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How to Prepare for Mohs Micrographic Surgery

Staff Member • Oct 12, 2023

A Comprehensive Guide to Mohs Micrographic Surgery: Choosing the Right Surgeon and Preparing for Success

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When facing the daunting prospect of skin cancer surgery, it's essential to be well-informed and prepared. Mohs Micrographic Surgery, a highly effective and precise method for treating skin cancer, offers patients a chance at complete cancer removal with minimal tissue loss. In this comprehensive guide, we will walk you through the Mohs surgery process, help you choose the right surgeon, and provide a downloadable checklist to ensure a smooth pre- and post-operative experience.


Understanding Mohs Micrographic Surgery


Mohs Micrographic Surgery, named after its inventor Dr. Frederic Mohs, is a specialized technique for treating skin cancer. It is known for its remarkable accuracy and minimal tissue removal, making it an excellent choice for treating skin cancers in cosmetically sensitive areas such as the face. Here's how it works:


1. Tumor Mapping: The surgeon starts by precisely mapping the tumor's location, marking it on the skin's surface.


2. Tissue Removal: The surgeon removes the visible portion of the tumor along with a small margin of healthy tissue.


3. Microscopic Examination: The removed tissue is immediately examined under a microscope in an on-site laboratory. This step helps determine if any cancer cells remain at the surgical site.


4. Iterative Process: If cancer cells are detected, the surgeon repeats the process, removing tissue only from areas with remaining cancer cells. This cycle continues until no cancer cells are found.


5. Reconstruction: Once the cancer is entirely removed, the surgeon reconstructs the area to optimize both function and appearance.


Choosing the Right Mohs Surgeon:


Selecting the right Mohs surgeon is a crucial decision in your skin cancer treatment journey. Here are some key factors to consider:


1. Board Certification: Ensure your surgeon is board-certified in dermatology or a related field. Certification demonstrates a high level of expertise and adherence to ethical standards.


2. Experience: Look for a surgeon with extensive experience in Mohs surgery. Years of practice and a high number of cases indicate proficiency.


3. One-Stop Solution: It's highly beneficial to choose a surgeon (like Dr. Hazany) who performs both the cancer removal and the reconstruction. This streamlines the process, reduces potential communication issues, and often leads to better cosmetic outcomes.


4. Referrals and Reviews: Ask for referrals from your primary care physician or dermatologist. You can also read online reviews and testimonials to gauge patient satisfaction.


5. Consultation: Schedule a consultation with potential surgeons. Discuss your concerns, ask questions, and evaluate their communication skills and willingness to address your needs.


Preparing for Mohs Surgery


To ensure a smooth pre-operative experience, we've prepared a downloadable checklist that covers essential steps. Here is a brief overview of what to expect. For a more comprehensive guide, please download
our pre- and post-operative checklist to a successful Mohs surgery.


Pre-Operative Checklist for Mohs Micrographic Surgery:


1. Consultation and Preparation:

   - Schedule a consultation with your chosen surgeon.

   - Discuss your medical history, medications, and allergies.

   - Prepare a list of questions and concerns for your surgeon.


2. Medication and Supplements:

   - Inform your surgeon about all medications, including over-the-counter drugs and supplements.

   - Follow any medication adjustment recommendations provided by your surgeon.


3. Clothing:

   - Wear comfortable, loose-fitting clothing to the surgery appointment.

   - Dress in layers to accommodate changes in temperature.


4. Transportation:

   - Arrange for someone to drive you home after the surgery.


5. Post-Operative Care:

   - Discuss post-operative care instructions with your surgeon.

   - Gather necessary supplies for wound care at home.


6. Emotional Support:

   - Reach out to friends and family for emotional support during this time.


7. Relaxation:

   - Engage in relaxation techniques to reduce stress before surgery.


Mohs Micrographic Surgery offers an exceptional opportunity for effective skin cancer treatment with minimal impact on appearance. By choosing the right surgeon and adequately preparing for the procedure, you can optimize your chances of a successful outcome.
Download our pre- and post-operative checklist to ensure you're well-prepared for your Mohs surgery journey. Remember, your skin's health is worth the investment in choosing a qualified, experienced Mohs surgeon who can handle both cancer removal and reconstruction.


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