Can Scar Be Fixed After Mohs?

asked 1 year ago by 221641anon in SC
Latest answer by Robert Strimling, MD
Question viewed 1,913 times
Tags: nose, male, basal cell carcinoma, scar

Can it be fixed? Should it be fixed? The photo shows my left eye 10+ weeks after a skin graft following Mohs surgery to remove a basal cell lesion. Even with daily massage, the scar remains very hard and lumpy. The graft pulls down my inner eyelid to the point that I have to reach in with a q-tip just to clean my eye. In the photos, my nose appears crooked but it is not (or wasn't). The graft had all bunched up right after the exterior stitches were removed and I think that's why it's so lumpy.

11 answers to Can Scar Be Fixed After Mohs?

Scar Improvement After Mohs Surgery

Ten weeks is a relatively short period following reconstruction. As a general rule, it takes about 6-12 months to reach the final "result" after any type of surgery. However, there are some things that can be done at 10-12 weeks to "fine tune" your result, including injections of steroids to soften the scar and dermabrasion (a.k.a scarabrasion) to help blend in the scar with the surrounding skin. Talk to the doctor who performed the surgery about what your options are to... more

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon

www.dermatology-center.com

Skin grafts change appearance over 18 months

There is a long maturation for skin grafts. Many that get lumpy initially flatten over time and others that are flat can raise up. The surgeon can show you how to massage the area and sometimes, if it doesn't flatten, corticosteroids can be injected to make it flatter faster but there are risks that the surgeon can discuss with you.

Ronald Shelton, MD
Manhattan Dermatologist

Medial Canthal Area Scar Can be Fixed

Full thickness skin grafts in the medial canthal area can heal up beautifully but can also get the fibrotic reaction that occurred to you. When this happens, it is usually best to remove the entire graft and use a local flap instead. The size of the defect is small enough that it likely could be done in the clinic under local anesthesia.

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Scar revision

Yes, the area (scar) can be revised but you should wait about 3 months after surgery before you do anything else. I recommend consultation with an oculoplastic surgeon familiar with eyelid/canthus anatomy for reconstruction. Dr Taban

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

Can the graft be fixed

You are still early after the graft placement, but yes the area can be addressed and revised so that scar contraction does not pull on your medial canthus.

Purvisha Patel, MD
Germantown Dermatologist

Scars after Mohs Surgery can be improved / fixed

Yes, in most situations, scars after Mohs surgery can be improved ("fixed"). See your dermatologic surgeon and tell him or her your concerns; so that he or she may properly evaluate the scar, discuss with you the various treatment options and formulate a plan for improving your post-Mohs Surgery scar.

Robert Strimling, MD
Las Vegas Dermatologist

Options for scar revision after Mohs surgery

You might benefit from a steroid injection to soften or loosen up the hypertrophic scar. Time will also help the scar improve. CO2 laser resurfacing would help smooth out the bumpiness and irregularity of the scar--this is usually performed about 6 months after the initial surgery.

M. Christine Lee, MD
Walnut Creek Dermatologic Surgeon

Skin graft

~ 10 weeks out is still relatively early in the postop period for skin grafts. It will improve over the next several weeks and months. Revision is possible to help improve the appearance however. If you are developing a medial ectropion then you may want to seek consultation with an oculoplastics surgeon.

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon

Patience may be the best bet to allow scars to improve after Mohs surgery

Facial surgical scars often look worse in the first few weeks (or months) and improve often dramatically with time. This may account for the popularity of scar creams (patients tend to use them while the scars are spontaneously improving over time and then give credit to the cream!). The trick is time. I don't think you can judge the final outcome of the scar until about a year after surgery (some feel even longer). There is a good chance that the... more

Daniel Berg, MD
Seattle Dermatologic Surgeon

Repair of graft after Mohs

Based on your photos, I believe this can be drastically improved with a simple 5 minute procedure with superficial planing and manual dermabrasion. Dr. Malouf

Peter Malouf, DO
Dallas Dermatologist

mytotalskincare.com

Skin grafts after mohs surgery

Typically these heal excellent and are a great choice to correct a surgical defect from mohs. If you have an unsightly result, give it time, as time does amazing things to correct unsightly scars. However, if you eyelid is pulling down (ectropion) I would suggest discuss corrective options with oculoplastic surgeon.