Austin Mohs Surgery doctors

Adam J. Mamelak, MD Adam J. Mamelak, MD
Austin Dermatologic Surgeon
12319 North MoPac Expressway Suite 100, Austin
8 answers
Anand D. Patel, MD Anand D. Patel, MD
Austin Facial Plastic Surgeon
3807 Spicewood Springs Suite 201, Austin
Sean M. Blaydon, MD Sean M. Blaydon, MD
Austin Oculoplastic Surgeon
3705 Medical Parkway Suite 120, Austin
Susan E. Dozier, MD Susan E. Dozier, MD
Austin Dermatologist
8240 North MoPac Expy. Stuie 355, Austin
Colby Evans, MD Colby Evans, MD
Austin Dermatologic Surgeon
9701 Brodie Lane Ste A106, Austin

Recent Answers

How Long Does It Take to Remove 5 Layers in the Moh's Procedure

How Long Does It Take to Remove 5 Layers in the Moh's Procedure

A: How Long Does Mohs Surgery Take?

Mohs surgery is a highly specialized in-office procedure for treating skin cancer. The procedure involves removing a tumor, layer-by-layer, down to its root, while sparing the surrounding healthy tissue. Every time a layer of skin tissue is taken, the tissue is processed in an onsite lab and examined under a microscope. Therefore, the Mohs procedure really has 2 steps: the surgery itself, and the processing in the lab.

The surgery is quite quick. It usually takes about 5 minute to remove a layer of skin tissue. The lab processing, however, usually takes a longer duration of time. Depending on the clinic, this could take 30-60 minutes per layer of tissue. The number of layers required is variable, and really depends on the roots and growth pattern of your cancer. One average, 1-2 layers are required. Because the time involved in the procedure is somewhat unpredictable, I often tell patients to block a half day, wear comfortable clothing, bring a book, laptop, spouse or friend to help pass the time.

Adam J. Mamelak, MD
Austin Dermatologic Surgeon
Mohs Surgery Lower Eyelid

Hello, I have an appointment for Mohs Surgery on a bcc which is on my left lower eyelid and very close to my lashes and the inside corner of my eye. I know its done under local anaesthetic, but I would like to know how the eye is kept open and if I will be able to see what they are doing? Am very anxious. ty

A: Mohs Surgery On The Eyelid

The eyelids are a very common location to develop skin cancer, and a common area to perform Mohs surgery. Because the Mohs technique removes skin cancer while sparing healthy tissue, the surgery is ideal for tumors that occur in cosmetic and functionally important areas such as the eyelid, ear, nose and lips. It is understandable to be nervous about a surgery in such a sensitive area. A number of techniques can be used to protect the eye when performing surgery in this location. Often, a temporary eye shield can be used to cover the eye, almost like a contact lens during the surgery. This helps prevent any damage to eye from the sharp instruments used during the surgery. The eye shields are typically opaque, so you can't see through them.

Adam J. Mamelak, MD
Austin Dermatologic Surgeon
Moh's Surgery Near Eye- Is This A Complication?

Moh's surgery on cancer 1 - 1 1/2 inches from eye. 2 days post-op and swelling is much worse than before. (bottom eyelid is swollen all the way up to eye and eye is beginning to water.) Is this normal? Should I go back to the surgeon and let them check it out? During the procedure, I had a lot of bleeding and they had to cauterize some of the blood vessels. So, I'm a little worried of a possible clot.

A: Swelling Around The Eye After Mohs Surgery

It is very common to get swelling in the skin close to the site of a surgery. The eyelid has some of the thinnest skin in the body. The swelling in this area can therefore be more prominent, as the thicker structure of the surrounding skin can better contain swelling. In fact, swelling can often collect around the eyelid when surgery is performed on the forehead, temple or cheek. In general, swelling around the eyelid resolves within the first week after surgery. Keeping your head up and sleeping with an extra pillow at night are good ways to help speed the resolution of the swelling. If you have any questions or concerns, you should always contact your surgeon for instructions and/or reassurance.

Adam J. Mamelak, MD
Austin Dermatologic Surgeon
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