On the day of your surgery in Long Island or New York City, you will first meet with our surgeons who will review your procedure details with you and answer any remaining questions you may have. You will also meet with the Anesthesiologist who will ask you some medical questions and discuss the process. The extent of your lesion removal determines what kind of anesthetic you receive. In some cases, a numbing agent is applied to the area of the lesion. A local anesthetic may be given through an injection under the skin. Once the medication is active, the area is numb and painless. While this keeps you from feeling any pain, you may feel some slight pressure sensations during the procedure.
Local anesthesia is often preferred over general anesthesia, as it avoids a lengthy recovery as well as the potential side effects associated with general anesthesia. However, more complex removal surgery may require a sedative or general anesthesia.
Some surgical options require stitches while others don’t. If your physician chooses curettage or electrodesiccation to remove a lesion, stitches aren’t usually necessary. In these situations, the surgeon either applies a medication over the area to stop the bleeding or treats the location with cautery to seal the blood vessels shut.
Mohs surgery takes place about 850,000 times a year and is often preferred to treat certain skin cancers, as it does less damage to the healthy skin around the lesion. The surgeon will remove thin layers of skin one at a time and evaluate them under a microscope. As layers reveal cancer cells, the surgeon will continue to remove layers of skin until only cancer-free tissue is left.
Lesion removal with excision can be more invasive than Mohs surgery. It removes lesions from deep within the skin, potentially down to the fatty layer beneath the skin. If there is any concern of skin cancer, the surgeon may also remove a small amount of tissue around the lesion to set up a clear margin. The surgeon may use stitches and sutures to seal the open skin shut.