Mohs Micrographic Surgery
What to Look For After Mohs Surgery
After Mohs micrographic surgery, the excisional surgery which can effectively remove most skin cancers one layer at a time, there are several things we ask our patients to look out for as their body heals.
Pain
Most patients experience relatively little pain following surgery. If you do have discomfort, we request that you use Tylenol and avoid aspirin. If a more powerful pain reliever is needed, this can be prescribed for you.
Bleeding
Some post-operative bleeding occurs in a small number of patients and is usually controlled with gentle pressure. If bleeding persists after applying constant pressure with a gauze pad for 15 - 30 minutes, then medical assistance may be required. Bleeding to this extent is rare, but if it occurs, you should call our office and ask to have the doctor paged, or visit a local emergency room.
Swelling and bruising
Both are commonly seen following Mohs surgery, particularly when treating lesions near the eyes and mouth. The application of cool packs following surgery helps to minimize these problems. Swelling and bruising normally subside within 4 - 7 days.
Infection
Most wounds develop redness at the edges as a normal part of healing. However, if the redness does not subside after several days or if warmth, pain, or pus is noted, you should immediately notify us or your physician immediately.
Itching and Redness
Reactions to tape or topicals are common and can produce itching and redness. If this occurs, request a non-allergenic tape at the pharmacy and make us aware of your problem.
Numbness
Cutting into the skin damages nerve endings which can lead to carrying degrees of numbness at and around the surgery site, sometimes persisting for months or longer and, in some instances, permanent. Often sensation changes are noted and persist through the first year following surgery, usually representing the regeneration of nerve fibers.
Scar
Although every effort will be made to offer the best possible cosmetic result, you will be left with a scar. The scar may be minimized by proper wound care. We will discuss wound care in detail with you and give you instructions following surgery.
