Mohs Micrographic Surgery – How The Procedure Is Performed

How The Procedure Is Performed

First, let us pay you a compliment if you’ve visited this page because you’re preparing for the Mohs surgery. Sometimes people need more information to get a fuller insight into how the medical procedures are done, and it’s always better to look for it on the professional Internet resources.

In this article, we’ll try to cover the most common questions related to the Mohs surgery performance to help you with psychological preparation to the procedure. In case you still have questions, don’t hesitate to write them in comments below the post or contact us via telephone or email.

Preoperative consultation

Preoperative consultation allows the experts to evaluate your medical condition and overall health status, determine risk factors against the procedure, provide you with all necessary information about preparatory activities required in your case and answer your questions. Yes, it takes some time, but it will help you to reduce the risk of unnecessary postoperative complications.

From your side, it’s important to tell your surgeon about all medications and supplements you take, especially any blood-thinning medications. The best option is to make a full list of all medications, vitamins, herbal or other supplements and antibiotics you’re taking or might have to start taking and show it to your surgeon.

Procedure timing

The procedure typically lasts for 1-3 hours, but sometimes more time is required. Currently, there is no way to predict how long the surgery will take, so you should reserve the whole day for the operation.  

Also, it’s good to arrive 15-20 minutes before the appointment to fill in all necessary documents and give yourself time to get used to the clinical environment.

How the Mohs Micrographic Surgery is performed

1) You’ll have a short interview with our experts. At this stage it’s important to let the nursing staff know if you’re allergic to any typical anesthetics;

2) The procedure starts with a close-up photo of an affected area;

3) The skin in the operated area will be sanitized, and you’ll get a local injection of an anesthetic;

4) The surgeon will remove the first layer of skin for the microscopic examination;

5) Immediately after this the nurse will treat the wound and put a bandage on it, so you will be able to take a break while the skin tissue is examined;

6) At the second stage, you’ll get an additional injection of anesthetics, and the surgeon will excise residual tissues affected by skin cancer. The procedure typically consists of two excisions, but sometimes the “roots” of the tumor are deeper than average, and some additional iterations might be required;

7) When the skin cancer is totally removed, we’ll take a photo of the postoperative area and discuss the cosmetic reconstruction;

8) If you want to, you will be able to check the operated area immediately after the surgery is done.

To make this day more comfortable, wear loose, cozy clothes and take your favorite magazine or an interesting book to pass the time required for tissues examination. Don’t miss a normal breakfast, but it’s good to avoid sweet desserts. Don’t take alcohol two days before and two days after the surgery, as it would negatively affect the wound healing and actually increase the stress from the procedure.

Any questions left?

Please contact us for a consultation in case we’ve missed something you might want to know about the way the Mohs Micrographic Surgery is performed.

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About Arsenault Dermatology

Arsenault Dermatology is one of the most complete dermatology centers in Florida. Founded in 2003 by Dr. Emily Arsenault, an award-winning dermatologist, Arsenault Dermatology offers a full range of skin care services, including skin cancer screenings, outpatient skin cancer surgery, dermoscopy and precision full-body mole mapping and Mohs Micrographic Surgery.

Our practice is a pioneer of innovation, developing programs to greatly reduce wait times and improve patient access. Arsenault Dermatology’s healthcare delivery model sets a new standard in quality and efficiency, both protecting your precious time while simultaneously providing world-class care to all our patients.

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Lee Romig
14 hours ago
Dr. Kessler is a very skilled and professional doctor who cares about her patients.
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Ashley and all other staff members were excellent. Give them all A+++++. Were friendly, listened to questions, intelligently answered questions, were caring, and didn’t rush me .
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I have no problem with the providers at this practice; they've been excellent. But they outsource patient management to Klara, a third party provider. I had a biopsy, and Klara sent me a text to view the results. It said SCC. How many lay persons know that means Squamous Cell Carcinoma? I had to navigate through Klara to schedule an excision, which was 2 months later. I called Arsenault twice and had to leave messages. No reply. I messaged them through Klara and got a return phone call. Even though Squamous Cell isn't necessarily serious, I expected a call from the practice to go over it with me. Having to go online through a third party is ridiculous. Not everyone is tech/internet savvy. I upgraded my review due to the thoughtful response posted by Dr. Arsenault.
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Nicholas Tocco at the SR 70 office is FANTASTIC! Amazing bedside manner and very thorough throughout the whole exam. Made a very anxious mom feel so much better!
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Great doctor helped and gave me good advice. My skin biopsy she did didn’t hurt at all she was very fast. The front desk woman destiny was very kind and nice. She made me feel like I’ve Ben there before even though it was my first time.
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I had a cyst that was inflamed. The staff quickly made an appointment for me and the doctor was fantastic. The procedure only took about 10 minutes and I was given thorough instructions for after care. I highly recommend this Dermatology Clinic

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