Mohs Surgery

Botox

I can certainly understand your concern as this is your first time receiving botox.&nbsp; If you read the medication insert for tylenol, there will be enough side effects listed to keep you up at night!&nbsp; Every procedure has its own risks and benefits.&nbsp; The best way to minimize the risks is to have an experienced injector perform the procedure.&nbsp; A very small amount of bruising may occur at the site, as well as headache following the injection.&nbsp; I always tell my patients these are the most common side effects, but greater than 95% of patients will not experience any of these.&nbsp; I also tell my patients that the very rare side effects include lid ptosis (inability to raise lid) and allergic reaction.&nbsp; I have never experienced any of these results, nor any of those who I have worked with.&nbsp; However, appropriate consultation should include all risks and benefits.&nbsp; Botox does not 'shoot off in different directions'.&nbsp; It targets the specific muscle that it is injected into.&nbsp; The reason that you may have lid ptosis is due to the result of an improperly placed injection.&nbsp; This is another reason that injector experience is so important.&nbsp;&nbsp;Botox is the most popular cosmetic procedure in the world.&nbsp; You will enjoy the results and realize that after the fact that maybe tylenol is more risky than botox :)&nbsp; All the best!

I am having botox on the 24th june. However, im scared i will get anaphylactic shock which can kill you. Also im worried that the chemicals will shoot off in different directions in my body..?

Botox side effects? Do I have anything to fear?

I completely agree with the previous statement here.&nbsp; Melanoma is the most aggressive form of skin cancer, often spreading to the lymph nodes and elsewhere in the body.&nbsp; The overall mortality from melanoma is directly related to the depth of invasion of melanoma. &nbsp;If you have a known diagnosis of melanoma, the sooner that you can have this removed, the better your overall prognosis because you are limiting further invasion.&nbsp; Basal cell carcinoma and melanoma are two very different skin cancers in their behavior and their prognosis.&nbsp; I certainly would try to open your schedule and have this treated at the first available appointment, or at least that would be my suggestion to a family member or one of my patients.

I've had a lot of Basal Cell cancers on my face &amp; back requiring Mohs surgery but now have been diagnosed with Melanoma on my forearm. Wondering if it can safely wait 8 weeks for removal?

Can a Melanoma surgery be safely delayed for 8 weeks? (photo)

Thank you for your question.&nbsp; It is difficult to assess the bumps based on the pixelation of the photo.&nbsp; If there were no sutures placed at that site, and the bumps arose after the procedure - I favor that you have developed a secondary allergic reaction at the surgical site.&nbsp; If you are using neosporin or polysporin, I would recommend switching over to plain vaseline or aquaphor.&nbsp; It is possible that you are having an allergic reaction to the tape that you are using as well.&nbsp; If you develop streaking redness, warmth at the site, significant amounts of drainage, or any systemic symptoms such as fever or chills, I certainly would recommend that you have the site re-evaluated by the physician that performed the procedure.&nbsp; All the best!

It's on on my upper left for head no sutures placed.

I just noticed a bunch of small bumps with whiteheads around the Moh's site. (photo)

That is an excellent question.&nbsp; The most likely etiology is a hypertrophic scar or keloid if the firm area is overlying the area of previous surgery.&nbsp; The other concern is that there might be a recurrence of the skin cancer.&nbsp; Mohs has an extremely high cure rate when performed correctly, but still something to consider. &nbsp;This is certainly something worth to have re-evaluated by the surgeon performing the procedure.&nbsp; Osteoarthritis and rheumatoid arthritis can present on the digits, but if the only area is overlying the site of previous surgery, it is less likely that this is the underlying etiology.&nbsp;&nbsp;

I type for a living and have noticed in the last few months that there is a hard lump on one side of the knuckle that is painful all the time. There's also a small "scab like" area on the top of that knuckle again. The lump is hard and does not move. Could this be osteoarthritis of some sort? It is affecting my typing each and every day to the point of pain when I form a fist or push on it. I'm 57 and only have osteoarthritis in my right index finger.

I had MOHS on my left knuckle about 10 months ago and now I have a lump. Could this be osteoarthritis?

Nathan Cleaver, DO

Reviews

Photos

Locations

Dermatologic surgeons are dermatologists who use surgical and nonsurgical means to treat various skin, hair, nail, and vein conditions. This includes growths, skin cancers, aging skin, unwanted fat, excess hair, and varicose veins.

