Dark Spots in Graft After Mohs for Basal Cell Carcinoma (BCC)

asked 1 year ago by 221641anon in SC
Latest answer by Robert Strimling, MD
Question viewed 1,265 times
Tags: eyes, basal cell carcinoma, dark spots, graft

Should I worry about a graft with dark spots and some splitting around the borders 10 days post-op? Please see photo. Thanks!!

5 answers to Dark Spots in Graft After Mohs for Basal Cell Carcinoma (BCC)

Graft site after mohs surgery

It is difficult to tell for sure what the balck spots are on your photo. The best advice would be to have your surgeon evaluate the graft to insure that nothing needs to be done at this time.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Graft with dark spots

Thank you for sending a picture. Your graft actually looks good, and you should do well. You will be able to tell exactly what is going to happen in a few more weeks.

Purvisha Patel, MD
Germantown Dermatologist

Ten days post-op is very early for a graft

If you are ten days post-op on your graft, I would not be too worried at this point in time. In your picture your graft has appeared to taken. Frankly, most grafts don't look that good for the first several weeks after surgery. The dark spots and splitting that you mention should not be that big of a deal. If they are still persistent a few months down the road, then you may want to have some revision done (i.e dermabrasion). So in summary, please be... more

Brent Spencer, MD
Frisco Dermatologic Surgeon

Skin grafts can look very peculiar for the first several weeks

Some grafts look very red,others purple or black for the first several weeks. The dead skin cells that normally peel away from our skin every day, are not allowed to shed if the skin graft was covered for a week so it is common to see this delayed shedding starting around the second week. Edges may look dried out and curl up. Many grafts looking very unusual for the initial period mature into very reasonable appearances. there is no perfect graft. The color usually fades to lighter but... more

Ronald Shelton, MD
Manhattan Dermatologist

Black spots in skin graft

I am reticent to give advice based on a photo. But, do not see any obvious reason for concern. Black spots may represent dried blood or focal scab formation. However, you should always follow-up in person with your treating dermatologic surgeon for any wound healing concerns as soon as you practically can.

Robert Strimling, MD
Las Vegas Dermatologist

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