Slow Mohs Surgery

Slow Moh Success: “Slow Mohs” is a specialized procedure for the removal of melanoma skin cancer and non-melanoma skin cancer such as basal cell carcinoma and squamous cell carcinoma. Slow Mohs is a modified form of Mohs Micrographic Surgery. Like conventional Mohs, it is a staged, margin-controlled excision. Slow Mohs surgery provides patients with the highest cure rate while preserving as much normal tissue as possible. By preserving as much normal tissue as possible, a smaller defect (wound) is created, resulting in a smaller scar. Reported recurrence after slow Mohs is less than 1%.  Additional laser and chemical peel treatment after the surgery will further decrease recurrence of skin cancer and improve cosmetic appearance.

Time: Although it is called ‘Slow’ Mohs, the tissue is actually given high priority by Hawaii Pathology Laboratories (HPL) and Dermatopathologist Dr. Chris Lum to provide pathology results within 12-24 hours following surgery.  Slow Mohs is a procedure that is treated in one or two days, although 98% of Procedure require only one day and only 60 minutes of surgery to remove and repair.

Surgery Day:  Wash the area with a liquid soap before coming to clinic. If the procedure is on your face, do not wear make-up, including eye make-up. Wear comfortable, layered clothing.

You may eat regular meals on the day of surgery, including breakfast. An MP3 player may be used during the surgery. Take all routinely prescribed medicines, including any prescribed for blood thinning unless prescribing doctor approves stopping for a time. Do stop all unnecessary blood thinners including over the counter supplements.  Also, if you have had a heart valve replacement, joint replacement, or organ transplant please make your surgeon aware of your need for prophylactic antibiotics prior to your surgery, most of these patients will have already taken prophylactic antibiotics prior to any dental procedures in the past.

Procedure & Pain: Patients can have Slow Mohs procedure performed with little to no pain. Slow Mohs is performed under local anesthesia but the additional medication that relaxes you (anti-anxiety) and relieves pain can be provided prior to surgery, although a driver will be required. In most cases, patients are very comfortable with taking over the counter extra strength Tylenol and Benadryl. Following anesthesia tumor, edges are defined with an additional safety margin, inked for orientation and removed. Following removal, a surgical repair will be needed. In most cases, a simple linear repair with stitches can be performed while a few others may require plastic surgery to repair. You will have bandaging places after repair and given specialized written instructions on how to care for the surgery site.  1 or more appropriate follow-up visits including suture removal will be scheduled and appropriate post-operative pain medications provided.

Call us today to start your personalized Mohs Surgery treatment program today!

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