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It can take a number of months for the graft to flatten and you should ask you PS regarding scar management and massage. It can take 12-18 months for the graft to blend.
Thank you for your question; A photo would be very helpful in answering your question. Skin grafts sometimes need help to flatten out; sometimes they are injected with steroids and sometimes we laser them or dermabrade them to flatten them out. If you are concerned about a puffy skin graft, you should go back to your mohs surgeon and get advice on treatment. Good luck!Dr. Quenby Erickson
Usually I tell patients that the use of a graft is a 2 part surgery. One to place the graft. Let it take over one month to 6 weeks of babying it. The. If there are any edges off or elevation to the graft we either inject with steroid to flatten and wait a month or dermaplane the offsets and let heal. Those are just the guidelines I use nothing is cut in stone! Best A