Dermatologic Surgery & Mohs Practice Database

Our comprehensive Mohs and dermatologic surgery database provides direct access to decision-makers at skin cancer surgery practices nationwide. Whether you are selling surgical instruments, histopathology supplies, practice management software, or reconstructive products, this data enables precise targeting of a specialized, procedure-driven market.

Market Overview

The dermatologic surgery market generates approximately $6 billion annually in the US. Skin cancer is the most common malignancy, with 5 million cases treated each year. Basal cell carcinoma (4 million cases) and squamous cell carcinoma (1 million cases) represent the primary surgical volume. Mohs surgery, with 800,000+ procedures annually, is the gold standard for high-risk or cosmetically sensitive tumors, offering 99% cure rates for primary basal cell carcinomas.

Market growth is driven by aging demographics, cumulative sun exposure effects, increased skin cancer screening, and growing awareness of Mohs surgery benefits. The number of fellowship-trained Mohs surgeons has grown significantly, expanding access to this specialized procedure.

Practice Landscape

The US has approximately 3,500 Mohs surgery practices with ~2,500 fellowship-trained Mohs surgeons. Practice models include dedicated Mohs specialty practices, general dermatology practices with Mohs capabilities, academic medical centers, and multi-site dermatology groups.

Key Decision Makers

How to Choose a Mohs Surgery Practice

When selecting a Mohs surgeon, verify fellowship training through an ACMS (American College of Mohs Surgery) approved program. This ensures the surgeon has completed rigorous specialized training in both cancer removal and reconstruction. Board certification in dermatology is also essential.

Consider the surgeon's experience with your specific cancer type and location. Mohs surgery on the nose, ears, eyelids, and lips requires particular reconstructive expertise. Ask how many cases the surgeon performs annually and their experience with tumors similar to yours.

Evaluate the practice's capabilities. Look for on-site histopathology processing (essential for true Mohs surgery), comprehensive reconstruction capabilities, and the ability to handle complex cases that may require multiple stages.

Ask about same-day reconstruction. Many Mohs surgeons perform immediate reconstruction rather than referring to plastic surgeons, which offers convenience and ensures the reconstructing surgeon fully understands the defect. However, for very complex reconstructions, referral to a specialist may be appropriate.

Review before-and-after photos of reconstructions. Mohs surgery results in excellent cure rates, but cosmetic outcomes depend on reconstructive skill. Look for natural-looking results in photos of similar defects.

What to Expect as a Patient

Your Mohs surgery journey begins when your dermatologist or physician identifies a skin cancer appropriate for Mohs treatment. You will receive instructions including medication adjustments (particularly blood thinners), what to wear, and arrangements for transportation since the procedure may take several hours.

On surgery day, you will arrive with a clean face and the cancer site marked. After local anesthesia numbs the area, the surgeon removes the visible tumor plus a thin margin of tissue. While you wait (typically 30-60 minutes per stage), this tissue is processed and examined microscopically by the surgeon.

If cancer cells remain at any margin, additional tissue is removed only from areas showing cancer. This process repeats until all margins are clear. Most cancers require one to three stages, though complex tumors may require more.

Once the cancer is completely removed, reconstruction begins. The surgeon discusses options based on the defect size and location. Many defects close with simple stitches, while others require flaps or grafts. Reconstruction is typically completed the same day, though occasionally a second procedure is needed.

Post-operative care involves wound care instructions, activity restrictions, and pain management (usually over-the-counter medications). Stitches are removed in one to two weeks. Most patients return to normal activities within a few days, though strenuous exercise may be restricted longer. Follow-up examinations monitor healing and screen for new skin cancers.

Key Terms

Industry Statistics

Market Size - $6 billion annually in the US Number of Practices - ~3,500 Mohs surgery practices Active Mohs Surgeons - ~2,500 fellowship-trained Mohs surgeons Skin Cancer Cases - 5 million treated annually Mohs Procedures - 800,000+ annually Cure Rate - 99% for primary basal cell carcinoma Average Mohs Value - $2,500-$4,000 per case Training Requirement - 1-2 year fellowship after dermatology residency BCC Incidence - 4 million new cases annually in the US SCC Incidence - 1 million new cases annually Recurrent Cancer Cure Rate - 94% with Mohs (vs 80% with standard excision) Average Stages - 1.7 stages per Mohs case

Frequently Asked Questions