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What to Expect During Mohs Surgery

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It is not uncommon for some patients to fear the removal of their skin cancer more than the diagnosis of cancer itself. However, when it comes to removing cancer in the skin, Mohs Surgery is a highly sophisticated and very successful procedure that you can feel confident in.

At MJR Dermatology, we understand that the prospect of undergoing Mohs surgery can be overwhelming for patients. As one of Atlanta’s leading Mohs surgery specialists, Dr. Matthew Reschly and our skilled team are dedicated to providing you with the highest level of care and ensuring your comfort throughout the process. In this blog post, we will guide you through what to expect during Mohs surgery, from the initial consultation to post-operative care.

Consultation and Examination:

During your initial consultation, Dr. Matthew Reschly will thoroughly evaluate your skin condition and discuss your medical history. He will explain the benefits of Mohs surgery and determine if it is the most appropriate treatment for your skin cancer. This consultation is an opportunity for you to ask questions and address any concerns you may have.

Preparing for the Procedure:

Before the surgery, Dr. Reschly will provide you with detailed instructions to follow. These may include avoiding certain medications or supplements that can increase the risk of bleeding, arranging transportation to and from the office, and fasting if necessary. It is crucial to follow these instructions carefully to ensure a smooth procedure.

Local Anesthesia Administration:

Mohs surgery is typically performed under local anesthesia, meaning you will be awake but won’t experience any pain during the procedure. Dr. Reschly will carefully numb the treatment area using a local anesthetic, ensuring your comfort throughout the surgery.

Removal of Tumor and Mapping:

Using a surgical scalpel, Dr. Reschly will remove the visible portion of the tumor along with a thin margin of healthy tissue. The removed tissue is precisely mapped and divided into sections for detailed examination in the on-site laboratory. This process allows for the identification of cancerous cells, ensuring complete removal while preserving as much healthy tissue as possible.

Laboratory Analysis:

Each section of tissue is meticulously examined under a microscope by our highly skilled dermatopathologist. The analysis aims to identify any remaining cancer cells and determine the extent of the tumor. This step is crucial for accurate assessment and helps guide the subsequent surgical stages.

Additional Tissue Removal (If Required):

If cancer cells are found in any section during the laboratory analysis, Dr. Reschly will precisely locate and remove the corresponding area. This process is repeated until no further cancer cells are detected. The meticulous nature of Mohs surgery ensures that healthy tissue is preserved while achieving the highest cure rates.

Wound Reconstruction:

After the tumor has been completely removed, Dr. Reschly will discuss the best approach for wound reconstruction. The size and location of the wound will influence the choice of closure technique, which may involve sutures, skin grafts, or other specialized procedures. Dr. Reschly’s expertise in skin surgery and aesthetics ensures the optimal functional and cosmetic outcome.

Post-Operative Care:

Following the surgery, Dr. Reschly will provide you with detailed instructions for wound care and follow-up visits. It is crucial to carefully follow these instructions to promote proper healing and minimize the risk of complications. Our team will be available to address any questions or concerns that may arise during your recovery period.

Consult a Mohs Surgery Specialist in Atlanta

Mohs surgery is a highly effective technique for removing skin cancer while preserving healthy tissue. Dr. Matthew Reschly and the team at MJR Dermatology are dedicated to providing exceptional care and ensuring your comfort throughout the entire Mohs surgery process. By understanding what to expect, you can approach your surgery with confidence and peace of mind. If you have any further questions or would like to schedule a consultation, please contact our office.

Posted on behalf of Matthew J. Reschly, M.D., PC

2000 Riverside Pkwy, Suite 100
Lawrenceville, GA 30043
Located on the lower Courtyard Level

Phone: (678) 535-0067

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Matthew J. Reschly, M.D., PC


2000 Riverside Pkwy, Suite 100
Lawrenceville, GA 30043
Located on the lower Courtyard Level

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(678) 535-0067

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Hours of Operation

Monday – Thursday 8:30a – 4:30p
(closed 12-1p for lunch)
Friday 8:30a – 12p