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What to Expect on the Day of Mohs Surgery: A Step-by-Step Guide

Older woman touching her face after Mohs surgery in Calgary, AB Mohs surgery is a precise, tissue-sparing procedure to treat certain types of skin cancer, especially on the face, ears, scalp, hands, and other cosmetically or functionally important areas. Here’s a simple, step-by-step guide to help you feel ready and ease any nerves.

Dr. Jeffrey C. Dawes, MD, is a board-certified plastic surgeon in Calgary, Alberta, with advanced fellowship training in Mohs micrographic surgery and reconstruction, bringing rigorous expertise and meticulous attention to detail to each stage of care on surgery day.

Step 1: Check In and Get Settled

When you arrive, you’ll complete any remaining paperwork and review your medical history and medications. Wear comfortable clothing and bring a book, headphones, or a fully charged phone, since there can be waiting periods.

Step 2: Prepping Begins

The area is then cleaned and numbed with local anesthetic. You’ll be awake the entire time, but the goal is to keep you comfortable.

Step 3: The First Layer Is Removed

The surgeon removes a thin layer of tissue from the skin cancer site. A bandage is placed, and you’ll relax in a waiting area while the tissue is processed in an on-site lab.

Step 4: Tissue Mapping and Microscopic Review

The surgeon creates a “map” of the tissue and examines it under a microscope for any remaining cancer cells. This step can take 30-60 minutes or more.

Step 5: Additional Layers (If Needed)

If cancer cells remain, you’ll return to the procedure room for another small, targeted layer to be removed only where the cancer is still present. This process repeats until the margins are clear. Many patients need two or more stages.

Step 6: Repair and Bandaging

After the cancer is fully removed, your surgeon will discuss the best way to help the area heal. Depending on the size and location, this may involve stitches, a skin flap or graft, or letting the wound heal naturally.

Step 7: Post-Op Instructions and Going Home

You’ll receive detailed aftercare instructions, including how to clean the site, manage swelling, and recognize signs of infection. Plan to take it easy for the rest of the day.

Protect Your Skin’s Health with Mohs Surgery in Calgary, AB

Mohs surgery can feel like a long day, but it should give you peace of mind after a skin cancer diagnosis. Call us today at 403-571-3141 to schedule a consultation.

Learn More

Contact us today to learn more about our plastic surgery products & services.

Book a consultation online or call 403.571.3141

“My role, in part, is to assist patients through the process of determining which surgical or non-surgical options would help them meet their aesthetic goals and realistic expectations” - Jeffrey C. Dawes MD, FRCSC

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What Happens in a Consultation?

  1. You will meet Dr. Dawes for an individualized, comprehensive evaluation. Dr. Dawes will offer individualized recommendations regarding the best treatment options available to you in a way that will allow you to make a confident, well-informed decision.

  2. You will then meet with a staff member to review your customized quote, discuss financial options and ask questions.

  3. Discuss potential treatment or procedure dates.

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