Mohs surgery differs from other surgical techniques in that the excised skin cancer is examined microscopically while the patient is still in the office. The out patient procedure involves numbing the skin cancer site using local anesthetic, removing the skin cancer tissue and then examining it under the microscope to determine if any cancerous cells remain. If any skin cancer cells remain, the process is repeated. Throughout the procedure, the Mohs surgeon “maps” the cancerous tissue thereby knowing exactly where and how deep the cancer extends. This allows the Mohs surgeon to spare the most amount of normal tissue while removing the cancerous tissue.
Once the skin cancer is removed, the repair can begin. For most patients, this is usually done the same day by your Mohs surgeon who is also highly experienced in cosmetic reconstruction. If the skin cancer removal site is more extensive, your Mohs surgeon may seek the assistance of a plastic surgeon. Your surgeon will discuss these or any other recommendations with you as the procedure progresses. Achieving the most optimal cosmetic results is a top priority for your surgical team.
Dr. Tarek M. Fakhouri, a fellowship trained Mohs Surgeon, is board-certified by the American Academy of Dermatology and is a fellow of the American College of Mohs Surgery and the American Society for Dermatologic Surgery. He specializes in the treatment of skin cancer and aesthetic reconstruction.
"As your doctor, I understand how easy it is to feel overwhelmed following a skin cancer diagnosis. I have four principles that will guide your treatment from start to finish, that I like to call the ‘Four C’s.’"
• Keeping you Comfortable
• Curing your Cancer
• Giving you the best Cosmetic result
• While keeping it Cost-Effective
Dr. Fakhouri attended Vanderbilt University where he majored in economics and molecular biology and was inducted into the Omicron Delta Epsilon national economics honor society. After completing a masters in medical science, he received his doctorate in medicine at Wayne State University School of Medicine. During medical school he was accepted into the Alpha Omega Alpha medical honor society and graduated with high distinction.
He completed his internship in internal medicine at St. Joseph Mercy Hospital in Ann Arbor, where he served as chief resident of his internship class and was awarded the Chief’s Award by the internal medicine department. He then completed his dermatology residency at Wayne State University Department of Dermatology.
Following residency, Dr. Fakhouri completed a fellowship in Mohs Micrographic Surgery and Cutaneous Oncology at Surgical Dermatology Group in Birmingham, AL. He has performed and assisted in thousands cases of Mohs Micrographic Surgery with advanced reconstructions and also has extensive training in a variety of cosmetic and laser procedures.
Dr. Fakhouri served as director of Mohs surgery at Wayne State University’s Department of Dermatology where he provided Mohs surgery services for Wayne State University Physician Group’s network of 600 doctors as well as for our nation’s veterans at the John D. Dingell VA hospital in Detroit. Since moving to Houston, Dr. Fakhouri has been recognized as a "Top Doctor" in 2015 and 2016 and Super Doctor "Rising Star" in 2016.
In his free time, he enjoys traveling with his wife and son, the outdoors, weight lifting, playing paintball, and obsessing over college football.
Dr. Wesley Wu graduated from Brown University and Brown Medical School. Subsequently, he completed a surgical and medical internship at UCLA Harbor Medical Center, a Dermatology residency at Baylor College of Medicine, and a Micrographic Surgery and Dermatologic Oncology Fellowship at Houston Methodist Hospital.
He is certified by the American Board of Dermatology and was awarded the Max-Kade Fellowship for Plastic and Reconstructive Surgery, the American Academy of Dermatology's Everett C. Fox Award for his clinical research on skin cancer, the American Society for Dermatologic Surgery's Young Investigator Award as well as its Golden Scalpel Championship, and the Cosmetic Surgery Forum's Top Oral Presentation.
He has been a member of and a lecturer for the American Academy of Dermatology, the American Society for Dermatologic Surgery, the American College of Mohs Surgery, and the American Society for Laser Medicine and Surgery.