How Large of a Scar Will I Have From the Surgery?
The size of the scar depends on the size of the tumor. It is often difficult to predict the size of the tumor prior to surgery.
Will I Have Stitches Following the Surgery?
There are four main ways your surgical wound may be handled:
Direct closure of the wound: In most instances, surgical wounds are sutured (sewn) closed.
Skin Flap: Although this is a sutured closure of the wound, adjacent tissue may be mobilized and brought in to help close the wound.
Skin graft: In some instances, it is necessary to remove skin from in front of the ear or some other site and graft it over the wound.
Second intention healing: The body has an excellent capacity to heal open wounds. This healing period is approximately three to six weeks depending on the size of the wound. It requires regular wound care.
In addition to wound size and location, the surgeon considers other factors to determine how your wound will be handled. This will be fully discussed with you on the day of surgery.
Will I Be Put to Sleep for the Surgery?
No. The surgery is well tolerated with local anesthesia. Because the surgery may be time-consuming, the risk of prolonged general anesthesia is thus avoided.
How Long Will Surgery Last?
The length of surgery depends on the extent of the tumor. Often surgery lasts half a day or longer. Much of the time is spent waiting for tissue to be processed. Bring reading materials, needlework, etc., with you to help pass the time. Also, bring a snack or lunch with you on the day of surgery. A refrigerator and microwave oven are available for your convenience.
Should I bring Someone With Me?
Yes. It is highly recommended that you bring someone along as you may not feel up to driving after surgery. Someone other than the patient must perform postoperative wound care in many instances. The nurse can give this person direct instructions, demonstrate wound care, and answer any questions after the surgery.
What Should I Wear?
Men should wear a shirt, which buttons down the front. Women should wear a blouse, which buttons down the front and a skirt or slacks. Please dress comfortably.
Should I Eat Breakfast Before the Surgery?
Yes. Breakfast is recommended.
Should I Take my Regular Medications on the Morning of the Surgery?
Yes. Take your regular medications as they have been prescribed. If you take a diutetic or ñwater pillî you may wish to refrain from taking it the morning of sugery to avoid multiple trips to the restroom.
Are There Any Medications I Should Avoid Prior to Surgery?
Aspirin thins the blood and makes the surgery more difficult. It is advisable to avoid aspirin or products containing aspirin for seven to ten days before surgery, unless it has been prescribed by a physician. Similarly, such drugs as Persantine, coumadin and ibuprofen (Motrin, Advil) may thin the blood and should be discontinued only with the supervision of the prescribing physician. If your physician has you on coumadin, check with him/her before stopping it.
Will My Activity Be Limited After Surgery?
Possibly. Your physician will assist you in planning necessary time away from work, and any work restrictions. An excuse for your absence will be provided, if necessary. Avoid any long trips within the first ten days following surgery in case you develop any complications.
What Are The Potential Complications of Surgery?
Bleeding and infection are the two primary complications. Both of these are uncommon. We will discuss how to recognize and deal with these problems when you come for your surgery.
What Are Maryland Skin Cancer Specialists Office Hours?
Maryland Skin Cancer Specialist office is open from 8:00 a.m. to 4:30 p.m. on Monday through Friday.
Will My Insurance Cover The Cost of Surgery?
Under most circumstances your carrier will pay for Mohs surgery. In some instances it may be necessary to obtain a referral or authorization from your primary physician or insurance carrier prior to surgery. If you are in doubt about your particular coverage, it would be useful to check with your insurance representative prior to your appointment. If you have specific questions regarding insurance or billing matters, please contact our office.