Dermatologic Surgery of Albany, PLLC
Specializing in Mohs Micrographic Surgery, Dermatologic Surgery & Cutaneous Oncology
Michael J Mulvaney, M.D.
Steven A. Altmayer, M.D.
Dennis P. Kim, M.D.
Kate Sarbib, R.P.A- C
264 Washington Avenue Ext. Suite 201 Albany, NY 


Frequently Asked Questions:
We do not carry sedatives in the office.  Only local anesthesia is used.  We find this reduces recovery time and has fewer side effects.
1.  Will I have stitches?  If so, how many?
This is impossible to predict.  Each and every surgery is different.
2.  Why do I need to have a driver?
This is for your safety and the safety of other drivers on the road.  You will most likely leave our office with a large pressure dressing that could impede your vision.  There is also a risk of postoperative bleeding.  If you present without a driver your surgery will be rescheduled.
3.  Why can I not bend over at the waist for a week following surgery?
If your lesion is on your face, head, neck or upper body this rule applies to you.  Bending at the waist increases blood flow to the face and upper body and you could begin bleeding or pop open your stitches. 
4.  Will I have a large bandage when I leave?  
Yes.  Large pressure dressings are generally on for 24 hours and we will apply a head wrap if necessary (for example if your lesion is on your ear, forehead or scalp).   
5.  How long does the procedure take?
This is also impossible to predict.  Most patients are here at least a few  hours, but every surgery is different.
6.  Do I stop taking my medication before the procedure?
No.  Please continue taking your medications as prescribed, including Coumadin, Plavix and aspirin.
7.  Should I eat before my surgery?
Yes.  We use local anesthesia and fasting is unnecessary.
8.  Must I return the following day for a dressing change?
No.  Most of our patients change their own dressings.  Generally, the large dressing is removed after 24 hours and vaseline and a bandaid is applied.  If you are uncomfortable changing your own dressing please discuss this with your nurse and an appointment can be arranged.
9.  Will I have a scar?
Yes.  Patients form scars as a part of the healing process.  It is impossible to have surgery and not have a scar.
10.  What will my scar look like?
Unfortunately due to the nature of Mohs this cannot be predicted.  We use a variety of repairs, for example skin grafts, flaps.
11.  How long will I take for me to heal?
After approximately 2-3 months your incision may be healed on the surface.  Scars take 6 months to 1 year to mature.  Healing is a process and everyone heals at a different rate. 
12.  Are Dr. Mulvaney or Dr. Altmayer or Dr Kim plastic surgeons?
No.  They are a fellowship trained Mohs surgeons.  
Additional information to make your visit to our office more comfortable:
*Our office also has free Wi-Fi available to patients and family members so please feel free to bring your lap top or other portable electronic device.  
*Due to the nature of Mohs there will be some waiting time.  Either while the tissue is in the lab being prepared for the doctor to examine or while you are waiting for repair/reconstruction.  Patients may use these devices (computers or other portable electronic devices) in the operating rooms while they are waiting. 
*Please also feel free to bring a book, magazine, music (with head phones) or a portable DVD player (with head phones) to use in the operating room while you are waiting.