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My Scalp is Still Numb 4 Weeks After Mohs Surgery is This Normal?

I had Mohs surgery 4 weeks ago and flap closure. My scalp is still very numb and I have scabs on my scars. how long will it take for things to improve

Doctor Answers (4)

Numbness of scalp 4 weeks after surgery

+1

Numbness of the scalp is common for many weeks after surgery. It may take as long as 6 months for sensitivity to return.

New York Plastic Surgeon
5.0 out of 5 stars 9 reviews

My Scalp is Still Numb 4 Weeks After Mohs Surgery is This Normal?

+1

I do a few 100 MOHs repairs every year. Many are in the scalp or forehead. My patients complain of numbness all the time. This is normal. There can be numbness in the scalp due to a sensory niece that runs in he forehead tissue. This nerve can be permanently injured due to the cancer removal or from the flap repair. Fortunately most of the time it is just a "bruised" nerve. It can take from 1-6 months to resolve. If it lasts beyond that some feeling may come back but most likely it will not. The scabs are normal as well.  These are areas either of delayed wound healing or scabs similar to when you skin your knee. They will fall off when the tissue beneath the scabs heal. You seem to progressing in a normal fashion.

Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

Scalp numbness after Mohs

+1

Your numbness is normal. In many instances depending upon the depth that the cancer was, some of the nerves may have been cut, which is causing the numbness. These nerves will regrow and rejoin, but it does take time. As for the scabs, if you can keep the area clean with 1/2 peroxide and water and keeping it free from scabs it would actually be better. I tell patients to keep any removal sites clean and free from scabs and to apply either Polysporin or Vaseline liberally to keep it moist. Scabs=scars, so keeping it moist and clean will actually help it heal faster and better.

Las Vegas Dermatologist
4.5 out of 5 stars 6 reviews

Numbness after Mohs surgery

+1

It is perfectly normal to have numbness on the skin after Mohs surgery, even at 1 month post-op. If your surgery was performed on the forehead, the scalp adjacent to the surgical site might feel numb as well. In general, when you cut through the skin during the Mohs procedure, you often cut through the nerves in the skin as well. These nerves regrow, but they regrow extremely slowly. In some patients, it can take up to a year for the nerves to regrow and for this sensation to subside.

Austin Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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