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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. KaramanoukianRealself100 Surgeon
It can take weeks to months for a full thickness graft to have full blood supply and begin to look normal. The skin grafts can form scabs and crusts for 2-3 weeks after they are placed. There is usually healthy, viable tissue under the graft that will grow through into the graft given appropriate time.
In general, I tell patients it takes skin grafts a number of weeks, even months to look like normal skin. It is not uncommon to develop a crust over top of a new graft while it is healing.This can make it look or feel stiff. The new skin grows under this layer and replaces the crust as it is sloughed off. Your surgeon can advise you on the best ways to care for your graft to get optimal results. If the healing does not appear to be progressing as you had expected, I would reach out to the surgeon and ask if the healing is normal for the stage you are at.
Thank you for your question. Typically, during Mohs surgery, nerves are cut which leads to some loss of sensation in the area. Nerves take the longest to heal, up to one year. The feeling, or lack of feeling, that you have in the area a year after your treatment is the feeling...
Thank you for your question. If the biopsy came back as a keratoacanthoma skin cancer, then your dermatologist was correct in recommending Mohs surgery. While treating pre-cancers with liquid nitrogen is a viable treatment option, treating a skin cancer with liquid nitrogen alone is...
Thank you for your question. It would be best to follow-up with the Mohs micrographic surgeon who performed your skin surgery. Lesions on the legs take the longest to heal so it is important to follow the instructions of your surgeon. Developing a non-healing wound or ulcer...