No. Continue all medications that have been PRESCRIBED by one of your doctors, including blood thinners (Aspirin, Coumadin [warfarin], Plavix [clopidogrel], and Xarelto). However, if you are taking Aspirin only as a preventative measure, please STOP this medication 2 weeks prior to your surgery.
If you take Coumadin, please have a routine coagulation study (PT/INR) drawn within 1 week of your surgery, and have the results FAXED to our office. (708) 390-0842.
Please bring a complete list of your medications with you on the day of your surgery.
Yes. To prevent bleeding problems, please discontinue the following medications and supplements unless ordered by your doctor, starting 14 days prior to surgery: Ibuprofen (Motrin, Advil, Aleve), Aspirin, vitamin E, fish oil, gingko biloba, multi-vitamin and all other herbal supplements. Again, if you take Aspirin because your doctor has suggested it as a preventative measure, please DISCONTINUE; if you have a history of heart problems or stroke (physician prescribed), CONTINUE the Aspirin. Tylenol does not increase bleeding and is fine to take.
The length of Mohs surgery is unpredictable because some skin cancers grow underneath the skin more than at the surface. Expect multiple brief episodes of surgery followed by long periods of waiting while we process your tissue and evaluated it under the microscope. The day usually lasts 2-4 hours, but occasionally patients spend the entire day at the office. Bring reading material, food for lunch or snacks, or a friend/family member to help you pass the time.
Injections of local anesthesia control pain during surgery. After surgery, patients normally experience only mild pain that can be controlled by Tylenol. In some instances, Dr Sheth will prescribe a stronger pain medication.
The surgical site will remain bandaged for approximately 1-2 weeks following surgery. Our staff will demonstrate how to care for your wound, give you written instructions regarding wound care, and provide Dr. Sheth’s direct contact information in case of a rare emergency. Usually you will return to our office within 1-2 weeks for bandage change or suture removal. To optimize healing, we ask that you do not plan any travel or other outings during this post-operative time.
We recommend that you avoid strenuous activities for at least 1-2 weeks after your surgery. Be aware that you may have significant swelling, redness, or bruising of the surgical site for 1-2 weeks post-surgery, especially if your cancer is on the central face (i.e. forehead, eyes, nose, lips). Icing the surgical site is an important part of the post-operative period.
Alcohol can increase bleeding and bruising; please avoid alcohol for at least 48 hours before your surgery. Stop smoking – ideally for at least a few days before and 1 week after your procedure. Smoking increases your risk of complications and infection from surgery. The best choice is to refrain entirely but even cutting back will help.