Surgical Dermatology Mobile

Dr. William Ting is a fellow of American Society of Dermatologic Surgery and has tremendous experience in surgical and procedural dermatology. He has completed a surgically-oriented dermatology residency at the University of Iowa.

He is a skilled Mohs surgeon and a tumescent liposuction surgeon. With his Electrical Engineering undergraduate background at UC Berkeley and understanding of the laser optics, he has mastered the subtleties of cosmetic and therapeutic lasers, particularly fractional CO2 laser, enabling him to expertly deliver the most optimal resurfacing for patients who need to reverse years of photoaging and acne scarring.

What is Mohs Surgery?
Mohs Surgery is a micrographically controlled procedure, providing the most precise method for removal of the cancerous tissue, while sparing the greatest amount of healthy tissue. For this reason, Mohs surgery may result in a significantly smaller surgical defect and less noticeable scarring, as compared to other methods of skin cancer treatment. Mohs surgery has been shown to be a highly effective treatment for certain types of skin cancer, with a cure rate of up to 99% for certain tumors.

What are the indications for Mohs Surgery?

The Mohs procedure is recommended for skin cancer removal in anatomic areas where maximum preservation of healthy tissue is desirable for cosmetic and functional purposes, such as the T zones of the face. It may also be indicated for lesions that have recurred following prior treatment, or for lesions with aggressive histology which may suggest greater likelihood of recurrence.

Introduction to Tumescent Liposuction

Tumescent liposuction refers to a technique that uses large volumes of very dilute local anesthesia that is injected into the fat causing the targeted areas to be come tumescent, or swollen and firm. Local anesthesia is widely regarded as the safest form of anesthesia. Because local anesthesia persists for many hours there is no need for narcotic pain medications after surgery.

No general anesthesia
Less painful, more pleasant due to long lasting local tumescent anesthesia
Smoother liposuction results due to use of Microcannula
Minimal blood loss due to vasoconstriction from large volumes of very dilute local anesthesia
Quick recovery, back to work in 3-4 days

Dr. Ting is expertly trained by Dr. Jeffrey Klein (who invented tumescent liposuction) of the art and sciences of liposculpturing of the neck, arms, chest (breast reduction for men), abdomen, flanks (love handles), back rolls, hips, thighs and knees.

FACTOIDS about SKIN CANCER
Skin cancers can be minimized via strict daily sun protection, regular visits to a board-certified dermatologist and modalities to reverse sun damage (see Preventive Dermatology page)

1 in 3 Caucasian-Americans will have a nonmelanoma skin cancer (NMSC) in his or her lifetime.

Basal cell carcinoma (BCC) derives from malignant proliferation of the bottom layer of the epidermis, known as the basal layer. It is the most common skin cancer, period, for Caucasian-Americans.

Squamous cell carcinoma (SCC) arises from malignant proliferation of the top layers of the epidermis. It is the second most common NMSC, tends to be more aggressive and grows more quickly than BCC. More than 10% of SCC may metastasize if left untreated for several months.

Malignant Melanoma is triggered by malignant transformation of pigment-producing cells of the epidermis known as melanocytes.
Risk of melanoma is 1 in 33 Americans in year 2007.
Invasive melanoma is the 6th most common cancer in men and women.
Melanoma is the second most common cancer for women aged 20-29 years.
5-year survival of melanoma-in-situ, if caught early, is better than 95%.
Every first-degree relative of someone with history of melanoma must get a head-to-toes skin check once a year as the risk of melanoma is significantly higher than the general population.