Mohs Micrographic Surgery
We like to see patients in a preoperative consultation to discuss surgery and answer questions. If a biopsy has not been performed, it will be performed at this time.
Please inform us if you take any of the following: aspirin, aspirin-containing compounds, ibuprofen (Motrin, Advil, Nuprin), or other medications for arthritis or pain control. These medications interfere with the blood clotting mechanism, thus making you bleed more than normal during surgery. If possible, we request that you stop all aspirin or aspirin-like compounds 7 days prior to surgery, but only with the permission of the prescribing physician. You may substitute Tylenol for aches and pains during this time as needed. If your other physicians advise you against stopping aspirin or you are unable to discontinue aspirin for other reasons, you may continue these products and we will adjust our surgical techniques with this in mind. Other products that can increase bleeding include: Gingko Biloba, Garlic Tablets and Vitamin E, and St. John's Wort. These should be avoided 1-2 weeks prior to surgery. Please advise us if you are taking Coumadin (warfarin) or Plavix, but do not stop these. If you have any questions as to whether any medications that you are taking are considered blood thinners, please call our office. Again, do not stop these medications without the approval of your prescribing physician.
If you have any of the following, please advise us prior to the day of your surgery: defibrillator, pacemaker, stents, artificial joints or implants. These may require that special arrangements be made prior to the day of your surgery. Also, if you have been told to take antibiotics prior to dental or medical procedures in the past, please advise us prior to the day of your surgery.
Please try to get a good night's sleep followed by a good breakfast, unless you are specifically told not to eat or drink after midnight the night before surgery.
Be prepared to spend the entire day with us. Bring reading material, a laptop, needlework or a companion to converse with. The day can be quite tiring. Some patients prefer to have someone drive them home. Discuss this with your physician if you have concerns.
Most insurance carriers cover the cost of Mohs surgery and repair surgery. You can facilitate the process by providing your insurance information to our office.
