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Before Your Procedure

Listed below are some general risks associated with skin surgery. Your dermatologist will discuss these risks and any additional potential problems associated with your case.

  • Complete removal of the skin cancer may create a blemish larger than anticipated. Tumors may be larger than surface appearance indicates. Scarring will occur at the site of removal. Although every effort is made to obtain optimal cosmetic appearance, the primary goal is to remove the entire tumor.
  • At times, healing is slow or the wound may reopen because of bleeding, poor overall physical condition, diabetes, smoking, or other disease states. Grafts and other repairs to the wound may fail to heal.
  • You may experience loss of movement or feeling because of impaired nerve function. Many types of skin cancer are near or on important structures, such as the eyes, nose, or lips. Portions of these structures may be removed with resulting cosmetic or functional deformities. Your dermatologist will let you know if this is a possibility.
  • The wound may become infected. A small number of surgical wounds (less than 5%) may become infected and require antibiotic treatment. If you are at higher risk for infection, you may by given an antibiotic before surgery.
  • You may experience side effects to medications. Your dermatologist will carefully screen you for any history of problems with medications, but you may develop new reactions
  • In some cases, the tumor may regrow after surgery. Previously treated tumors and large, longstanding tumors have the greatest chance for recurrence.
  • You may experience possible numbness or loss of feeling. Skin cancer frequently involves nerves, so there may be a loss of movement or feeling. Frequently, skin cancer invades nerve fibers that must be removed during the surgery. Also, nerves adjacent to the skin cancer may be severed or injured during the reconstruction of the skin defect.

If you experience numbness, sensation will usually, but not always, return. In most circumstances, nerve function will return over a prolonged period of time, up to 24 months. In some cases, numbness may be permanent. If a motor nerve is involved, you may be unable to move the muscle. For example, you may be unable to wrinkle your forehead. Prior to your surgery, your dermatologist will discuss any major nerves that may be near the skin cancer.

Scar revision

Every technique that results in the destruction of skin cancer can result in the formation of a scar. Scarring is part of the process of healing. Scarring evolves and matures over 6 months to 2 years, depending on the location of the treated area. Some locations scar better than others. The face heals better than the back, chest, or shoulder. In addition, different biopsies, surgical techniques, and treatment options will result in different shapes of scarring.

Sometimes scarring can be improved. Raised scars can be surgically leveled with dermabrasion or the use of a laser, or they can be flattened with corticosteroid injections. Any surgery will result in some scar formation; however, your dermatologist will place the cut so that the resulting scar will be within the skin line. During the healing and maturation process of the scar, it is important to protect the area from the sun since sun exposure can result in a brownish discoloration of the scar, making it difficult to treat and fade over several years. Rarely, soft tissue augmentation in the form of injectable collagen is used to improve depressed scars. A laser is also sometimes used to treat broken blood vessels and redness associated with the scar. Use of multiple over-the-counter products, including silicone patches and gels, as well as daily massage can help improve and speed the maturation process. Your dermatologist will discuss with you the most appropriate products to treat your scar.

(408) 358-5757

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Advanced Aesthetic Dermatology
14651 S Bascom Ave Ste 200
Los Gatos, CA 95032


Santa Monica

1301 20th Street Ste 440
Santa Monica, CA 90404


Speaking Schedule

Dec. 2018
A4M Body Contouring Aesthetic Module

Las Vegas, NV

Nov. 2018
Faculty at Sciton Summit

Washington DC

Nov 2018
Master the BBL Fotofacial Preceptorship, Sciton BLBC Tour

Washington DC

Nov. 9 2018
Global Aesthetic Awards.

Nomination for Dermatologist of the Year!
Beverly Hills, CA

October 2018
Master the BBL Fotofacial Preceptorship

Austin, Texas

Sept. 2018
Sciton European Summit


Sept 2018
Master the BBL Fotofacial Preceptorship


August  23-26, 2018
Aesthetic Extender Symposium

Boca Raton, Florida

August 2018
5CC 5 Continent Congress

with Sciton and Dr. Michael Gold
Barcelona, Spain

July 27, 2018
Breakthroughs in Aesthetic Medicine

July 5-8, 2018
Aesthetic Show
Las Vegas

June 6-10, 2018
Vegas Cosmetic Surgery Speaking Engagement

Las Vegas

May 2018
AM+D Symposium

with Dr. Phil Werschler
Coeur d’Alene, Idaho

March 22-25, 2018
Los Angeles Multi-Speciality Cosmetic Academy
Los Angeles. CA

February 22-25, 2018
California Society of Facial Plastic Surgery
Skin Aging, Facial Plastic & Aesthetic Surgery
Lake Tahoe, CA

January 19 – 21, 2018
Advanced Aesthetics & Cosmetic Dermatology 2018

Marina Del Rey, CA

December 13 – 16, 2017
American Academy Anti Aging A4M Annual World Congress

Las Vegas, Nevada

November 18, 2017
Dr. Bitter Teaches at the Ultimate Aesthetic Training Workshop

Dr. Bitter teaches his Top 10 things you may not know IPL can do and his exclusive 3 keys to success with fillers.
Beverly Hills, CA

November 12, 2017
Sciton Summit 2017

Advanced Forever Young BBL Treatments – The Future Today & Introduction to ForeverClear BBL – Acne Treatments with BBL
Dallas, TX

November 3 – 5, 2017
19th Annual Scientific Meeting

The Keys to Success w/ Fillers & Combining IPL & Laser/RF Treatments & 12 new uses of IPL
Newport Beach, CA

Bright Lights Big City – The BBL Tour 2017
Master the BBL FotoFacial®
One-Day Master Course with Dr. Patrick Bitter, Jr.

September 5 – 7th, 2017
Moscow, Russia

Saturday, September 9, 2017
Toronto, Canada

Saturday, September 23, 2017
Washington, D.C.

Saturday, October 21, 2017
Minneapolis, MN

Friday, November 10, 2017
Dallas, TX

October 16, 2017
Forever Clear Webinar
5pm – 6pm

October 12 – 14, 2017
Aesthetic Extender Symposium

Hollywood, FL

September 14 – 16, 2017
A4m Aesthetic Fellowship Module: Aesthetic Treatments utilizing laser, light & Energy

Chicago, IL

August 31 – September 3, 2017
8th 5 Continental Congress

Topics Included:  Techniques for eliminating bothersome lines with filler.
Three Keys to Success with Fillers and Optimizing Patients Outcomes
Barcelona, Spain

June/July 2017
Faculty Lecturer at The Aesthetic Show
Speaking on the Advanced Injectables and Techniques with host Dr. Andrew Ordon.

Dr. Bitter is a sought after speaker and a nationally renowned expert and lecturer on many topics including FotoFacial®, BBL, skin rejuvenation, and the new ManUp!™ and LoveTyte™. If you are interested in attending one of his training’s or conferences, call 408-358-5757 or email

To learn more about world renowned dermatologist Dr. Patrick Bitter Jr’s online training courses, contact him at (408) 358-5757 or opt in to our training notifications here.

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