Adam M. Rotunda, M.D.www.newportskincancer.com
Adam M. Rotunda, M.D., FAAD, FACMS, is a Board Certified Dermatologist, a Fellow of the American Academy of Dermatology, a Fellow of the American College of Mohs Surgery, and an Assistant Clinical Professor of Dermatology at the David Geffen School of Medicine (UCLA). Dr. Rotunda graduated from Cornell University summa cum laude with Honors in Nutritional Sciences and was Valedictorian of his medical school class at the State University of New York Downstate Medical Center in Brooklyn, NY. Dr. Rotunda specialized in Dermatology at UCLA and subsequently completed a year of fellowship training in Mohs micrographic skin cancer and reconstructive surgery with Richard G. Bennett, M.D. at the University of Southern California (USC), UCLA and Santa Monica, CA. Dr. Rotunda served as the Medical Director of Dermatology Research and Development at Allergan, Inc., from 2007-2008. Dr. Rotunda has authored over 50 original scientific articles and book chapters, and has lectured and chaired expert panels at over 60 national and international physician conferences. Dr. Rotunda co-invented ATX-101, a first-in-class injectable adipolytic agent currently in registration trials internationally for the reduction of small volumes of localized fat. Dr. Rotunda has a private practice in Newport Beach, CA.
For patients awaiting Mohs micrographic surgery in our Newport Beach, Orange County office, please download these forms in order to prepare for the day with us.
Mohs Micrographic Surgery
Mohs micrographic surgery is named after its inventor, Dr. Frederic Mohs of the University of Wisconsin. It involves surgical excision of cancer containing tissue and systematic microscopic examination of all cut surfaces that are correlated with a drawn map of the wound (hence the term “micrographic”). It is a highly specialized procedure for the total removal of skin cancers. All other methods of skin cancer treatments require a certain amount of ‘educated guessing’ how wide and deep to remove.
In Mohs micrographic surgery, tissue is examined under the microscope after it is immediately processed and the tumor is mapped so that guessing the extent of the cancer is eliminated. In this way, the skin cancer is traced out to its roots with little guesswork involved, which results in:
Frederic H. Mohs, M.D.
Professor Emeritus of Surgery, University of Wisconsin.
First reported “chemosurgery” (renamed Mohs micrographic surgery) in 1941, Archives of Surgery
a) the removal of as little normal tissue as possible, and
b) the highest chance of cure
Using the Mohs micrographic surgical technique, the percentage of success (complete removal of skin cancer) is very high, often 95% to 98%, even if other forms of treatment have failed.
Please remember that the length of the Mohs procedure depends on many factors, the main one being the extent of your skin cancer. Because this cannot be predicted before the cancer removal procedure, please expect to stay the whole day with us. Therefore, bring snacks, your laptop computer (we have Internet access) and books or other work to stay occupied.
After removal of the skin cancer, the surgical site leaves a “defect” where the tumor once occupied. At this point, Dr. Rotunda will discuss the reconstruction options, which may include allowing the area to heal without additional surgery or closing the site with stitches.
Dr. Rotunda is frequently called upon by his colleagues to remove difficult and concerning skin growths on their patients. These lesions may be irregular moles (nevi), lipomas (benign collections of fat), cysts, suspicious nail growths, as well as skin cancers like basal cell carcinoma, squamous cell carcinoma and melanoma, the most deadly form of skin cancer.
Dr. Rotunda Performing Skin Cancer Surgery
The goal of reconstructive dermatologic surgery is to restore the function and appearance of the skin before it was operated upon to remove the skin cancer. As a Mohs micrographic surgeon, Dr. Rotunda was trained extensively to repair relatively small to relatively large surgical defects using numerous suturing (stitching) techniques, which may include side-to-side closures, flaps and grafts. Dr. Rotunda may be performing reconstructive surgery at the time of your Mohs surgery, or after another procedure in the case that another physician referred you to us. The exact type of reconstructive procedure used to repair the skin is determined by carefully examining the location and depth of the wound.