Mohs surgery

Cochlear implants, spinal cord stimulators, sacral nerve stimulators, cardioverted defibrillators, which we've had for some time, deep brain stimulators, phrenic nerve stimulators, and vagal nerve stimulators.

How are these devices affected? So if you're doing any type of surgical procedure, it doesn't have to be Mohs surgery necessarily.

This is a good article to review and think about how you're approaching these particular situations.

They do have a table which summarizes device-specific perioperative recommendations for dermatologic surgery, broken down into preoperative, intraoperative, and postoperative.

My name is Stan Tolkachjov.

I am a Mohs surgeon and a dermatologist at Epiphany Dermatology.

I'm also a professor at Texas A&M College of Medicine, as well as Baylor University Medical Center in Dallas, Texas.

I teach at the Department of Dermatology as an assistant professor at UT Southwestern.

And you're building a platform.

We are building a platform and that's one of the other things, not only are we, you know, in aesthetic medicine, but you know, now we have a lot of studies going on in plastic surgery and dermatologic surgery, post Mohs surgery, um, and, and other aspects of medicine.

I mean, that's what we need to do.

I feel that what applies at the health care level is super important.

And the data is extremely clear on that.

But one of the things that we did in that regard was, again, wrote a clinical trial protocol, took it to the FDA, took it to the IRBs.

for a study using PDGF, same PDGF that's in Ariessence, for treatment of wounds following Mohs surgery, which is, of course, as you know, right, done to excise to remove a skin cancer.

So the trial was really looking at putting this growth factor, putting PDGF directly onto a site where a cancer had just been surgically removed.

Great.

If it doesn't, our Mohs surgeon is excellent, knows exactly what to do and cut these out.

So it might make Mohs surgery wait times more palatable, fewer stages, more efficient days for everyone.

So again, it's not to get rid of surgery.

I think it's more to use our surgical skills judiciously and be able to do new adjuvant work would be really interesting.

Yeah, I like that a lot, Diego.

And I also have to add that sometimes when you have someone who just has had really, really significant sun exposure and then other comorbidities that are kind of adding to their risk factors, you know, maybe they were a surfer, maybe they grew up on a farm, maybe they had chemical exposures, but they are starting to have so many skin cancers that are requiring Mohs surgery.

Some of them do become fatigued.

That little amount.

So they ended up sending me to a Mohs doctor.

So this just

happened.

So at that point, he sent you to Moffitt?

Well, no.

He ended up sending me to a Mohs doctor.

So they do skin for the skin cancer and everything.

We might just cut it out.

We might do a Mohs surgery, which is a fancy surgery that the dermatologist uses and tries to take as little tissue as necessary by looking microscopic.

Did I get it all? Let's take some more.

Kind of doing the pathology and the surgery at the same time.

Sometimes we even treat these with radiation.

I know Ascent here in town has a spot radiation for people that don't want to scar or it's in a sensitive area.

And then there's actually some cancers, basal cells that we can treat with topical creams.

Let's go back to this Mohs surgery, M-O-H-S. That's what a dermatologist will do.

And today we're thrilled to welcome to the podcast, Dr. Maren Locke, also known online as the Budget Dermatologist.

In addition to being a board-certified dermatologist and Mohs surgeon and the creator behind The Budget Dermatologist, Dr. Locke brings to us a platform dedicated to making evidence-based skincare education simple, accessible, and affordable.

With a community of more than 1 million followers across social media, she has built her platform by cutting through skincare misinformation and helping people understand what actually works without making skin feel like it has to come with a luxury price tag.

Her goal on social media is to make expert dermatology education accessible to everyone.

And when it comes to skin health and longevity, she is that girl.

She's a double board-certified dermatologist, cosmetic surgeon, and Mohs skin cancer surgeon, and also the founder of Avant Dermatology and Aesthetics with practices in Tustin and right here in Beverly Hills.

But what I love about Dr. Sheila's approach is that she looks beyond what we're putting on our skin.

She's one of the few dermatologists certified in integrative dermatology, meaning we're talking about the whole picture, your skincare, your gut, your stress, your lifestyle, and how all of it can show up on your face.