Sacramento Mohs Surgery doctors

Travis T. Tollefson, MD, MPH Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
2521 Stockton Blvd Suite 6206, Sacramento
2 answers
Gergana Gallacher, MD Gergana Gallacher, MD
Danville Dermatologist
401 Sycamore Valley Road, West, Danville
Suzanne Kilmer, MD Suzanne Kilmer, MD
Sacramento Dermatologist
3835 J St, Sacramento
Marla L. McClaren, MD Marla L. McClaren, MD
Sacramento Dermatologic Surgeon
3835 J St, Sacramento
Michael A. Trauner, MD Michael A. Trauner, MD
Sacramento Dermatologist
1020 29th St. Suite 570B, Sacramento

Recent Answers

2 Days Post-op MOHS Surgery - How to Reduce Swelling?

Dear doctors, I had a nodular BCC removed 2 days ago via MOHS - lateral to my right nostril in the nasal labial crease. Final incision extends from the right nostril following down the nasolabial crease, ceasing ~1cm from rt corner of mouth. I had no swelling the day after but woke up today with lots of swelling, no redness or signs of infections. I've been sleeping fairly upright, avoiding salt, lots of fluids. What else can I do to reduce swelling? Ice? OTC meds? Thank you!

A: Swelling after Mohs removal and reconstruction Tips

Dear Eastwestgirl, you are doing all the correct things.

  • Remember after facial plastic surgery,  swelling goes away, the result lasts forever, so be patient.
  •  
  • Post operative swelling is usually at its greatest at 2- 3 days after the surgery.
    • Think about how your ankle swells after a sprain
  • From your description of the area of swelling, it certainly could be normal, but keep in contact with your surgeon
  •  
  • Gel ice packs are helpful to be placed on the eyes and cheek in the first 48 hours, but we recommend that people would refrain from placing directly over a skin flap or incision   

Best Wishes

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
Skin Graft Fell off 2 Weeks After Mohs Surgery

2 weeks ago I had mohs..on nose..skin graft fell off to day -appears to be healing with big cavity ...is this correct or do I need to contact MD sooner that apt next week?

A: Skin graft healing can vary

Skin "graft" healing can vary depending on the location, thickness, and size.

Contacting your surgeon for an appointment would be a great idea so that you can develop a plan together.

Often special attention to wound care can be very helpful.  The proper care of the graft site can be effective in making the skin heal more quickly and look better in the future. 

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
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