Please read the following instructions to assure minimal optimal healing and cosmetic outcome.

MEDICATIONS/SUPPLEMENTS

• Prior to discontinuing any prescribed medications, please consult with your primary care provider. While anti-coagulants (blood thinners) may increase the risk of bleeding during and after surgery, studies have shown that the risk of discontinuing these medications, without consultation from your primary care provider, outweigh the benefits.
• If approved by your primary care physician, discontinue using aspirin, Motrin, ibuprofen, vitamin E, gingko biloba, fish oil, green tea, St John’s wort, or other anti-inflammatory medications. These medications should be discontinued 1 week prior to the procedure, as they increase the risk of bruising and bleeding. For mild discomfort or headaches, acetaminophen (Tylenol) is preferred.
• DO NOT drink alcoholic beverages 24 hours prior to your treatment.
• Inform the nurse or physician if you have a history of medication allergies (including allergies to local anesthesia, bandaids or other adhesive products), history of anaphylaxis and any other medical conditions.

PLANNING FOR SURGERY

• Your surgery is under local anesthesia (not general anesthesia). Therefore, you are not required to fast. Please feel free to have a healthy meal before your surgery.
• You may bring a friend or family member with you if you prefer.
• If you are anxious or suffer from anxiety, particularly with needles or surgical procedures, your primary doctor may prescribe anti-anxiety medications. Some of these medications can make you very drowsy. If you take them, please bring a driver.
• Depending on your surgical procedure, complexity, or surgical site, you may have certain limitations with regard to driving, working, or activity. Please consult with Dr. Gharavi and his staff if you have any questions.
• The majority of surgical resections (excisions/Mohs) will require some form of reconstruction. We typically perform reconstructions procedures on the same day. If you prefer to have reconstruction by another physician, please let us know so that we can coordinate with their office.
• The risk of bleeding is typically highest the first two days after surgery. As such, you will likely need a pressure dressing for two days following your surgery to minimize this risk. This dressing should not get wet and may look surprisingly bulky. Nonetheless, expect that you may have some bruising and swelling after the procedure.
• Sutures (stitches) are typically removed 1-2 weeks following surgery. Please let us know if you have any travel plans during this time.
• Please plan your surgery during a time when you can follow these instructions.