Mohs micrographic surgery is the most precise and effective treatment for certain skin cancers, particularly basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), located on delicate or high-risk areas such as the face, ears, eyelids, and lips.
Dr Toby Nelson offers private Mohs surgery exclusively at Wood MediSpa, Devon, providing world-class expertise for patients across the UK and Ireland, including Scotland, Northern Ireland, the Republic of Ireland, and the Channel Islands.
Patients travel from across the region to access Dr Nelson’s unique combination of technical precision, aesthetic skill, and private, comfortable care.
What Is Mohs Micrographic Surgery?
Mohs surgery is a specialised technique where skin cancer is removed layer by layer, with all tissue margins examined immediately under a microscope. This ensures:
- Complete cancer removal
- Maximum preservation of healthy skin
- Minimal scarring, particularly important for facial and visible areas
Unlike standard excision, which assesses only a small percentage of tissue days or weeks later, Mohs allows immediate assessment and further removal in the same procedure if necessary, improving cure rates and cosmetic outcomes.
Who Benefits from Mohs Surgery?
Mohs surgery is especially suited for:
- Tumours located on the face, ears, eyelids, lips, or scalp
- Recurrent skin cancers after previous treatment
- Aggressive or large tumours
- Patients seeking precise tissue preservation to reduce scarring and maintain function
It is also ideal for patients in Northern Ireland, Scotland, the Channel Islands, and Ireland who want access to private, high-standard care that may not be available locally.
Why Choose Private Mohs Surgery with Dr Toby Nelson?
Many patients choose private treatment because:
- Avoiding NHS delays: Waiting times for Mohs surgery on the NHS can be long, especially outside major cities.
- Flexible scheduling: You can plan treatment around work, life events, or travel.
- High-quality, private facilities: Wood MediSpa provides a calm, private environment designed for comfort and recovery.
- Continuity of care: Dr Nelson personally manages every stage, from consultation to reconstruction and follow-up.
For patients from Ireland, Northern Ireland, Scotland, or the Channel Islands, private care ensures faster access and expert surgical results.
Wood MediSpa – Private Mohs Surgery Facility
Wood MediSpa in Devon is a purpose-built surgical centre with:
- Dedicated Mohs theatre and on-site histology laboratory for same-day analysis
- Tranquil, private surroundings with comfortable recovery spaces
- Access to reconstructive surgery support if needed
- Option for overnight stay for added comfort and safety
- Convenient location — just 25 minutes from Exeter, easily accessible from the UK, Ireland, and Channel Islands
Meet Your Surgeon: Dr Toby Nelson
Dr Toby Nelson is a UK consultant dermatologist and fellowship-trained Mohs surgeon, specialising in skin cancer removal and reconstructive surgery.
Credentials include:
- Advanced Fellowship in Mohs surgery, dermatopathology, and reconstruction
- ACMS accreditation (American College of Mohs Surgery) — recognised globally as the highest standard
- Former lead of the NHS Mohs service in Plymouth, serving referrals across Cornwall, Devon, Somerset, and the South West
- Extensive experience treating patients from Scotland, Northern Ireland, Ireland, and the Channel Islands
Dr Nelson combines technical precision with exceptional cosmetic outcomes, making him a sought-after surgeon for patients from across the region.
How Mohs Surgery Works
- Consultation – Review of your medical history, biopsy results, and reconstruction options.
- Surgery – Tumour and a thin margin of surrounding tissue are removed under local anaesthetic.
- On-Site Microscopy – Tissue is examined immediately, with any remaining cancer precisely mapped.
- Additional Stages (if needed) – Only affected areas are removed, preserving healthy tissue.
- Reconstruction – Done the same day using flaps, grafts, or closure techniques for optimal appearance.
- Recovery & Follow-Up – Individualised aftercare and monitoring for healing and recurrence.
Mohs is particularly valuable for patients from Ireland, Northern Ireland, Scotland, and the Channel Islands, who may have limited local access to private Mohs surgery.
Overnight Stay Options
Patients travelling long distances can book overnight accommodation at Wood MediSpa, which offers:
- Private rooms for comfort and rest
- Nursing support if needed
- Reduced travel stress
- Next-day post-operative review with Dr Nelson
Overnight stays should be booked in advance.
Travel & Accessibility
Wood MediSpa is easily accessible from the UK, Ireland, and the Channel Islands:
- Exeter Airport – 10–15 minutes by taxi or private transport
- Flights from the UK: London Heathrow, Gatwick, City, Manchester, Newcastle, Edinburgh, Glasgow, Belfast
- Flights from Ireland: Dublin, Cork, Belfast (direct or one-stop via London/Manchester)
- Channel Islands: Jersey, Guernsey, via London or direct flights where available
Private airport transfers can be arranged upon request.
Why Mohs Surgery is Better than Standard Excision
- Immediate full-margin assessment reduces the risk of incomplete removal
- Preserves healthy tissue, critical for facial areas
- Reduces the need for further surgery
- Offers superior cosmetic outcomes
This is particularly important for patients travelling from Northern Ireland, Scotland, Ireland, and the Channel Islands, where local options may be limited.
Book Your Consultation
Private Mohs surgery with Dr Toby Nelson is available exclusively at Wood MediSpa, Devon.
Phone: 01837 516629
Email: enquiries@devonhairandskininstitute.com
We will assist with:
- Scheduling your consultation
- Travel planning from the UK, Ireland, Scotland, Northern Ireland, or Channel Islands
- Overnight accommodation if required
- Pre- and post-operative instructions
Before & After
