SURGICAL SERVICES

The board certified Mohs surgeons at Associated Skin Care Specialists are leaders in the field. We offer cutting edge surgical and laser treatments for a variety of conditions including skin cancers; benign lesions of the skin; or disease of the hair or nails. The health of you and your skin is our passion, and we aim to provide the most comprehensive and effective care possible.

Meet our SURGEONS

Bart T Endrizzi

MD, PhD, FAAD

 

Bart T Endrizzi
MD, PhD, FAAD

Bio:
Undergraduate Education:
University of Utah, Salt Lake City, UT

Medical Education:
University of Minnesota Medical School, Minneapolis, MN

Post Graduate Training and Fellowships:
PhD., University of Minnesota, Minneapolis, MN
Internship, Hennepin County Medical Center, Minneapolis, MN
Dermatology Residency, University of Minnesota, Minneapolis, MN
Mohs Micrographic Fellowship, University of Minnesota, Minneapolis, MN

Certifications and Accreditations:
American Board of Dermatology
American College of Mohs Micrographic Surgery

Academic Appointments:
Associate Professor, University of Minnesota, Department of Dermatology
Surgical Faculty, Veterans Administration Medical Center

Specialty:
Mohs micrographic surgery
Laser surgery
Cutaneous Oncology

Location:
Maple Grove Clinic
University Avenue Clinic
Unity Professional Building Clinic

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Frederick S Fish

MD, FAAD

 

Frederick S Fish
MD, FAAD

Bio:
Education:
Brown University Seven Year Medical Education Program, Providence, Rhode Island

Post Graduate Training and Fellowships:
Internal Medicine Internship, Rhode Island Hospital
Internal Medicine Residency, University of Minnesota Hospitals
Dermatology Residency, University of Minnesota Hospitals
Dermatopathology Fellowship, University of Minnesota Hospitals
Mohs Surgery Fellowship, Scripps Clinic and Research Foundation

Certifications and Accreditations:
American Board of Internal Medicine
Special Qualification in Dermatopathology
American Board of Dermatology
American Board of Pathology
American College of Mohs Micrographic Surgery

Academic Appointments:
Adjunct Professor, University of Minnesota, Department of Dermatology

Specialty:
Mohs Micrographic Surgery
Laser Surgery

Location:
Unity Professional Building Clinic
Eden Prairie Clinic

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Jane H Lisko

MD, FAAD

 

Jane H Lisko
MD, FAAD

Bio:
Undergraduate Education:
Carleton College, Northfield, Minnesota

Medical Education:
University of Minnesota, Minneapolis, Minnesota

Post Graduate Training and Fellowships:
Internship, Hennepin County Medical Center
Dermatology Residency, University of Minnesota
Mohs Surgery and Cutaneous Oncology Fellowship, Associated Skin Care
Specialists

Certifications and Accreditations:
American Board of Dermatology
American College of Mohs Micrographic Surgery

Academic Appointments:
Adjunct Assistant Professor, University of Minnesota, Department of Dermatology

Specialty:
Mohs Micrographic Surgery
Laser Surgery
Cosmetic Dermatology

Location:
Eden Prairie Clinic
Unity Professional Building Clinic

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Jeffrey A Squires

MD, FAAD

 

Jeffrey A Squires
MD, FAAD

Bio:
Undergraduate Education:
University of St. Thomas, St. Paul, Minnesota

Medical Education:
University of Minnesota School of Medicine, Minneapolis, Minnesota

Post Graduate Training and Fellowships:
Internship, Gundersen Medical Center, LaCrosse, Wisconsin
Dermatology Residency, University of Minnesota, Minneapolis, Minnesota
Mohs Micrographic Surgery and Cutaneous Oncology Fellowship, Fridley, Minnesota

Certifications and Accreditations:
American Board of Dermatology
American College of Mohs Micrographic Surgery

Academic Appointments:
Adjunct Associate Professor, University of Minnesota, Department of Dermatology
Surgical Faculty, Veterans Administration Medical Center
American College of Mohs Micrographic Surgery

Specialty:
Laser Surgery
Mohs Micrographic Surgery

Location:
Coon Rapids Professional Building Clinic
University Avenue Clinic
Unity Professional Building Clinic

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Surgery Services Offered

Mohs Surgery

Mohs Surgery

Micrographic surgery or “Mohs” surgery is a technique to effectively remove skin cancers while limiting the damage to surrounding normal skin. This technique was pioneered by Dr. Frederic Mohs over 70 years ago and has undergone adaptations and improvements over time. It now has the highest cure rate for skin cancer. Because this method requires highly specialized training and personnel, a limited number of medical centers are equipped and properly trained to offer such a treatment. At Associated Skin Care Specialists, we have 4 surgeons who are fully fellowship trained that perform this surgery, which is the highest accreditation standard.  All of our surgeons are active members of the American College of Mohs surgery.

Dermatologic Surgery
Laser Surgery
Scar Revision Surgery

Skin Cancer and Mohs Surgery Frequently Asked Questions

What is Skin Cancer

What is Skin Cancer?

Cancer is tissue which grows at an uncontrollable and unpredictable rate. In the skin there are three main forms of skin cancer: 

Each of these types of skin cancer starts from a different cell type. One type does not become another. 

Is it Dangerous?
What Causes Skin Cancer?
How Does Skin Cancer Start and How Does It Grow?
Are There Options for Treating Skin Cancer?
Why is it Called Micorgraphic or Mohs Surgery?
What are the Advantages of Micrographic Surgery?
Will my Insurance Cover Micrographic Surgery?

Pre-Surgery Questions

When to Schedule Surgery?

When to schedule surgery?

It is recommended that skin cancers be treated in a timely fashion. When scheduling, please plan to keep your activities light and to rest frequently for the first day or two. Following surgery, you will have limitations with bending, stooping, lifting, and exercise for several days. Please keep these limitations in mind when scheduling.

How Long Does the Surgery Take?
Is the Surgery Painful?
Will Surgery Leave a Scar?
Will I Need to be Hospitalized?

Pre-Op Questions

Should You Take Your Medications?

Should you take your medications?

Do you take vitamin E, aspirin, Coumadin (warfarin)? Do you take other blood thinners such as Motrin, Ibuprofen, Advil, Bufferin or Naproxen?

  • If you take aspirin or vitamin E please contact your primary care doctor to see if you can stop these medications. If you are able, please stop these medications at least 7-10 days prior to surgery.
  • If you take Coumadin (warfarin) please contact the physician who is managing your medication to determine if you can hold the medication 2-3 days prior to surgery. In some cases, holding Coumadin is not possible. In these cases, an INR between 2.0 to 2.5 is often acceptable but may be adjusted slightly lower if needed.
  • If you take non-steroidal anti-inflammatories such as ibuprofen (Motrin/Advil) or naproxen (Aleve), please discontinue 5 days before surgery. If you need any pain medication prior to surgery, acetaminophen (Tylenol) is okay to take, as it does not have a thinning effect on the blood.

Please continue to take all of your other prescribed medications.

Do You Have an Artificial Joint or Heart Valve?
What is a Pre-Op Consultation?
Should Someone Come With Me on the Day of Surgery, or Will I Need a Ride Home?

What To Expect on the Day of Surgery Questions

What Should I Expect on the Day of Surgery?

What Should I Expect on the Day of Surgery?

Appointments for surgery are usually scheduled early in the day. This allows us to complete the surgical steps throughout the day, and minimizes the possibility of having to make another trip to the office the following day to complete the procedure. Please eat a good breakfast on the day of surgery.

Medical support staff will escort you to an operating room where a local anesthetic is used to numb the skin. As the surgery progresses, please be sure to inform your doctor if you experience any discomfort as more anesthesia can be used.

After the lesion is anesthetized, the surgeon will remove the observable cancer with the first layer along with a narrow margin of normal appearing skin. Since cancers can be larger under the surface, the first layer may or may not contain all the cancer. Cautery will be used in the area where the cancer is removed to stop bleeding. You may feel heat from the cautery but should not feel pain. The medical assistant will then bandage the wound and escort you back to the waiting room.

The removed tissue will be processed in the laboratory where thin sections will be made into microscope slides to be analyzed by your surgeon. This is the longest part of the removal procedure and takes about an hour or more. The surgeon will then determine if the cancer was completely removed or if more is still present. If examination of the specimen reveals that your tissue still contains cells of skin cancer, the procedure will be repeated as soon as possible. Several layers, or surgical excisions, followed by microscopic examinations may be required to obtain clear margins and completely remove your cancer.

How Many Surgical Sessions Will Be Needed?
What is the Next Step After Micrographic Surgery is Complete?

Care After Surgery Questions

What will I need to do for wound care?

What will I need to do for wound care?

Wound care instructions particular to your surgical site will be discussed at length with you by your surgeon and the medical support staff. Written instructions will also be sent home with you.

Will I have pain?
When should I be concerned?
How soon will my follow up visit be?
How often will I be asked to return for follow-up visits once the wound has healed?