2 Days Post-op MOHS Surgery - How to Reduce Swelling?

Question

Dear doctors, I had a nodular BCC removed 2 days ago via MOHS - lateral to my right nostril in the nasal labial crease. Final incision extends from the right nostril following down the nasolabial crease, ceasing ~1cm from rt corner of mouth. I had no swelling the day after but woke up today with lots of swelling, no redness or signs of infections. I've been sleeping fairly upright, avoiding salt, lots of fluids. What else can I do to reduce swelling? Ice? OTC meds? Thank you!

Ron Shelton, MD · Answer

It is not unusual to develop significant swelling one day after Mohs surgery.  Avoiding straining, lifting, laying flat and bending over helps. Ice packs can help even one day after surgery but check with your surgeon as to how long to leave the ice on and how frequently to reapply. Some doctors recommend taking Arnica montanna, an herb found in health food stores and pharmacies, as it may reduce swelling and bruising.

Stephen Weber MD, FACS · Answer

What you describe is not unusual. As long as you don't have a hematoma (collection of blood under the skin) things will heal normally. If you're concerned about fluid under the incision, return to your surgeon for checkup. Otherwise, your swelling should steadily subside.
	Best,Stephen Weber MD, FACS

Andrew Kaufman, MD · Answer

You develop the greatest amount of swelling the first 48 hours after surgery. Ice packs for 15-20 minutes of every hour you're awake, elevating the surgery site, and minimizing activities during this time can help. If it persists or becomes worse, you should see your doctor.

Jeffrey Ellis, MD · Answer

Swelling after surgery can be normal, and it sounds like you are doing lots of right things.

	However, if you have any concerns, there is no substitute to visiting your surgeon for a quick postoperative visit.

Laurie Jacobson, MD · Answer

Your post-operative description sounds very normal and you are doing all the right things.  Make sure to avoid exercise or anything that raises your blood pressure as that can easily contribute to even more swelling.  Also, having a firm 'pressure' dressing can be helpful too.  If it seems unusual to you in any way, always let your doctor know and s/he can evaluate in person.   Swelling after Mohs surgery can often last a week or more depending on the size of the cancer and the size of the repair that is required after its removal.

2 Days Post-op MOHS Surgery - How to Reduce Swelling?

Answers (8)

Answer: Swelling can be normal

Answer: Swelling can be normal

Answer: Post operative swelling is normal

Answer: Post operative swelling is normal

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Everything you need to know about Mohs Surgery

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2 Days Post-op MOHS Surgery - How to Reduce Swelling?

Answers (8)

Answer: Swelling can be normal

Answer: Swelling can be normal

Answer: Post operative swelling is normal

Answer: Post operative swelling is normal

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Recommended reading

Everything you need to know about Mohs Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.