New Haven Mohs Surgery doctors
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Kavita Mariwalla, MD
New Haven Dermatologic Surgeon
10 Union Square East Suite 3C, New York |
7 answers | |
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Ronald Kahan, MD
New Haven Dermatologist
40 Temple Street Suite 5A, New Haven |
Recent Answers
I had surgery yesterday to remove squamous cell (about the size of a nickle. I have three inside stitches, and a bandage that will be changed every 4 days by the Dr. thanks!
Wounds on the lower leg are typically under a great deal of tension. In addition, pool water can harbor bacteria (especially busy public pools because the chlorine levels are sometimes not kept up to snuff). To maximize the cosmesis of your wound, refrain from any exercise (including swimming) until your stitches are removed. Remember, at the end of one month, your wound is only 40% of its original strength. Good luck, Dr. Mariwalla
The dermatologist/Mohs surgeon did the surgery, harvested the graft, and left his PA to do the rest. I know that many PA's may be good at stitching. However, I have a hard time comparing a PA to a dermatologist or plastic surgeon. If this is the routine procedure at this office, would I be better off seeking a surgeon who does his/her own stitching on the face? It seems to me to be more intricate than stitching up any other wound. My graft separated and migrated upward after stitches came out.
221641 anon, A Mohs surgeon is responsible for the surgical removal of tumor and the interpretation of slides to ensure complete margin control. It is possible for other surgeons to perform the repair however if you are going to a Mohs surgeon, you typically expect them to be the ones doing the stitching. While grafts can be placed by a PA, there is some finesse that take place in sewing them precisely into place. I do not have any PAs employed in my practice. The key thing is that if it makes you feel uncomfortable, I would simply request the surgeon that he/she do the entire procedure. Good luck, Dr. Mariwalla
Who is the most qualified MOHS surgeon that can deal with DFSP (Dermatofibrosarcoma Protuberan) on the face?
Hi, I had a MOHS surgery on my face to remove a DFSP tumor about 2 years ago. The surgeon missed to reove one piece of tissue under my nose that I felt was DFSP.
This week, my surgeon went to the same place and had a biopsy and found out that the tissue I was talking about was DFSP.
Should I seek a second opinion or should I find a specialist that deals with this type of cancer? Thanks Thanks
Dear Hope for a cure,
DFSP is a notoriously difficult tumor to treat. First, because it is an aggressive tumor and second, because it recurs often. Mohs is the best way to go because it is a tissue sparing technique (the surgeon can look at the tissue while you wait).
Given the location, you may want to go to a place where the DFSP can be cleared with Mohs and then you can have facial plastics reconstruction. The problem is that few people will flap an area of DFSP because it can hide recurrence so your repair options may be limited. It will be difficult to find a Mohs surgeon who has done "a lot" of DFSP because in general, it is a rare tumor and even more rarely occurs on the face (typically it is on the trunk).
You may consider an academic center in your area or speak openly about your concern with your Mohs surgeon.
Best of luck,
Dr. Mariwalla