Wound Not Healing After MOHS Surgery on Top of Head

First off, I am sure you have an overwhelming amount of stress around this surgery. I would take a deep breathe and relax. I am not sure of the details of this surgery but it sounds like this area was allowed to heal by second intention (on its own) following surgery. This is sometimes used instead of stitching, especially in an area like the scalp where there is not a lot of slack skin to pull together. When a wound heals this way, it takes a long time, around 2 months like the other two Mohs and Reconstructive surgeons said. The way you are describing it, makes it sound like it is healing normally but I would agree with the other two surgeons and recommend you contact the Mohs surgeon to see if he/she can take a look at the area. The wound care that you are doing is a good regimen and one does not need to use an antibiotic unless there is an infection. Although it is scary, often times it is ok to wash the area with soap and water, which is what I recommend to my patients. Check with you Mohs surgeon again to see what their preference is. Good luck.

It's not unusual for a wound to take 4-6 weeks to heal after surgery if allowed to heal by seconday intention (in other words, to let it heal by itself without repair). As a general rule, you want to keep the wound moist and covered to facilitate good healing. I would recommend that you contact your Mohs surgeon and go in to his/her office and be evaluated. Whenever my patients have a question about whether things are healing correctly, I encourage them to come in so that I can examine the wound and discuss with the patient. Good luck.