Mohs micrographic surgery on the hand is one of the most technically demanding skin cancer procedures. The hand has thin skin, exposed tendons, complex tissue planes, and high functional demands, all of which make tissue-sparing excision and skilled reconstruction essential.
Miss Rakhee Nayar is one of the few UK Mohs surgeons with formal hand surgery training, holding the European Board of Hand Surgery (EBHS) qualification in addition to her dual training in Mohs and plastic surgery. This combination of skill sets means hand skin cancers can be removed with maximum cure rate and reconstructed with the function and appearance of the hand fully in mind.
Why Mohs surgery suits hand skin cancers
- Mohs achieves the highest cure rates for basal cell carcinoma and squamous cell carcinoma at this site.
- Tissue-sparing technique preserves skin, tendons, nerves and vessels.
- Margins are confirmed clear during the same procedure, with reconstruction performed once cancer is fully removed.
- Single-day procedure under local anaesthetic in most cases.
Reconstruction options for the hand
Reconstruction is tailored to defect size, location, and the patient’s functional needs. Techniques include primary closure, full-thickness skin grafts, local flaps, regional flaps, and where required, more complex reconstructive procedures.
Book a consultation
To discuss Mohs surgery on the hand with Miss Nayar, please use the contact form or call the clinic directly.