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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 surgery preparation

PREPARATION FOR MOHS MICROGRAPHIC SURGERY

Surgery is performed under local anesthesia usually within a single visit. The tumor will be removed in stages. Most tumors require two to four stages for complete removal. There will be a one to two hour wait between each stage during which each small layer is meticulously examined for remaining cancer cells. In most cases your wound will be reconstructed on the day of surgery. The type of reconstruction is determined by the size and shape of the wound.

PRE SURGICAL MEETING WITH DR. SKELSEY

  • Notify Dr. Skelsey if you regularly take Plavix, Coumadin, aspirin, or other blood thinners and follow recommendations on discontinuation.
  • Discontinue aspirin and related products (Anacin, Bufferin) for 2 weeks before surgery, if approved by your regular physician.
  • Discontinue non-steroidal anti-inflammatory medications (ibuprofen-containing products such as Advil, Motrin, Celebrex) 3 days before surgery.
  • Discontinue Vitamin E for 1 week.

THREE DAYS BEFORE SURGERY

  • Wash the surgical area with antibacterial soap (such as Dial) twice daily for the three days prior to surgery.

DAY BEFORE SURGERY

  • Avoid alcohol, which is a blood thinner.
  • Shampoo your hair the night before surgery because your wound will need to be kept dry for at least 24 hours.

DAY OF SURGERY

  • Eat a light breakfast.
  • Take your regular medications except as instructed above.
  • Arrange for someone to drive you home after surgery. Wear comfortable, loose-fitting clothing. Please do not wear a pullover if your tumor is on your face or scalp.
  • Please do not wear contact lenses.
  • Bring reading material, handiwork, iPod or laptop.
  • WiFi is available

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