Dermatologic Surgeon

Spring Lake

Barton Sterling, MD

Accutane

Cheek Augmentation

Cheek Lift

Chemical Peel

CO2 Laser

Cosmelan

Dermal Fillers

Glycolic Peel

Hyaluronidase

Juvederm

Kybella

Laser Hair Removal

Laser Resurfacing

Lip Fillers

Liquid Facelift

Microneedling

Microneedling RF

Mole Removal

Phenol Peel

Retin-A

Scar Removal

Silikon 1000

Tattoo Removal

TCA Peel

Voluma

critical risk

Vancouver

Eric Pugash, MD

Arm Lift

Body Lift

Breast Augmentation

Breast Implant Removal

Breast Implant Revision

Breast Implants

Breast Lift

Breast Lift with Implants

Breast Reduction

Brow Lift

Butt Lift

Chin Implant

Chin Liposuction

Diastasis Recti Repair

Double Eyelid Surgery

Ear Surgery

Eyelid Surgery

Facelift

Facelift Revision

Facial Fat Transfer

Genioplasty

Inspira Breast Implants

Latisse

Lip Surgery

Lower Facelift

Mentor Breast Implants

Mini Facelift

Mini Tummy Tuck

Mommy Makeover

Natrelle Breast Implants

Neck Lift

Restylane

Restylane Defyne

Restylane Lyft

Restylane Refyne

Restylane Silk

Skin Lightening

Skin Rejuvenation

SMAS Facelift

Tummy Tuck

Tummy Tuck Revision

Volbella

Xeomin

Hanif Ukani, MD

Breast Reconstruction

CoolSculpting

Gynecomastia Surgery

Liposuction

Male Tummy Tuck

Nipple Surgery

Ottawa

Trefor Nodwell, MD

AlloDerm

Belly Button Surgery

Botox for Gummy Smile

Brazilian Butt Lift

Brazilian Butt Lift Revision

Breast Fat Transfer

Breast Reconstruction Revision

Breast Reconstruction with Latissimus Flap

Buccal Fat Removal

Butt Augmentation

Butt Implants

Calf Implant

Chin Filler

CoolMini

Earlobe Repair

Facial

Facial Reconstructive Surgery

Forehead Reduction

Fractional Laser

Fraxel Laser

Fraxel Repair

Ideal Implant

Labia Puffing

Labiaplasty

Laser Liposuction

Laser Peel

Lip Implants

Lip Lift

Lip Reduction

Liposuction Revision

Nonsurgical Facelift

Nonsurgical Neck Lift

Nonsurgical Nose Job

Pec Implants

Power-Assisted Liposuction (PAL)

ProFractional Laser

Ptosis Surgery

Punch Excision

Skin Tightening

SkinMedica

Thermage

Thigh Lift

Tumescent Liposuction

Sydney

Jack Zoumaras, MBBS, FRACS (Plast)

African American Rhinoplasty

Asian Rhinoplasty

Cheekbone Reduction

Deep Plane Facelift

Dermabrasion

Eyelid Retraction Repair

Revision Rhinoplasty

Rhinoplasty

Sinus Surgery

Marotta MedSpa

Hair Loss Treatment

Hair Transplant

PRP for Hair Loss

Renuvion

SculpSure

FamWellMD - Jacksonville

FamWellMD

Etre Cosmetic Dermatology &amp; Laser Center - New Orleans

Etre Cosmetic Dermatology & Laser Center

Clear + Brilliant Badge

Medical Rejuvenation Centre - Vancouver

Medical Rejuvenation Centre

Quintessa Aesthetic Center - Middleton

Quintessa Aesthetic Center

Halo Laser

Skin Boss Med Spa

Skin Boss

Aquagold

BroadBand Light (BBL)

Clear and Brilliant

Dermaplaning

Dysport

NovaThreads

truFlex

truSculpt

Dr. Cleaver is very professional. He has great bed side manner and all his staff is very friendly. His office is beautiful as well. I would recommend anyone looking for a dermatologist to Dr. Nathan Cleaver. I will definitely be coming back to see him for any of my families needs.

Best dermatologist I've ever seen

ambernicole0070

Other

10 Answers from Dermatologic Surgeon, Board Certified In Dermatology Nathan Cleaver, DO See Education, Board Certification, and Treatments Offered.

Learn about Nathan Cleaver, DO. Read real patient reviews, see before-and-after photos, and get expert insights. Explore more on RealSelf!

St. John Providence Health System

St. Joseph Mercy Health System (Michigan State University)

Mohs Micrographic Surgery – Northeast Regional Medical Center

Dermatopathology – Ackerman Academy of Dermatopathology

DO, Kirksville College of Osteopathic Medicine

Doctors

Georgia

Cumming

Nathan Cleaver, DO, Dermatologic Surgeon, Board Certified in Dermatology | Real Patient Reviews, Before & After Photos, Expert Answers - RealSelf

RealSelf

Realself

Nathan Cleaver, DO

CONNECT WITH TRUSTED DOCTORS

MAKE SURE YOUR DOCTOR IS REALSELF VERIFIED

CONNECT WITH TRUSTED DOCTORS

NATHAN CLEAVER, DO REVIEWS

RATING DETAILS

Best dermatologist I've ever seen

Doctor Directory

Atlanta

Boston

Washington DC

Los Angeles

New York

Chicago

San Francisco

Houston

Seattle

Dallas

WE SEND PRETTY
EMAILS

Nathan Cleaver, DO

CONNECT WITH TRUSTED DOCTORS

MAKE SURE YOUR DOCTOR IS REALSELF VERIFIED

CONNECT WITH TRUSTED DOCTORS

NATHAN CLEAVER, DO REVIEWS

RATING DETAILS

Best dermatologist I've ever seen

Atlanta

Boston

Washington DC

Los Angeles

New York

Chicago

San Francisco

Houston

Seattle

Dallas

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS