I had a 2-3mm Nodular BCC for 6 weeks on my neck. ...
In my case, this would have meant starting at a 9mm across excision point and checking for cancer.
The Dr. removed a large piece, 17mm, across! There were no further excisions of tissue. In 90 min. I learned from staff my margins were clear. Since I expected the 9mm start [smaller than an M&M]I was shocked to see that the hole in my neck was the size of a penny and would need to be closed by a plastic surgeon. [$4,500]
I assumed that Dr Jawitiz was "fellowship trained" since the "on hold" message at Riverchase Dermatology assures you, you are in good hands with their "fellowship trained MOHs surgeons".
Dr Jawitz office is one of the Riverchase group of 6 in SW FL. He does belong to the American Society for MOHs Surgery, an educational group, where he has not taken their fellowship course.
I insisted in getting the report to see where the cancer was located in the excised tissue. It was hard to get. I learned there was NO CANCER in that penny sized piece of tissue; the biopsy had gotten it all.
plastic surgery after MOHs
There was no explanation of MOHs surgery from the DR or staff- staff just told me to bring reading material. There was no mention of withholding certain vitamins, meds, that might prolong bleeding time for a certain length of time pre procedure. There was no mention of pre-medicating with an antibiotic pre procedure. [I did as I have to artificial knees] I did not see the Dr after the procedure. I had read everything I could to acquaint myself with the procedure and what to expect. I am a retired RN so had a knowledge base. When I got to the Plastic surgeon's office 3 days later, I learned they had 0 info on why I was coming, just the "face Sheet" and that Dr. Jawitz had sent the patient . They squeezed me in for closure the next day. Closure required a pennant flap and more undermined and excised tissue to close.