MOHs SURGERY

The main difference between Mohs surgery and other routine excisional surgeries is that it is done in one day, in stages while you wait for lab results, which are obtained immediately on-site, rather than the tissue sample is sent to a lab for results days later. Finishing the entire process in one visit on top of its 99% cure rate makes it very cost-effective.

Mohs surgery is performed in stages, with each stage involving the removal of a thin layer of tissue from the affected area. The tissue is then immediately examined under a microscope to check for cancer cells. This process is repeated until no cancer cells are detected, ensuring that all cancerous tissue is removed while preserving as much healthy tissue as possible. The precision of this method leads to a high cure rate and minimizes scarring.

On the day of your Mohs surgery, you should plan to be at the clinic for several hours, as the procedure is performed in multiple stages. After each tissue removal, there will be a waiting period while the tissue is examined. Most patients can relax comfortably during this time. Once the surgery is complete, your surgeon will discuss the results and provide detailed instructions for wound care. The procedure is typically done under local anesthesia, and you will be able to go home the same day.

Prior to your surgery, you will receive specific instructions on how to prepare. Generally, it’s recommended to avoid certain medications, such as blood thinners, unless otherwise directed by your doctor. You should also avoid alcohol and smoking in the days leading up to the surgery. On the day of the procedure, wear comfortable clothing and plan to bring a friend or family member to accompany you home, as you may feel a bit fatigued afterward.

After the surgery, proper wound care is crucial to ensure optimal healing and minimize scarring. Your surgeon will provide detailed instructions on how to clean and dress the wound, as well as any signs of infection to watch out for. You may need to avoid certain activities, like swimming or heavy lifting, during the initial healing period. Follow-up appointments will be scheduled to monitor your recovery and remove any stitches if necessary.

It is generally recommended to avoid strenuous physical activity, including workouts, for at least one to two weeks after Mohs surgery. This allows the wound to heal properly and reduces the risk of complications such as bleeding or infection. Your surgeon will give you specific advice based on the location and extent of your surgery. Gentle activities like walking are usually fine, but always consult your doctor before resuming your exercise routine.

Traveling immediately after Mohs surgery is not advised, especially long flights or trips that require extensive movement or activity. It’s important to stay close to home so that you can attend follow-up appointments and manage wound care effectively. If you must travel, discuss your plans with your surgeon to ensure it’s safe, and consider waiting until you’re fully healed or have received clearance from your doctor.

The duration of Mohs surgery can vary depending on the size and location of the skin cancer. On average, the procedure takes about 2 to 4 hours, but it may take longer if multiple stages are needed. The exact time depends on how much tissue needs to be removed and analyzed. It’s important to set aside most of your day for the procedure, as the process of removing and examining tissue is meticulous and essential for ensuring complete removal of the cancer.