Recommended Post-op Care After Mole Removal?

I Don't recommend using hydrogen peroxide, it's irritating and toxic to cells. I tell my patients to wash normally with soap and water then apply simple moisturising creams. If I'm worried about hypertrophic scar (lumpy scars) I prescribe them silicon gel or sheets. 

You are on the mark…too much moisture (i.e. neosporin in this case) and hydrogen peroxide will definitely delay wound healing. Just think about getting a cut and leaving it under water all the time.Wait until you have some wound healing. The Scar gels and creams come more into play for scar formation, not wound healing. They do help, but aren't necessarily worth a great financial investment if things are progressing normally. 

Thank you for your question.  It sounds as if you have done all the right things.  Now at a week after the mole shaving, I would recommend you stop the hydrogen peroxide, neosporin, and bandaid, and instead apply Aquaphor or vaseline to the site several times a day.  The moisturized environment will allow the area to heal quickly.

Every scar will be different depending on the surgery and location of the mole. Our office employs different scar protocols; but most patients will start Melarase creams to prevent PIH.Raffy Karamanoukian MD FACS

I do not recommend using hydrogen peroxide on the area.  At this point, use vaseline or aquaphor on the area just for a few days.  Also, make sure to minimize sun exposure to the area as it heals. 

Hydrogen Peroxide is generally a poor choice for post excision wound care as it is very irritating and can actually result in some tissue damage. We all used it as children, but that routine has fallen out of favor. You can wash gently with mild soap and water and simply apply aquaphor twice a day. The aquaphor will help prevent the formation of a strongly adherent scab which can make your scar look worse and even somewhat depressed. Neomycin is a fairly common contact so I tend to skip it. Cover it with a fresh bandage and even after it heals, protect it from sunlight to reduce the risk of post inflammatory pigment changes. I don’t routinely use “scar creams”. If the patient tends to form keloids or hypertrophic scars then that becomes a different conversation.

After a shave removal of the mole- the wound should be kept moist and covered for up to 2 weeks. Hydrogen peroxide impairs wound healing and scar gels and creams are not clinically proven effective. 

I take a slightly different tack than many other doctors.   Like so many, I do not recommend Neosporin or Polysporin because of the high potential for becoming allergic to it.  Instead, our office recommends Calendula ointment, a homeopathic preparation that patients report does well for them (I think it heals tattoos faster from my personal experience)And please don't fuss with or worry about the scar.  It will take care of itself.  Patients tell doctors detailed "scar stories" about which one fell off when or how and the truth is, it doesn't much matter.

After a minor procedure, you can shower within 24 hrs.For open wounds, use bacitracin twice a day for three days and then vaseline.When you return in a week, you may switch to vaseline once a day.Scar care with scar cream for shaved mole would not start until intact skin is formed.

Wounds heal better when kept occluded. This means that it is better to keep them
covered and not let a scab form. They heal faster and result in less of a mark.

Studies show there is no benefit from using antibiotic
ointment compared to plain, clean Vaseline (petrolatum). Many people are allergic to antibiotic
ointments, so it is better to avoid them.

We have patients wash the wounds twice a day
with soap and water, then cover them with sterile Vaseline and either a Band-Aid
or bandage. This works very well.

We do not recommend scar reducing creams. They are expensive and studies show they do
not work. Save your money!