SKIN EXCISION INFORMATION
A skin excision is a simple, safe, and effective way of removing skin cancers, cysts, or other growths. Under local anesthesia, a margin of skin is cut around the lesion. In order to facilitate the repair, it is usually made in the shape of a football, so after sutures are placed, the scar can be in the shape of a line. The skin sample, containing the area of concern is then sent to a pathologist to ensure it has been removed completely.
Days prior to surgery:
Many times, we suggest a pre-operative consultation to discuss the process in person, especially if it is the first time you are having surgery. If you prefer to bypass this consultation, and only have one appointment, that can be arranged as well. For the procedure appointment, plan on being on-site for about an hour. Prior to your procedure we will discuss:
the type and size of your tumor.
any possible alternative options for treatment.
your current medications, allergies, and surgical risk. Please bring with you a list of your medications and over the counter.
if you take antibiotics prior to dental or other surgical procedures due to artificial joints or heart valves.
the procedure and aftercare in detail.
It is important to be able to identify the exact site of your biopsy. Because the tumor can change in size and shape after a biopsy, I recommend that you take a picture of the biopsy site at the time you and your physician select skin excision as the treatment option.
Day of Surgery:
Because the procedure is performed under local anesthesia, you should eat a normal healthy breakfast and/or lunch.
Please dress comfortably in casual clothing, preferably avoiding white shirts or blouses.
Please take your daily prescription medications prior to surgery, especially blood pressure medications.
Patients on blood thinner medications (Aspirin, Plavix, Coumadin, Eliquis, Xarelto etc), on the recommendation of a physician, should continue taking them as directed. While stopping these medications may decrease risks of surgical bleeding, doing so may increase your risk of stroke, heart attack, or blood clots – a more serious event.
Patients on warfarin (Coumadin) should have their INR checked 1 week prior to surgery. Please notify us if your INR is greater than 3.0.
You will be asked to abstain from alcohol 3 days prior to and for 3 days after surgery.
If possible, reduction or cessation of smoking will lead to a better surgical outcome. We ask that you discontinue smoking 1 week before surgery and for 1 week after surgery. If you cannot stop, cutting down to less than half of normal is best.
Aftercare:
The sutured skin is fragile after a skin excision. You should expect to relax the rest of the day and not subject the wound to any activity for 2 weeks. This will help ensure you obtain the best possible surgical and cosmetic outcome. No working out, heavy lifting over 10 lbs, running, stretching, golf, swimming—basically anything that will subject the wound to tension or excessive movement; walking, desk work, and basic life activities are fine. Please consider this when you make your appointment, you may not wish to schedule around important events (vacations, golf tournaments, skiing, etc)
You will be given specific wound care instructions at the appointment.
You will be given the necessary bandaging supplies to take care of your surgical site.
In most cases dissolvable sutures will be used, and there will be no required follow up visit.
If you have any additional questions, please feel free to call the office at 315-255-1100 prior to your appointment. Thank you for putting your trust in me. I look forward to meeting and taking care of you!