SURGICAL PROCEDURES

At ASI Skin Cancer and Skin Care Center our staff is highly qualified to perform surgery to remove a variety of skin cancer including melanoma. Dr. Jason Lockridge is medically trained and certified as a Mohs surgeon. This allows us to perform skin cancer surgery in our office without referring our patients to another facility.

Our office also performs Cryotherapy. This is a quick and common form of treatment for many benign skin conditions. Also called Liquid Nitrogen Treatment. This procedure is used for numerous conditions, most commonly, warts, actinic keratoses (precancerous lesions) and seborrheic keratoses (benign growths). Liquid nitrogen basically freezes the skin lesion and a small surrounding area in an attempt to destroy the unwanted skin lesion.

INFORMATIONAL DOWNLOADS

Biopsy Wound Care Instructions
With a soft cloth or gauze, soak the affected area for 5-10 minutes 2 times a day with vinegar water (mix 1 tbsp of white vinegar with 1 pint of warm water).

After each soak, apply Vaseline petroleum jelly (not an antibiotic ointment) and bandage. Do this until the area heals and there is no more open sore, scab or crust.

If your biopsy required stitches, these will need to be removed in our office after the number of days recommended by your doctor. We typically remove after 7-10 days.

It is normal for the biopsy site to be a little red and have some straw-colored drainage. Some discomfort at the site is also normal. If your site becomes increasingly tender, red or warm to the touch, the site has excessive drainage, or you notice red streaks please call our office. These may be signs of an infection.

Please do not hesitate to call our office if you have any further questions, 205 426-5507.Someone will be glad to assist you.

Your doctor treated skin lesion(s) today. Typically, it will burn/hurt during the treatment and continue to burn for several minutes after the lesion(s) is (are) treated. You can expect the discomfort to resolve completely within 30-60 minutes. Any residual pain or discomfort can be controlled with Tylenol, aspirin, or ibuprofen.

Within 24-48 hours after treatment, you may develop a small blister at the treated site. Occasionally, a large blister, or blood blister will develop. If possible, it is best to leave the blister intact. If a large blister develops, it can be ‘popped’ with a sterile needle (use alcohol), but the blister roof should be left in place. This will protect the treated area, decrease the

chance of infection, and help the area to heal with a better cosmetic outcome. Often, a blister never fully develops, but the area will become crusted. This will eventually peel off.

Keeping the treated areas covered with ointment (Vaseline, petroleum jelly or aquaphor) will also help to protect the area and encourage healing with a better cosmetic result. Areas that develop larger blisters that are punctured or any sores that develop should be treated with vinegar and water soaks a couple times a day (1 tbsp of white vinegar mixed in one pint of water) soak cloth and apply to affected area for 5 minutes. This will decrease the chance of infection.

It typically takes from 7-14 days for the area(s) to heal completely. There is often a remaining pink spot that will improve with time. Sometimes, a pink spot or white spot will remain indefinitely in the treated area. sun protection will also help the area to heal with the best cosmetic result possible.

You may wash and bathe treated areas as normal.

Remember, warts often require multiple treatments with liquid nitrogen to resolve completely. If a precancerous lesion was treated with liquid nitrogen, these should resolve completely. If a lesion persists 2-3 weeks after treatment, please contact our office.

If you have any further questions please contact our office at 205 426-5507.

A biopsy will be performed on your initial visit. Once the results of that biopsy is obtained a surgery date is set.

This is usually a same day surgery that will be performed with local anesthesia (just like how the biopsy was done). The actual length of the procedure will depend on your individual cancer and how many stages are required for complete removal.

The cancer will be removed in stages (layers). Initially, the visible cancer with a small surrounding area of skin will be removed. This “layer” will be frozen and evaluated under the microscope to look for any remaining cancer at the edge of the removed area. If cancer is still present at the edge of the initial stage, then a second removal will be done. This will continue until all of the cancer is completely removed and the margins (skin around the area) are clear. At this point the resulting surgical defect will be addressed.

An exceptional cosmetic outcome is definitely desirable, but the primary benefit of this surgery is the excellent cure rate of the skin cancer. The technique allows for of the skin edges to be evaluated to ensure that no cancer remains. Thus, Mohs surgery has a success rate of approximately 98%.

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