Nasal Tip Bolster was removed today. I was told to not cover it, and to not put anything on the skin graft. Is this normal? (pho

Question

I just had surgery for lentigo maligna melanoma in situ on the nasal tip. The skin graft is almost the size of a dime. My doctor told me to let it heal uncovered, and to not put anything on it. I was told to put Neosporin or petroleum jelly on it, covered carefully with a bandaid, if I needed while in public. Does this sound like good advice? What keeps the graft from getting infected or getting too dry, especially since I take the last dose of cephalexin tonight???

Mark L. Mazow, MD, FACS · Answer

Skin grafts need to be kept moist to heal properly and to epithelialize well. If a skin graft is left to dry out it  may shrink and/or scar. I tell all of my skin graft patents to leave the graft open and use antibiotic ointment or Vaseline twice a day for a month. I would clarify with your sugeon.

Quenby Erickson, DO, FAAD, FACMS · Answer

It is typically my advice to patients to keep the graft smothered in vaseline and covered with a non-stick bandage until the skin doesn't look like it will scab or dry out. This is typically a couple weeks after the bolster comes off.  I would encourage you to clarify with your Mohs surgeon for specific instructions.Dr. Quenby Erickson, DO, FAAD, FACMS

Nasal Tip Bolster was removed today. I was told to not cover it, and to not put anything on the skin graft. Is this normal? (pho

Answers (2)