Patient Resources

Youthful smiling couple with clear skin

Dr. Park's office is happy to provide dermatology patients with any necessary resources they need before and after their appointments. This includes patient forms, financial information, along with important pre-operative and post operative instructions.

Mohs Micrographic Surgery: Pre-Operative Instructions

Before Surgery (Pre-Operative Instructions):

  • Discontinue all aspirin, NSAID's, and ibuprofen containing products 1 week prior to procedure; after first seeking approval from your prescribing doctor. You may take Tylenol.

  • If you are taking a blood thinner, such as Coumadin or Plavix, discontinue 3 days before the procedure, after first seeking approval from your prescribing doctor.

  • If you were prescribed a preoperative antibiotic, please take it one hour prior to your procedure

  • Avoid all alcoholic beverages for at least 48 hours prior to surgery and 3 days after surgery

  • Avoid vitamin E, fish oil, garlic and all other vitamin and herbal supplements for at least 10 days prior to surgery

  • Please refrain from smoking 3 days prior to your procedure, and refrain until 3 days after. Smoking can significantly affect the outcome of your procedure. Please be aware that the long term effects of smoking cause a narrowing of the small arterial blood vessels that traverse the skin. This decreases the circulation of the tissues of the skin and makes it necessary for the surgeon to be more conservative in any surgical procedure. Smoking near the time of surgery causes a further acute narrowing of the blood vessels, which may cause ischemia of the tissue, poor healing, bad scars, or actual loss of tissue.
Mohs Micrographic Surgery: Day of Surgery Instructions

Day of Surgery Instructions:

  • Shower the night before or morning of your surgery. You will not be able to shower for 24 hours after surgery.

  • If the lesion being treated is in a hair bearing area (beard, mustache,) we request that you shave the area prior to your visit. If the lesion is on the scalp we will shave the area necessary to proceed with treatment.

  • Eat a good meal prior to your appointment. You may pack a lunch and bring it with you.

  • Wear comfortable clothing and dress in layers. The temperature in our surgery rooms is cool.

  • You are encouraged to bring something to occupy your time (reading, knitting, etc.).

  • You may bring a friend or family member if you wish; although due to limited space we ask that you please try to limit this to only one person. Please do not bring young children.

  • Although we do not require you to have a ride to and from the procedure, we do recommend that you make arrangements for one.

  • Patients from a care facility or those that require care must have an attendant with them the entire time that they are here, to assist them with activities of daily living as needed.
Mohs Micrographic Surgery: Post Operative Instructions

After Surgery (Post Operative Instructions):

  • Activities will be limited for 1 week after surgery. Please do not plan any strenuous activites, including but not limited to exercise, heavy lifting, bending, etc., for one week after surgery or as otherwise instructed.

  • A wound care instruction sheet will be provided to you on the day of your surgery. Please be prepared and have the following supplies available at home (all are available over the counter); non stick dressing pads, paper tape, cotton swabs and Vaseline.

  • If the lesion being treated is below the knee, you will be in a soft cast for a minimum of 3 weeks. Please be prepared with crutches and a slipper or loose fitting shoe for the affected leg. Your activities will be limited for a minimum of 3 weeks.

  • A follow up visit will be required with our office or your referring provider in 1-2 weeks depending on the location of your surgery.

  • If you have any questions about your scheduled procedure please contact our office.
Post Operative Wound Care
  • 1. Wash your hands with soap and water

  • 2. Remove the dressing - if the dressing is stuck to the wound, loosen it by soaking with a generous amount of tap water.

  • 3. Cleanse the wound with tap water - the best time to do this is in the shower. No scrubbing or soap is necessary. Just let the water run over the surgical site. If crusting is present soak the wound with water and gently remove with a cotton swab.

  • 4. Apply Vaseline - to entire suture line or wound area using a cotton swab.

  • 5. Cover the wound - cut a piece of non-stick pad to size and place over suture line or wound. Secure the bandage with paper tape. Use just enough tape to keep the bandage in place, DO NOT secure the bandage on all four sides as this keeps the area too moist. If the site is small enough you may use a band aid.

Please do not hesitate to call our office if you have any questions or concerns. (541)344-4168.

GRAFT Post Operative Care

Your graft site may or may not have a brown cotton ball tied (sutured) onto it. This will protect the site and remain in place until the sutures are removed. Do not bump, rub or otherwise manipulate the graft. The first 48 hours are crucial in establishing the graft and bumping or rubbing it can cause it not to "take".

AFTER 24 HOURS:

  • Remove the top, white pressure dressing. Leave the cotton ball in place. It will be removed when your stitches come out.

  • You may shower; let the water gently run down the site to clean it. Gently pat with a towel absorbing any excess water.

  • Apply Vaseline GENEROUSLY around the cotton ball onto the sutures. Cover with a BAND-AID or non-stick dressing and tape.


Post Operative Questions and Concerns
  • DISCOMFORT: Most patients experience little or no discomfort after surgery. However, if needed you may take Extra Strength Tylenol per package instructions, but no more than 8 tablets in a 24 hour period and for no more than 2 days.

  • DO NOT TAKE ASPIRIN PRODUCTS FOR THE FIRST 48 HOURS AFTER YOUR PROCEDURE UNLESS PREAPPROVED BY DR. PARK.

  • SWELLING AND BRUISING: It is normal to experience a moderate amount of swelling and bruising at or around the surgery site in the first 48 hours. You may use ice compresses over the surgical area, which will help minimize any swelling. Place ice in a plastic bag and wrap the bag with a towel. Ice should be applied for only 15 minutes at a time; allow 15 minutes between applications. If your procedure was on your face, head or neck, sleeping with your head slightly elevated on an extra pillow can help to reduce swelling at the surgery site. If your procedure was on your hand, arm, leg or foot you will have an ace wrap to apply compression and help with swelling. You may take this on and off as needed to bathe, otherwise you should wear it at all times for 2 weeks, or until your sutures are removed. Keeping the affected limb elevated as much as possible in the first 24 hours can also help reduce swelling.

  • INFECTION: Infection is not common when the wound is properly cared for. If you have any of the following signs or symptoms of infection please call our office. You feel increased or excessive pain at the site, fever, increased redness or swelling, or pus draining from the wound.

  • BLEEDING: When you leave our office you will have a bulky white pressure dressing covering your surgery site. This dressing will stay on for 24-48 hours per your preference. This helps apply pressure and prevent bleeding. Bleeding is uncommon, however, to further reduce the risk please take the following precautions for the first 48 hours. No Aspirin or Aspirin containing products. No alcoholic beverages. No heavy lifting or straining. No exercise. Should you experience bleeding...

  • For mild bleeding, apply direct pressure over the dressing with clean gauze for 10-15 minutes.

  • For moderate/severe bleeding, remove the dressing; try to determine where the bleeding is coming from. Apply FIRM DIRECT pressure with clean gauze over this area for 20 minutes. If the bleeding does not stop apply pressure again for 20 minutes. If after 2-3 cycles of direct pressure the bleeding does not stop, call our office for further instruction.

  • BATHING: You may shower 24-48 hours after your procedure per your preference. No swimming or hot tubs until your sutures are removed or as directed by Dr. Park.