Swelling after MOHS surgery. How much is too much? (Photo)

Thank you for your question.  It has been my experience that swelling after Mohs is to be expected, especially delayed swelling and bruising 2-3 days after surgery.  During the Mohs procedure, local anesthetic is injected to adequately numb the area.  The normal swelling from the procedure coupled with any anesthetic fluid will migrate down due to gravity and settle around the eye.  It is best to follow-up with your board certified dermatologist/Mohs surgeon for any concerns as they are familiar with your specific case.

Hi,
I always tell patients to expect marked swelling three days after surgery. It is usually worse at this time and can be normal for the eyes to be swollen shut. The most important thing is to make sure you do not have increased pain compared to earlier days. If you do, you should consult your doctor to make sure you do not need to be seen for a check up. 

Based on your photo, the swelling you are experiencing seems appropriate. Fluids follow the law of gravity and flow downwards when you are upright. So it is not unusual to have fluid build-up in the eyelids and even the jawline. The same can be said for bruising. Apply ice compresses to the surgical area to minimize more fluid production which should be waning very soon. If swelling continues over the weekend, see your Mohs surgeon for further evaluation.

I tell people after any surgical procedure that at about 48 hours you will look the very worst. This has to do with blood flow and gravity. You will also always look worse first thing in the morning. I don't see anything abnormal in your swelling. Cold compresses can help. No Advil or ibuproften or Aleve - Tylenol only if needed. Hang in there. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."