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MOHS SURGERY Many patients who require Mohs surgery are referred by their dermatologists to Dr. Pena. During your pre-surgical consult, our staff will go over everything you need to know regarding your scheduled surgery; however, surgery information is included here for those patients who prefer to review it before that visit.
What Is Micrographic Surgery? The procedure begins by thoroughly numbing the area with a local anesthetic. Then all visible cancer is removed and a very thin layer of surrounding skin is taken to check for any remaining cancer cells that are otherwise invisible to the naked eye. This layer is processed by a technician and examined under the microscope by the micrographic surgeon. The location of any remaining cancer is carefully mapped on a diagram of the surgical wound and then removed in a thin layer. This tissue is also examined under the microscope. The process is repeated as many times as necessary until all the cancer cells have been completely removed. By using these detailed mapping techniques and complete microscopic margin control, the micrographic surgeon is able to locate and remove the smallest microscopic cancer roots without sacrificing large and unnecessary amounts of normal, uninvolved skin. What are My Chances for Cure? Will I Be Hospitalized? What Should I Expect the Day of Surgery? The surgical procedure takes only 10-15 minutes; however, it takes a minimum of 1-2 hours in the laboratory to process and examine the tissue. If remaining cancer is found, you will be brought back to the surgical suite for removal of a second thin layer of tissue from the area. Depending on the results from the lab, additional procedures may be required. Although it is impossible to predict prior to surgery how many stages will be needed, most cancers are removed in three stages or less. Please do not schedule any other commitments for the day of surgery as it can be a very long day. You may want to bring a friend or relative to keep you company. You may leave our office during the wait for laboratory results, however, we ask that you bring a cell phone so that our staff can communicate with you throughout the day. Otherwise, you are welcome to relax in our waiting room. How Should I Prepare For Surgery? Avoid alcoholic beverages for at least 24 hours before surgery to reduce the risk of bleeding. If you have a heart valve problem, artificial joint, or other conditions that require antibiotics before procedures (such as dental work), let us know prior to the procedure. Also, please notify us if you have a pacemaker. Do not wear any cosmetics or perfume if you are scheduled for a facial surgery or check-up. We suggest you arrange to have a companion drive you to and from the office the day of your surgery. You may also be more comfortable with someone to keep you company in the waiting room. It is fine to eat a normal breakfast on the day of surgery; in fact, we suggest you have a light meal or snack even if you do not normally eat breakfast. Micrographic surgery is covered by all major insurance carriers. We also accept assignment on Medicare. This means that we agree to accept their approved fee as payment, however, please remember that Medicare pays only 80% of their approved fee; either you or your secondary insurance carrier will be be responsible for the remaining 20%. You will also be responsible for any deductibles or co-payments required by your insurance. Please contact your insurance company before surgery if prior authorization is required. Will The Surgery Leave a Scar? Will I Have Pain After Surgery? If you have any questions, please don't hesitate to call us at 615.771.SKIN (7546). |
