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Recommended Post-op Care After Mole Removal?

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.

Doctor Answers 12

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.


Nashville Dermatologic Surgeon
5.0 out of 5 stars 1 review

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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. 

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 164 reviews

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.
 

Gary Goldenberg, MD
New York Dermatologist

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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.  

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
5.0 out of 5 stars 9 reviews

Wound care after mole removal

Several things on the care of the biopsy site: - hydrogen peroxide, alcohol, iodine can all slow down the healing process and should not be used. Washing once a day with a mild soap and some water is plenty to cleanse the wound. - after washing and gently drying the area, apply a small amount of antibiotic ointment and a bandaid until the spot heals. - we don't actually want a scab to form for ideal wound healing. The wound closes by the keratinocytes (skin surface cells) migrating from the cut edges towards the center of the wound. They that best when the wound is moist. If there is a scab, it stops or slows down the keratinocytes from coming together because they can't go under the scab.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Recommended Post-op Care After Mole Removal?

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.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 reviews

Wound healing after shave excision

I do not recommend hydrogen peroxide as it is quite irritating and tissue toxic. I advise patients to wash their faces and shower normally the day after surgery, gently dabbing the area dry afterwards. I then recommend a light application of vaseline twice daily as the shave excision site heals over the next week or so. Sunscreen is also important to protect the surgical site from UV exposure for one year post-operatively as the scar fades.

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

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 58 reviews

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. 

Post-op care for mole removal

You are definitely using the right post-op protocol to care for your mole which has been removed.  There was a study that showed that it is important to keep the wound covered or moist with something such as Bacitracin to allow the body to heal itself by producing a thin film on the wound.  Vitamin K creams and scar creams are only necessary if weeks later there seem to be discoloration.

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.