Mohs surgery is a highly effective treatment for skin cancers, offering high cure rates and minimal scarring. Proper preparation and post-operative care are crucial for optimal healing and outcomes.
- A precise surgical technique used to treat skin cancer, particularly basal cell carcinoma (BCC) and squamous cell carcinoma (SCC).
- Involves the removal of cancerous tissue layer by layer, with each layer examined microscopically until no cancer cells remain.
- Allows for the conservation of healthy tissue while ensuring complete cancer removal.
- High Cure Rates:
- 99% cure rate for new skin cancers and up to 94% for recurrent cancers.
- Tissue-Sparing:
- Removes only the necessary tissue, preserving as much healthy tissue as possible, which is especially important in cosmetically sensitive areas (e.g., face, hands).
- Immediate Analysis:
- Real-time microscopic examination of each layer removed allows for thorough removal of cancer while minimizing the need for additional surgeries.
- Medications and Supplements:
- Inform your surgeon about all medications, including blood thinners, supplements, and over-the-counter products.
- Some medications may need to be adjusted or temporarily stopped prior to surgery.
- What to Bring:
- Wear comfortable clothing and, if the surgery is on the face or scalp, bring a hat or scarf for post-surgery protection.
- Plan to bring snacks, water, and entertainment, as the procedure may take several hours.
- Arrange Transportation:
- Arrange for someone to drive you home if the surgery is on a sensitive area (e.g., near the eye) or if sedation is used.
- Avoid Certain Activities:
- Avoid alcohol and smoking for at least 24 hours before surgery to enhance healing.
- Plan for a day off from work or other commitments, as the surgery may be lengthy.
- Wound Care:
- Follow your surgeon’s instructions on wound cleaning, dressing changes, and application of any prescribed ointments (e.g., petroleum jelly or antibiotic ointment).
- Keep the surgical area clean and dry for the specified period.
- Pain Management:
- Mild discomfort is common; over-the-counter pain relievers like acetaminophen are typically recommended.
- Avoid medications like aspirin and ibuprofen unless otherwise instructed, as they can increase bleeding.
- Swelling and Bruising:
- Ice packs may be used to reduce swelling for 10-15 minutes at a time, typically within the first 48 hours.
- Keeping your head elevated (if surgery was on the face or scalp) helps reduce swelling.
- Activity Restrictions:
- Avoid strenuous activities and exercises that could increase blood flow and bleeding to the surgical site.
- Limit movements that might stretch or put pressure on the wound.
- Follow-Up Appointments:
- Attend all scheduled follow-up visits to ensure proper healing and monitor for any signs of recurrence.
- Sun Protection:
- Protect the surgical area from sun exposure by using sunscreen, wearing hats, or covering the area until fully healed.
- Long-term sun protection is recommended to prevent future skin cancers.
- Healing Time:
- Depending on the size and location of the surgery, full healing can take weeks to months.
- Scarring:
- Scarring is minimal due to tissue-sparing nature of the procedure, but scar management options (e.g., silicone gel, scar massage) may be recommended.
- Monitoring for Complications:
- Watch for signs of infection (increased redness, swelling, discharge), excessive bleeding, or other concerns and report them to your surgeon promptly.