Dermatologic Surgery Unit

Available Procedures

Facts

DESCRIPTION

CANDIDATE

CONSULT NEEDED

SAME DAY TX

CONSENTS NEEDED

PRE-PROCEDURE INSTRUCTION

ANESTHESIA USED

PHOTOS TAKEN

RESIDENT CASE

WHO

WHEN

Mohs

99% cure rate for non-melanoma skin cancers

bx proven non-melanoma skin cancers, reoccurrences, large tumors, facial tumors

yes, extensive

mohs consent

PO is ok, plan to be in office 1/2 day, may need driver, stay on meds unless otherwise instructed, may need plastics for recon

Injection: lido w/epi lido/epi/marcaine lido/epi/abx

yes

LC with 2 surgical tech, one histotech

6 cases at MT M,T, W AM ******* 6 cases at NN TH AM

Excision

elliptical, to remove skin cancers, moles, or a biopsy

nodular bcc, well differentiated scc, keloid, cyst, moles,

usually

procedure consent

none

Injection: lido w/epi lido/epi/marcaine lido/epi/abx

yes

only in group

LC, with resident or surical tech

6 cases at MT T PM ******** 2 cases at NN TH PM

Laser

take away facial telangectasia's and lentigines

fitz level 1,2,3 and DPN

yes, non-extensive

yes

laser consent, payment consent

clean face, no make-up

Topical: LMX 4

sometimes

yes

LC and resident

At MT on T every 1/2 hour starting @ 1:00

Chem Peel

superficial glycolic acid peel to rejuvinate the appearance of facial skin

fitz level 1,2,3

yes, non-extensive

no Retin-A, AHA's 2days prior, no sunburn skin, clean face, no make-up

none

yes

any 15min opening

Thermage

to slightly tighten and contour the face

middle aged, 40-60's looking for a subtle change in facial appearance

yes, extensive

thermage consent, payment consent

PO is reccomended, driver is needed, will be in office a few hours, loose fitting, comfortable clothing, clean face

Oral: Percocet, Ativan

yes, 3 angles plus identification card

At MT on T and W at arrive at 3:00 procedure at 4:00