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Maral Kibarian Skelsey, MD     skin cancer specialist     mohs & dermatologic surgery
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"When my family practice physician recommended a dermatological evaluation of suspicious spots on my legs, I had the good fortune of a referral to Dr. Maral Skelsey, who introduced me to Mohs micrographic surgery for basal cell carcinoma. While the prospect of cancer is terrifying, the capable, professional care provided by Dr. Skelsey and her staff was reassuring to me from the start. They regularly examine and treat my sun damaged skin and, when necessary, use Mohs procedures to remove basal cell carcinoma. My six Mohs surgeries have been highly satisfactory and I fully trust the Dermatologic Surgery Center of Washington to keep me free of cancer in the future."

Margaret Vining
Curator, National Museum of American History
Smithsonian Institution

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MOHS MICROGRAPHIC SURGERY — POST OPERATIVE

Once the tumor has been successfully removed, the next and equally important goal of Mohs surgery is the restoration of the patient to their natural appearance.

Dr. Skelsey is specially trained in the cosmetic and reconstructive surgery procedures that make this possible. The initial reconstruction may take the form of a side to side closure, a skin flap or a skin graft. Most reconstructive procedures are performed on the same day. A skin graft may be scheduled for a later date to allow adequate healing of the wound. Following reconstruction Dr. Skelsey will utilize the latest modalities to help reduce the scar and accelerate wound healing.

The patient will leave the surgical suite with a pressure bandage and written instructions for wound care.


MOHS MICROGRAPHIC SURGERY — HEALING
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During the healing process, the patient may experience one or more of the following:

PAIN
Typically the local anesthesia administered prior to surgery will wear off after 2 to 3 hours. Tylenol is usually adequate to control any subsequent discomfort. Under certain conditions a stronger pain medication will be prescribed.

BLEEDING
Occasionally post operative bleeding occurs. Applying a pressure bandage to the wound for 20 minutes should stop the bleeding. If the bleeding soaks through the pressure bandage, call our office.

BRUISING
Bruising around the surgical site is common. Some swelling may occur in the first few days following surgery and is most noticeable on the morning after surgery but should become less noticeable in two to four days.

DRAINAGE
Wounds left open to heal and those sutured closed will normally drain during the first week following surgery. It is very important to keep the wound clean following the written instructions provided at the time of surgery.

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