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One Surgeon, Two Gulf Coast Mohs Surgery Centers

Greco Dermatology operates a dedicated Mohs surgery center in Venice, FL, in addition to its Sarasota location, so patients on Florida's Gulf Coast don't have to travel far for advanced skin cancer treatment. Dr. Greco is the sole and primary provider of Mohs surgery at both locations and is committed to delivering the same exceptional level of care at each one. As a former Director of UCLA Santa Monica Dermatology and Health Sciences Assistant Clinical Professor at the David Geffen School of Medicine at UCLA, he brings academic-level training to a community setting.

What Is Mohs Micrographic Surgery?

Mohs micrographic surgery treats skin cancer by removing it one thin layer at a time. Here's how the process works:

  • A thin layer of tissue is removed from the tumor site
  • Dr. Greco examines that layer under a microscope on the spot, checking for remaining cancer cells
  • If cancer cells remain, another layer is removed and examined in the same way
  • This repeats until the margins are completely clear
  • The wound is closed only after clear margins are confirmed, rather than sending a sample to an outside lab afterward

That layer-by-layer, examine-as-you-go process is what separates Mohs micrographic surgery from standard excision, and it's why the technique achieves such high cure rates.

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Why Mohs Surgery Has the Highest Cure Rate

The American College of Mohs Surgery reports cure rates of up to 99% for Mohs surgery, the highest among all skin cancer treatments. That success rate comes from a few built-in advantages:

  • 100% of the surgical margin is examined under the microscope, rather than a small sample
  • Cancer is confirmed removed before the wound is closed, rather than after
  • Healthy surrounding tissue is preserved, since only cancerous tissue is removed
  • Most patients need only one surgical session, unlike treatments that may require repeat procedures

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What Is Mohs Micrographic Surgery?

Mohs micrographic surgery treats skin cancer by removing it one thin layer at a time. Here's how the process works:

  • A thin layer of tissue is removed from the tumor site
  • Dr. Greco examines that layer under a microscope on the spot, checking for remaining cancer cells
  • If cancer cells remain, another layer is removed and examined in the same way
  • This repeats until the margins are completely clear
  • The wound is closed only after clear margins are confirmed, rather than sending a sample to an outside lab afterward

That layer-by-layer, examine-as-you-go process is what separates Mohs micrographic surgery from standard excision, and it's why the technique achieves such high cure rates.

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Are You a Good Candidate for Mohs Micrographic Surgery in Venice, FL?

Mohs surgery is typically recommended for skin cancers on the face, ears, hands, and other cosmetically or functionally sensitive areas, as well as tumors that are large, recurrent, or have poorly defined borders. Dr. Greco reviews your biopsy results and lesion location during your consultation to determine whether Mohs surgery, surgical excision, or another treatment fits your case best.

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Why Venice Trusts Dr. Greco for Mohs Surgery

Dr. Greco's background sets him apart as a top Mohs surgeon in Venice, FL:

  • Double board-certified by the American Board of Dermatology in dermatology and micrographic dermatologic surgery
  • Fellowship trained in Mohs micrographic surgery, reconstructive surgery, cutaneous oncology, and laser surgery at The David Geffen School of Medicine at UCLA
  • More than 17 years of surgical experience and over 20,000 Mohs and excisional surgery procedures performed
  • Former Director of UCLA Santa Monica Dermatology and Health Sciences Assistant Clinical Professor at the David Geffen School of Medicine at UCLA
  • A member of The American College of Mohs Surgery
  • Recognized annually as a SuperDoctor in Southern California and named a TopDoctor in Los Angeles

During every procedure, Dr. Greco personally performs all three roles: the surgical oncologist removing the cancer, the dermatopathologist examining the microscopic slides, and the reconstructive surgeon closing the wound, all on the same day.

What to Expect Before, During, and After

Consultation

Before scheduling surgery, your consultation with Dr. Greco covers:

  • A review of your biopsy results and what they mean for treatment
  • A discussion of the recommended surgical approach for your case
  • What to expect on the day of the procedure, including timing and preparation
  • Answers to any questions before surgery is scheduled

Procedure

Mohs surgery is performed under local anesthesia in the Venice office. Because Dr. Greco handles removal, microscopic examination, and reconstruction himself, most patients complete the entire process in a single visit. That visit typically includes:

  • Local anesthesia to keep you comfortable throughout
  • Tissue removal and microscopic examination, repeated until margins are clear
  • Same-day reconstruction, so a separate visit for repair usually isn't needed
  • Spacious, newly designed rooms with adjustable lighting
  • Soothing music and streaming entertainment during longer procedures

Recovery

Recovery time depends on the size and location of the treated area. In general, recovery includes:

  • Resuming normal activities within days for most patients
  • Wound care guidance to support healing and minimize scarring
  • A follow-up visit so Dr. Greco can monitor healing progress
  • Ongoing skin checks afterward, since one skin cancer diagnosis raises the likelihood of developing another
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Surgical Excision in Venice, FL

Not every skin cancer requires Mohs surgery. For select cases, particularly larger, less cosmetically sensitive areas, surgical excision is a more appropriate option. This approach removes the tumor along with a margin of healthy surrounding tissue in a single procedure. Dr. Greco determines which approach is best for each patient's tumor type, size, and location during the consultation.

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For Referring Providers

Greco Dermatology works directly with referring physicians to get their patients into treatment quickly. Referred patients are prioritized for scheduling, and referring providers can expect direct communication with Dr. Greco throughout the process, rather than being routed through a general intake line.

Wound Care After Surgery

For patients who need additional support for healing after Mohs surgery or excision, Greco Dermatology's wound care center offers regenerative treatment options, including advanced wound care membranes and cytokine-rich plasma therapy, which uses a patient's own concentrated growth factors to accelerate healing.

Schedule a Mohs Surgery Consultation in Venice, FL

If you've been diagnosed with skin cancer or referred for a Mohs surgery consultation, call Greco Dermatology's Venice office at (941) 667-5544. The office is located at 119 Shamrock Blvd, Venice, FL 34293, with additional availability at the Sarasota office at 1990 Main Street, Suite 700, Sarasota, FL 34236.

Disclaimer: This information is provided for educational purposes only and does not replace a consultation with a board-certified dermatologist. Outcomes, risks, and suitability vary from patient to patient.

FAQ

What's the difference between Mohs surgery and surgical excision?

Is Mohs surgery painful?

How long does Mohs surgery take?

Does insurance cover Mohs surgery?

What's the difference between Mohs surgery and surgical excision?

Mohs surgery examines 100% of the tissue margin under a microscope before the wound is closed, which is why it achieves higher cure rates. Surgical excision removes the tumor with a margin of tissue that's typically examined afterward at an outside lab. Dr. Greco recommends the approach that best fits each patient's tumor and goals.

Is Mohs surgery painful?

Mohs surgery is performed under local anesthesia. Most patients describe the anticipation as more uncomfortable than the actual procedure.

How long does Mohs surgery take?

Because each layer must be examined before deciding whether to remove another, timing varies by case, but most patients complete the full procedure, including reconstruction, in a single day.

Does insurance cover Mohs surgery?

Most insurance plans cover Mohs surgery as a medically necessary treatment for skin cancer. The Venice office can help verify your specific coverage ahead of your procedure.

Sources

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Now Accepting New Dermatology Patients in Venice

Now Accepting New Dermatology Patients in Venice

Greco Dermatology’s Venice location is now accepting new dermatology patients. Schedule your visit online or by phone to get started.

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