San Jose Office (408) 335-3966

Modesto Office (209) 338-7758

Preparation for Surgery


1. Discontinue the use of non-prescribed blood thinners such as aspirin or anti-inflammatory agents ibuprofen (Motrin, Advil, Nuprin), naprosyn (Aleve), or nabumetone (Relafen) 2 weeks prior to surgery. Please contact your primary care doctor if you are on coumadin or heparin. Only if approved by your primary prescribing doctor -- coumadin should be discontinued three days prior to surgery and heparin should be discontinued one day prior to surgery.

2. Take all your routine medications as normal except any of the above medications that we have asked you to discontinue.

3. If you have been instructed to take antibiotic prophylaxis prior to dental or surgical procedures please do so. If you require a new prescription please contact our office or your primary care physician.

4. Make sure to eat a filling portion for breakfast on the day of surgery.

5. On the morning of surgery please take a shower. Shampoo your hair and soap the general area that is requiring surgery.

6. Do not wear makeup, perfume, cologne, aftershave or jewelry on the day of surgery.

7. Wear comfortable clothing on the day of surgery.

8. It would be helpful to have a friend or significant other bring you to and from the office.


Dr. Mehrany will give patients a briefing on how the surgery day will proceed. There will be medical assistants helping Dr. Mehrany in surgery and a Mohs Technician cutting tissue. Once the tumor is cleared and reconstruction is complete patients are provided with wound care instructions along with Dr. Mehrany’s cell number in case of emergency. On the evening following surgery Dr. Mehrany contacts each patient to assure comfort and answer any post-operative questions.


All patients are seen for post-operative follow up to examine the healed surgical site and/or remove stitches 1-2 weeks after surgery.

Your referring physician will receive a thorough update by mail that includes an operation summary and pre & postoperative photographs.

After having one skin cancer, studies confirm that you are at higher risk of developing additional skin cancers. It is therefore important for you to follow up with your referring physician not only to examine the treated skin cancer, but also check routinely for new skin cancers.


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