Our Services

Medical

At Spokane Dermatology Clinic we take great pride in offering complete and comprehensive Dermatologic care for the entire family. Some common conditions we treat are:

  • Acne
  • Athlete's Foot
  • Atopic Dermatitis/Eczema
  • Contact Dermatitis
  • Dry Skin & Keratosis Pilaris
  • Hair Loss
  • Hyperhidrosis (Excessive Sweating)
  • Mature Skin
  • Melasma
  • Moles
  • Nail Fungus
  • Perioral Dermatitis
  • Pruritus
  • Psoriasis
  • Rashes
  • Rosacea
  • Scabies
  • Scars
  • Skin Infections
  • Sun Damage
  • Urticaria/Hives
  • Vascular Birthmarks
  • Vitiligo
  • Warts

Surgical

At Spokane Dermatology Clinic we take great pride in offering your entire family the most current surgical techniques and procedures including MOHS Micrographic Surgery for skin cancer.

What is MOHS Micrographic Surgery?

MOHS Micrographic Surgery is a highly specialized procedure used in the total removal of skin cancers. This surgery uses a layer by layer method of removing skin cancer, with microscopic examination of nearly 100% of the removed tissues margins. This procedure yields a cure rate of over 98%.

Dr. Werschler, and his staff, have over 15 years of combined experience doing MOHS Micrographic Surgery. Dr. Werschler, a fellow of the American Society of MOHS Surgery, is also a fellow of the American Society for Dermatology Surgery and is board-certified by the American Academy of Dermatology.

Our state-of-the-art surgical facility and excellent staff will make sure that your MOHS surgical procedure is performed with the utmost care and comfort. Our extensive experience in surgical reconstruction, combined with Dr. Werschler’s status a full fellow of the American Academy of Cosmetic Surgery, also enhances our ability to give our patients an excellent cosmetic, post-operative result!

How does it work?

After a layer of tissue is removed by Dr. Werschler, it is taken to our in-house laboratory. The removed tissue is precisely marked with special inks by our histo-technician who is specifically trained in the MOHS technique. A Micrographic map is made which corresponds to the excised tissue. The tissue is then frozen and slides are produced and examined by Dr. Werschler.

If no evidence of skin cancer remains, the procedure is completed. If the area is still positive for skin cancer, the precise location is marked on the map, and the physician takes another layer on just the positive areas(s). The same process of inking, freezing, cutting, staining and reviewing of slides is repeated until a cancer free layer is reached.

How long does the procedure take?

Each layer may take 30-60+ minutes, depending on the size and shape of the tissue layer to process. As a result, MOHS surgery requires patience by both the patient and the physician. It is recommended that all MOHS patients allow adequate time to complete the procedure without interruption.

Learn more about MOHS Micrographic Surgery

To learn more about MOHS Micrographic Surgery or to schedule surgery, you may call our Surgical Scheduler at (509) 624-1184. For additional information on skin cancer and MOHS surgery, please consult some of the organizations of which we are members: