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I had Mohs surgery. Is this a normal part of the process? (Photo)

DiMullJun 28, 2018
I had Mohs surgery on my nose June 11. I had stitches out on June 18. Yesterday a blood blister formed at the bottom of the scar. It looked better this morning, but then this afternoon, when I got hot it got larger. I have been using silicone sheeting stripes during the day, due to sun exposure. Is this a normal part of the process or an urgent issue?

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From board-certified doctors and trusted medical professionals
Dr. John Louis Ratz, MD
Board Certified Dermatologist
Answered on Jun 30, 2018
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Brad M. Gandolfi, MD

The swelling after a moh's surgery depends on multiple factors but it is hard to determine what is going on from your story without a picture showing the incisions.  Lymphatics grow in over time but swelling should be minimal if present at all no matter what technique was used by 5 months.

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Brad M. Gandolfi, MD

Hi David, that does not look like pus. Generally what you will see is some necrotic (dead-ish) skin debris. Without a graft, expect your nostril to get pulled up pretty significantly as the wound heals. However, in this location, a skin graft would not be the first option for reconstruction.

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Brad M. Gandolfi, MD

What you are describing sounds like nerve pain. As a nerve heals it can be itchy, painful, or can give occasional sharp bolts of pain. Numbness means nerve injury, which can occur to a small branch of nerve that runs through the forehead on the way to the scalp. Be patient, and discuss it with...

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