I had a mole shaved on my face about a week ago. I have since been using hydrogen peroxide + neosporin + band aid on it but it hasn't yet formed a scab. I was wondering if I was delaying healing by using hydrogen peroxide + neosporin and if it was recommended to not use these anymore? Also, are there any recommendations for scar preventions (Vit K/Vit.A/Scar creams or gels)? Thank you.
Recommended Post-op Care After Mole Removal?
Doctor Answers (11)
Wound Care After Mole Removal
Except for the hydrogen peroxide, you are doing the right things. Peroxide is toxic to new cells, so current knowledge lets us know it is best to avoid.
It does not sound like an issue in your case, but Neosporin is causing allergic rashes in up to 30% of people now. It has been around so long and used so much, it may have outlived its usefulness.
Keeping wounds covered is part of the "new" way of caring for skin. It does not "need air to heal" as the old myth goes. It gets its oxygen from the blood supply, not the air.
Finally what to put on to reduce or prevent scarring? Studies show Aquaphor ointment or Vaseline works best!
I know advertisers promote all kinds of other "scar creams," but, unless there is a raised or abnormal healing response, nothing fancy is needed or even likely to help.
Mole removal postcare
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.
Post-op Care after Mole Removal
There are several things you can do to speed up the healing process and minimize scarring. First clean the area with water, apply an antibiotic ointment to the area. Do not use neosporin or vitamin E. this could actually slow the healing process. After the ointment, apply a clean bandaid. There is a common misconception that a wound needs to "air out". This isn't true. Keeping ointment and fresh bandaids on the area will help it not form a scab and actually help the area not scar. The area should be completely healed in 4-10 days allowing you to discontinue treatment.
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Mole removal aftercare
Stop the hydrogen peroxide and neosporin. Use vaseline or aquaphor instead. Vit E oil is also OK. You can stop wearing a band aid at this point as well.
Post-Operative Care of Shave Excisions
Below is a copy of the handout I give to all of my patients after a shave excision. Keeping the area protected will usually prevent a scab from forming which is advantageous.
• Removed the Band-Aid, if present, tomorrow morning and gently wash the area with soap and water twice a day.
• After washing, pat dry and apply Aquaphor Healing Ointment™, Vaseline™, or petroleum jelly. These may be purchased over-the-counter at any drugstore.
• After today, a Band-Aid is optional. The ointment will act as a protective covering.
• Continue to apply the ointment until the area has healed - usually one to two weeks.
• Shaving or using makeup can be resumed after the scab has come off.
• For the first few days the area can become quite red and inflamed which is normal.
Wound care after mole removal
Wound healing after shave excision
Aftercare for mole removal
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
Wound care post mole removal
What we recommend at our practice is washing gently with soap and water so that the crust is completely removed which allows for better healing cosmetically. I would not use hydrogen peroxide as it can be too harsh to the delicate healing tissue. Dry gently then apply a bland ointment such as Vaseline (unfortunately Neosporin has an incredibly high allergy rate) followed by application of a small spot bandage. If you don't like the way the scar looks there are many things that can be done to finesse it (lasers, injections, dermabrasion etc) but wait a few months before pursuing these options so you have healed first.