PENG closure after MOHS nose surgery tightness and tingling pain 10 weeks post op, is this normal?

Question

My MOHS procedure on tip of my nose ,took 3 times to get clear margins as it was deep and long ...biopsy after showed Nodule and Infilterative Basal. My surgeon closed with a PENG closure on the same day using dissolvable stitches .9 weeks later healng well to look at ,surface stitches gone to naked eye .Concern is the constant soreness , slight tightness ,sharp and tingling pain underneath , from the tip to bridge of nose . also itching

Raffy Karamanoukian, MD, FACS · Answer

Moh’s surgery on the face often requires surgical repair and reconstruction to reapproximate the skin edges. Flaps or direct closure techniques are used. It is important that you optimize scar healing during this phase in order to reduce longterm scars. For red scars, we use Vbeam laser, followed by fractional laser for scar topography and contour. We recommend Plato’s Scar Serum twice daily for the immediate postoperative period. Fractional laser is safe for scar laser therapy. 
There are treatments for swelling and edema of the scars. If there is residual sutures or edema, we advise you to follow a scar treatment protocol that can minimize the time to recovery. Our office specializes in scar revisions for Moh’s surgery. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Vicki J. Levine, MD · Answer

I believe that all of your complains are normal and will resolve with time .  When you cut the skin  you also cut little nerves .  As they start to regrow you can have funny feelings in your skin .  They are called paresthesias .  Given time they will go away . If you have any concerns certainly call your doctor .

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PENG closure after MOHS nose surgery tightness and tingling pain 10 weeks post op, is this normal?

Answers (2)

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