Appointments for surgery are scheduled to begin between 7:30 and 8:45 a.m. It is a good idea to wear
loose fitting clothing and avoid pullover clothing. Also, if the operative site is on
the face, please do not wear make-up. We will obtain your written consent for the procedure,
photographs may be taken, and your blood pressure will be recorded. If you have any questions,
please feel free to ask them at any time.
The area surrounding the skin cancer will be cleansed with an anti-bacterial soap. The
anesthesia will then be injected into the area of skin containing the cancer. This injection
will probably be similar to the one you received for your biopsy. We will be as gentle as
possible when administering this. It usually takes a few minutes to anesthetize the involved area
and remove the tissue. After the tissue has been removed, it will be processed in our office
Infrequently, patients are quite anxious about their treatment for which we can give
anxiolytic medicines (such as Valium). If you think you might require such medicines, please
be sure to arrange for someone to drive you home.
Depending upon the amount of tissue removed, processing usually takes an additional 30-60
minutes. Your wound will be bandaged, and you will move to the waiting room while the tissue
is processed and examined by the doctor. If the microscopic examination of the removed tissue
reveals the presence of additional tumor, we will go back and remove more tissue. The Mohs
technique allows us to precisely map out where the roots of the cancer remain. Most skin
cancers are removed in 1-3 surgical stages.