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Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

2085 Providence Way, Idaho Falls, Idaho

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17 Questions Answered

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QUESTIONS ANSWERED

How long should I wait after I quit smoking to get subcision for acne scars and botox for frown lines?

Asked By:AnonymousANSWERS (1)

Usually I request a minimum of 2 weeks prior to the procedure. It takes some time for the effects of smoking to reverse. Once you stop just stay a non-smoker. There is no need to fix your face just so you can get lung cancer.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

I had mohs surgery at teaching hospital in Chicago for basal cell carcinoma. Why was I given 7 days worth of 2000mg Cephalexin.

Asked By:AnonymousANSWERS (1)

As a fellowship-trained Mohs surgeon I rarely give oral antibiotics for standard cases. There are however times when it is necessary. It was likely prescribed by the doctor that closed the wound and you should call him/her to see if it is necessary.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

Is Mohs surgery the only option for a very small nodular basal cell carcinoma on cheek near hairline? What are other options?

Asked By:AnonymousANSWERS (1)

Mohs micrographic surgery is not your only option but it is probably your best. With a cure rate over 98% and being tissue sparing it will give you the smallest defect and usually scar. Excision, electrodessication and curretage, are some other options but have lower cure rates.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

Post Mohs surgery - possible side effects?

Asked By:AnonymousANSWERS (1)

This can be a normal side effect, just give it time to normalize. If after a month or two or it is still flaking call your surgeon.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

Can you wait to have a skin graft done after having a skin cancer (BCC) removed on your nose? (Photo)

Asked By:AnonymousANSWERS (1)

If you get too much granulation tissue it can make a full thickness skin graft not match up well. Were you offered other closure options? A defect like yours would take a paramedian forehead flap really well. Consult with your surgeon, only he/she can determine if the granulation is appropriate for grafting.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

The gauze from my slow moh's still has blood on it a week later--is it healing properly?

Asked By:AnonymousANSWERS (1)

It is not normal to have bleeding one week after surgery. The separation is probably the problem but you should call your physician so the wound can be evaluated for a hematoma or infection.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

Head pain after I had Mohs surgery

Asked By:AnonymousANSWERS (1)

Occasionally when we do Mohs some of the superficial nerves are damaged in the process. The damaged nerve can give you a numb sensation or headaches which can last beyond 6 months. There are better medications for nerve induced pain. Go back to your Mohs surgeon and try another medication.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

Pulled loose a dissolvable stitch tonight only 21/2 days post Mohs surgery on my face. Will this affect the wound closure scar?

Asked By:AnonymousANSWERS (1)

If the adjacent sutures are still intact and the surgical wound has not pulled open it should have little effect. If the wound is pulling apart your dermatologic surgeon should have an after hours emergency number.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

What does the (m) mean next to BCC? Why is there a question mark? What does the diagnosis mean for the type I have? (Photo)

Asked By:AnonymousANSWERS (1)

You have an aggressive subtype of basal cell carcinoma. You should make sure you see a fellowship-trained Mohs Micrographic surgeon for your removal. You appear to have a benign growth called a nevus in the same specimen so the entire bump may not all be a malignancy.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology

Does this eyelid graft look ok? (photos)

Asked By:AnonymousANSWERS (1)

Your graft looks how a 4-5 day old great should look. Grafts cosmetically can take a long time to look acceptable.

Brandon L. Miner, DO

Dermatologic Surgeon, Board Certified in Dermatology