Can I expect the scab from a 4 week tiny skin graft from ear to nose (basal cell) to fall off? (Photo)

Question

I had mohs procedure on my nose 4 weeks ago. A skin graft from my ear and it is less than 2mm. The scab is hydrated and smaller every day however it is lifting at the edge. Will the scab will eventually fall off? if yes, at what point (5/6 weeks?) would I expect scab to fall off? Do you think I should be alarmed that it is lifting at edge and contact dr?

Clayton Crantford, MD · Answer

Kasclffe,
Continue to keep the surgical site well-hydrated with vaseline ointment. I would expect the scab to fall off in the next 1-2 weeks. Follow up with your surgeon in order to get the best results. 
Clayton Crantford, MD

Peter J. Jenkin, MD, FAAD · Answer

Full-thickness skin grafts like this are always a work in progress until they finally achieve their final result.  At this point I think the most important thing is to keep it well hydrated with plain Vaseline and keep it covered with a bandage until all the scabbing and and crusting has gone.  Do not worry about any lifting at the edges at this stage.  I would stay in touch with your surgeon because this could well need to have some intralesional steroids or dermabrasion in 6-12 weeks in order to get the best cosmetic result.  All the best.

Sarah Schram, MD · Answer

If the scab is starting to lift at the edges, I would expect it to fall off within the next 1-2 weeks.  Do not attempt to pick or pull it off as that might damage the graft underneath.  I would keep the area hydrated with vaseline.  I would recommend following back up with your surgeon though so that they can make sure you get optimal cosmetic results.

Can I expect the scab from a 4 week tiny skin graft from ear to nose (basal cell) to fall off? (Photo)

Answers (3)