Before the procedure
The patient's health issues are first clarified. The exact area to be removed is discussed and drawn. There are then several methods for covering the loss of skin substance. Together, we decide which procedure will give you the best possible "aesthetic" result. The decision depends on the age, type, quality and elasticity of the skin. To avoid jeopardizing the wound healing process after Mohs surgery, it is generally advisable not to smoke for around 14 days before the operation.
During the procedure
The operation is performed under local anaesthetic, sedation or, if necessary, general anaesthetic. The tumor is cut with as little loss of skin tissue as possible. The removed tissue is examined by a pathologist during the operation. If the pathologist finds tumor cells in a resection margin, he or she indicates the exact position on a drawing so that the surgeon can make the additional excision at the appropriate site. The second resection is re-examined until all cut margins are tumor-free. Once the tumour has been completely removed, the damaged tissue is closed the same day using the appropriate technique. If direct closure is not possible, a flap or various types of graft are used. Dr. med. Yann Favre will explain the appropriate technique in detail.
The Body
