Compare IG-SRT vs. Mohs Surgery

Compare IG-SRT vs. Mohs Surgery: Choosing the Right Treatment for You

For many patients, the idea of treating skin cancer without surgery is welcome news.

Image-guided Superficial Radiation Therapy (IG-SRT) offers a non-invasive, effective option for many early-stage skin cancers — without cutting, stitches, or downtime.

Mohs surgery remains an excellent option for aggressive or complex cases, but IG-SRT provides a powerful, patient-friendly alternative when appropriate.

At Biltmore Dermatology, we believe patients deserve real options — and real guidance — without pressure. Here's a clear, honest look at how IG-SRT and Mohs surgery differ, so you can make the best decision for your skin and your life.

What Is IG-SRT?

Image-guided Superficial Radiation Therapy (IG-SRT) uses high-frequency ultrasound imaging to map the size, shape, and depth of the cancer. Then, precisely targeted low-energy radiation treats only the cancerous tissue — without harming surrounding healthy skin.

Key Advantages of IG-SRT:

• No pain, no needles, no cutting, no stitches, no surgical risk
• Preserves the cosmetic appearance of the skin
• Minimal downtime — no wound care, no surgical healing period
• High cure rates for early-stage Basal Cell and Squamous Cell Carcinomas
• Safe and comfortable, performed as outpatient treatment
• It is particularly ideal for visible areas like the face, nose, ears, scalp, and hands
• Excellent choice for patients who prefer non-invasive care or are poor surgical candidates

For many patients with early-detected skin cancers, IG-SRT offers the ability to treat effectively — and move forward — without undergoing surgery.

What Is Mohs Surgery?

Mohs micrographic surgery is a surgical method where thin layers of cancerous skin are cut away using a scalpel and immediately examined under a microscope. The goal is to remove all cancerous tissue while preserving as much healthy tissue as possible.

Key Points About Mohs Surgery:

• Surgical removal using a scalpel, performed layer-by-layer
• Immediate microscopic margin checking to ensure complete removal
• Highly effective for aggressive, deeply rooted, or recurrent skin cancers
• Typically performed under local anesthesia with a needle
• Creates a surgical wound that may require stitches, skin grafting, or reconstructive surgery
• Healing periods can vary depending on wound size, location, and surgical complexity

Mohs is the standard for complex or high-risk cancers — especially when total margin control is critical.

How to Decide

Many early-stage skin cancers can be treated successfully without surgery. When cosmetic outcome, convenience, and minimizing downtime are priorities, IG-SRT often becomes the preferred choice.

However, for certain aggressive, recurring, or invasive cancers — particularly in high-risk anatomical areas — Mohs surgery offers the reassurance of immediate microscopic margin analysis.

At Biltmore Dermatology, we carefully evaluate:

• The type of skin cancer
• Its size and depth
• Its location
• Your overall health
• Your personal goals for treatment

We don't make blanket recommendations. We help you choose what fits your diagnosis — and your life — best.

Why Many Patients Prefer IG-SRT

• Fear of surgery, anesthesia, or scarring is common — and understandable.
• IG-SRT allows patients to treat their skin cancer effectively without surgical trauma.
• Patients with facial skin cancers often prioritize cosmetic preservation.
• Busy lifestyles make non-surgical recovery far more appealing.

If your cancer qualifies, IG-SRT can often offer the same cure rates as surgery — with less disruption to your life.

Let's Find the Right Option for You

Every patient. Every diagnosis. Every decision — deserves careful thought. If you've been diagnosed with skin cancer, or if you have a concerning spot, let's talk.

We'll walk you through your options, respectfully, and at your own pace.

Come for answers. Come for options. Come for the care.

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