Excision Mohs and Dermatological Surgery
MOHS AND DERMATOLOGICAL SURGERY
UW Health West Clinic UW Health East Clinic
451 Junction Road 5249 East Terrace Drive
Madison, WI 53717 Madison WI 53718
Mohs Surgery Clinic evaluates and treats skin cancers and non-cancerous skin growths. There are different kinds of skin cancer. These include basal cell carcinoma, the most common form of skin cancer, squamous cell carcinoma, and melanoma. Most skin cancers can be cured if found and treated early. Other skin growths removed in this clinic include bothersome or atypical moles (nevi), fatty tumors (lipomas), and cysts.
Excision is a way of removing skin cancers or non-cancerous skin growths with surgery. An extra margin of normal skin around the area may also be taken to help with the cure rate for skin cancer. You have been scheduled in our clinic because your provider decided that an excision is the best for you.
Preparing for surgery
On the day of your surgery, wash the area with antibacterial 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. As a courtesy to all patients, we ask that all cell phones and pagers be turned off in the procedure rooms.
Take all routine prescribed medicines, including any prescribed for blood thinning. Medicines that relax you (anti-anxiety) can be taken if prescribed by your primary doctor. Bring them with you and take only after you have talked with the surgeon and agreed to the procedure. Do not take them at home. You will need to have a driver if you decide to use these medicines.
If your skin cancer or non-cancerous growth is around your mouth or lips, you may need to take antibiotics before surgery. Also, if you have had a heart valve replacement, joint replacement, or organ transplant. Please ask your primary doctor about prescriptions before your appointment.
Bring a complete list of current medicines that you take, including dosage. Bring a list of your past and present health problems and surgeries. We need to know of any implanted devices such as a pacemaker or defibrillator.
Relatives or friends may come with you to your appointment. They will need to stay in the waiting room during the procedure. If you have surgery near the eye, forehead, or upper cheek, there may be swelling affecting vision. Because of this, or if you plan to take anti-anxiety or pain medicines, you will need a driver.
Day of surgery
When you arrive, you will check in at the registration desk, or a kiosk. In clinic, the staff and the surgeon will explain the treatment you will have. You will be given a local anesthetic to numb the area. The skin cancer or non-cancerous growth will be removed with surgery. Your surgeon will decide what is best for healing. This may include healing naturally, closing with stitches, or doing a skin flap or graft. Rarely is there a need for repair by a plastic surgeon. It will depend on the size of the wound, location on the body, and what you want.
As with any surgery, there will be instructions to make sure of the best outcome for you. For a few days after surgery, you may have pain, fatigue and swelling which will limit how much you can do. Depending on the body part involved, you will have restrictions for one to several weeks. Your surgeon will talk with you after surgery is done.
You will return to the Mohs clinic or see your local provider to have the stitches removed in 1 to 3 weeks depending on the location of the site. You will need routine follow up skin exams. You may schedule here, with your referring dermatologist, or with your primary doctor. The surgeon will help you decide this after your visit. All forms of skin surgery will leave a scar. Most sites heal very well. Many take up to a full year. Future questions or concerns about a scar can be addressed to our staff.
Insurance and billing
If you are being referred under a prepaid insurance program such as Physicians Plus, Dean Care HMO or Group Health Cooperative, please make sure that you have a referral from your regular provider before your appointment here. This will avoid delays.
For UW Health physician billing questions call the UW Medical Foundation at
608-833-6090. For UW Health clinic billing questions you can call 608-262-2221.
Priceline can give estimates of cost at 608-263-1507.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 07/15/2013
Copyright © 07/15/2013 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7528
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