There is a concave stitches after Mohs surgery. Is this normal? (photos)

Question

29 year old female. Mohs procedure to remove 3 mm BCC on middle left side of nose. Simple closure but still opted to have plastic surgeon do it. Received 2 internal stitches and 5 external stitches. My concern is the stitching does not look normal and there is a large concave indentation formed. Pic taken 3 days post op. I am very concerned and not sure what I should do.

Stephen Weber MD, FACS · Answer

At this point you should not do anything. You're barely three days out from surgery. There is likely significant swelling above and below the skin closure. This will resolve with time. The skin of the nose will also tend to relax and remodel following reconstructive surgery. I assume you have a suture removal appointment in 2-4 days and that will give you a chance to ask your plastic surgeon their thoughts on the repair. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Josef Hadeed, MD, FACS · Answer

Generally speaking, there will be swelling around the area of the Mohs excision.  If you have any concerns you should notify your plastic surgeons office immediately.

There is a concave stitches after Mohs surgery. Is this normal? (photos)

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