for mohs patients
What is Mohs Surgery?
Mohs surgery is the most effective and advanced treatment for skin cancer today. It offers the highest potential for cure – even if the skin cancer has been previously treated by another method.
Originally developed in the 1930s, Mohs micrographic surgery has been refined into the most advanced, precise, and effective treatment for an increasing variety of skin cancer types. With the Mohs technique, Dr. Abdel Tal precisely identifies and removes an entire tumor while leaving the surrounding healthy tissue intact and unharmed.
Dr. Abdel Tal performed his certified fellowship training at the University of Texas- MD Anderson Cancer Center. This program is certified by the American College of Mohs Surgery (ACMS) that was founded by Dr. Frederick Mohs to train Dermatology physicians. ACMS fellows-in-training undergo months of extensive, hands-on direction from highly qualified instructors. By choosing a fellowship trained Mohs surgeon, like Dr. Tal, you can be assured that you will receive the highest standard of quality and competency, as well as an optimal outcome.
Mohs surgery is unique and so effective because of the way the removed tissue is microscopically examined, evaluating 100% of the surgical margins. The pathologic interpretation of the tissue margins is done on site by the Mohs surgeon, who is specially trained in the reading of these slides and is best able to correlate any microscopic findings with the surgical site on the patient.
The Mohs procedure involves surgically removing skin cancer layer by layer and examining the tissue under a microscope until healthy, cancer-free tissue around the tumor is reached (called clear margins). Because Dr. Tal is specially trained as a cancer surgeon, pathologist, and reconstructive surgeon, Mohs surgery has the highest success rate of all treatments for skin cancer – up to 99%.
Dr. Abdel Tal
Advantages of Mohs Surgery include:
Ensuring complete cancer removal during surgery, virtually eliminating the chance of the cancer growing back
Minimizing the amount of healthy tissue lost
Maximizing the functional and cosmetic outcome resulting from surgery
Repairing the site of the cancer the same day the cancer is removed (90% of cases)
Curing skin cancer when other methods have failed
Meet the Team
Abdel Kader Tal, M.D.
Dr. Tal is originally from Beirut, Lebanon. He did his medical school (2001) and first residency in Dermatology (2005) at the American University of Beirut and then moved to the United States. He repeated his residency in Dermatology at Wayne State University in Dearborn, Michigan (2010) and specialized in skin cancer surgery (Mohs surgery) and cosmetics (2011) at the University of Texas M.D. Anderson Cancer Center in Houston, Texas. He has been in practice since 2011 and currently is the author of several publications on the Mohs procedure and other cosmetic techniques. He lives happily with his wife and four children in the Toledo, Ohio area.
Janie Williams, LPN
Janie graduated from Bowling Green Nursing School and also trained at the Ohio State University Branch in Lima, OH for registered nurses. In the past, she has worked in Oral Surgery, Plastic Surgery, and Mohs Surgery. Janie Joined Dermatology Associates in 2010. She resides in the Toledo area with her husband, four children and four grandchildren.
Lesley Augustyniak has worked in the field of Dermatology since 2004. She started with the late Dr. Harry Humeniuk, MD and joined Dermatology Associates in 2010. Lesley graduated cum laude from Owen State Community college in 2009 with an Associate degree in Applied Science and Surgical Technology. She is a member of the NBSTSA and the Association of Surgical Technologists. Lesley assists Dr El Tal in the Mohs micrographic surgical procedure. A native of Dallas, TX, Lesley currently resides in the Toledo area with her husband of 17 years and her two children.
Cathi started her histology career in 1992, being fortunate to have met Dr Frederick Mohs when first beginning her career. She has been a Mohs histo-technologist for more than 20 years. She joined Dermatology Associates in 2012. Cathi resides in the Toledo area with her husband.
Kim is a Toledo native who began working in the Dermatology field in 2000 with Mohs Surgery patients. She joined Dermatology Associates in 2010. Kim resides in the Toledo area with her husband. She assists Dr El Tal with scheduling patients and preparing them for their Mohs Surgery.