Massapequa Dermatology Patient Instructions

 
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Postoperative Care - After Skin Cancer Removal:

  1. Do nothing to the site today.

  2. Unless otherwise instructed, you may shower tomorrow. Leave the band aid on and change it after the shower.

  3. Tomorrow, clean the biopsy site 1-2 times a day with either hydrogen peroxide or rubbing alcohol on a Q-Tip.

  4. Apply a small amount of Polysporin, Bacitracin, or Vaseline to the site after each cleaning. These can be purchased without a prescription. DO NOT USE NEOSPORIN!

  5. Apply a new band aid or dressing after each cleaning.

  6. Keep site covered with a band aid for ONE WEEK changing once daily as outline above, unless instructed otherwise.


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Post Operative Instructions - General:

  1. Keep the large dressing on for 24 hours, unless otherwise specified.

  2. You may shower the following day, but you should leave the original dressing on while showering. You may get the dressing wet.

  3. Remove the dressing after the shower.

  4. It is normal to have some dried blood on the dressing.

  5. Gently clean the wound with a Q-Tip that has been dipped in hydrogen peroxide or rubbing alcohol. Please do not use old peroxide.

  6. Pat the area dry with a clean tissue.

  7. Apply a small amount of Polysporin, Bacitracin, or Vaseline ointment. You may use the Q-Tip and apply the ointment directly to the wound or place the ointment directly onto the new band aid if the wound is small enough. If the wound is large use a Telfa or similar non adherent dressing, with surgical hypoallergenic cloth or paper tape.

  8. Repeat this entire procedure once daily to twice a day until returning to the office, unless otherwise specified.

  9. You may take Tylenol for pain. Please refrain from Aspirin, Motrin, Advil, or other non steroidal anti-inflammatory products; and Alcohol, as these may cause excessive bleeding. If the pain is not relieved by Tylenol, please call me.

  10. Avoid heavy lifting, straining, exercising, or bending over immediately after surgery and until otherwise informed.

  11. Avoid or limit smoking, as this delays the healing process, especially if you had facial surgery. If you had facial surgery, avoid excessive chewing (ex: avoid steak) and try to eat soft foods for the first two days after surgery.

  12. Apply ice for 15 minutes each hour for the next 4 hours directly over the bandage, unless otherwise instructed.

  13. If there is pain, redness or pus coming from the wound, call immediately. If you have any questions, please call (516)799-1600.


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Post Operative Care - After a Biopsy:

  1. Do nothing to the sire today.

  2. Unless otherwise instructed, you may shower tomorrow. Leave the band aid on and change it after the shower.

  3. Tomorrow, clean the biopsy site 1-2 times a day with mild soap and water.

  4. Apply a small amount of Polysporin, Bacitracin, or Vaseline to the site after each cleaning. These can purchased without a prescription. DO NOT USE NEOSPORIN OR TRIPLE ANTIBIOTIC OINTMENT!

  5. Apply a new band aid or dressing after each cleaning.

  6. Keep site covered with a band aid for ONE WEEK changing once daily as outline above, unless instructed otherwise.

Please call for the result of your biopsy in ONE WEEK. Some labs will have the result sooner & the doctors office can tell you.

WE WILL NOT CALL YOU WITH THE RESULTS


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Liquid Nitrogen Cryosurgery After Care:

Your doctor uses liquid nitrogen (a freezing technique) to remove troublesome or unwanted skin lesions (abnormal growths). Freezing destroys the lesion by first causing it to crust or blister and then to peel as it heals. Your doctor can easily remove what remains of the dried lesion. Sometimes more than one treatment is needed to remove a large or deep lesion.

Treatments and After Effects:

The doctor will apply liquid nitrogen to your skin lesion with a small sprayer or cotton swab. You will feel a stinging or burning sensation that usually only lasts 20-30 minutes; by this time, the treated area will turn red. After an hour or two, yo should have no further discomfort, except for some slight tenderness that may last several days. If you do have pain that is not relieved by 2 tablets of acetaminophen every 4 hours. call the doctors office.

Although the frozen skin thaws within a few minutes after the liquid nitrogen is applied, it may take 24 hours for the blister to form. The blister may or may not look like a blister resulting from a burn; it probably will be deeper and have a thicker covering. It may contain some blood, which will give it a red or purple tint; this is nothing to worry about.

It is not necessary for a blister to form for the treatment to be effective. Often, the only visible change in the skin will be the formation of a crust on the surface which peels as the area heals.

Care of the Blister or Crust:

  1. Let the blister or crust heal naturally if you can. Once the blister is broken or punctured, you will have to take special precautions to avoid infections.

  2. Avoid activities that will irritate the blister or crust. If the blister is broken, it is all right to get the area wet while bathing or doing dishes.

  3. Do not apply moisturizing creams or lotions to the crust or blister during the healing phase.

Follow-Up Visits:

If an additonal visit is necessary, the doctor will examine the crust or dried blister, and determine whether further treatment is necessary. Liquid nitrogen cryosurgery leaves a white scar that’s usually smaller, but sometimes as large-as the unwanted skin lesion. Cutting out the lesion, an alternative surgical approach used in some cases, leaves a thin line of scar tissue.


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Botox Post Procedure Care:

For four hours after injections, avoid:

  • Exercise

  • Bending over

  • Taking a long walk

  • Washing or coloring hair

  • Wearing a cap or hat

  • Pulling clothes off over head

  • Showering or bathing

  • Shopping or cooking over a hot stove