distinguish the difference so that surgery is used where and when it is appropriate to do so.

Treatment of skin lesions

The approach to treating different skin lesions depends on their potential to cause harm, how far they may extend under the skin, and the risks associated with different interventions.

All surgical procedures carry the risk of scarring, bleeding, infection, slow healing, scar lumpiness and, where applicable, recurrence of the lesion. Some lesions can be treated with creams, but in the context of precancerous lesions, such creams can cause troublesome skin reactions.

Even some benign lesions warrant removal. Dr Mann invites patients to discuss the approach to be taken in removing any skin lesion, whether it is harmful or not, and takes great care to cause as little scarring as possible.

Dr Mann is on the specialist register for dermatology (GMC No. 6149245).