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Light bleeding 3 days after sutures removed after Mohs procedure. Normal or not? (Photo)

RCCruiser2006Jul 20, 2018
Basal cell carcinoma on forehead removed 7/9. Sutures removed 7 days later. Doctor was not present at time of suture removal. Assist didn't give any instructions. 3 days later there has been light bleeding. I've been using antibiotic ointment and bandaid. Why am I lightly bleeding? The picture was taken tonight 7/20. MOHS performed 7/9. Does it look like it opened up? Calling my dermatologist on Monday since it's the weekend. Any opinions or recommendations?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Angelique M. Berens, MD
Board Certified Otolaryngologist
Answered on Oct 14, 2019
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John Louis Ratz, MD

You may have had a small arteriole "break", although it would be unusual for this to happen two weeks after the surgery. It could be that you might have had a minor injury to your nose around that time that broke a weakened vessel or, if absorbable sutures were used, one might have been absorbed...

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Brad M. Gandolfi, MD

The swelling after a moh's surgery depends on multiple factors but it is hard to determine what is going on from your story without a picture showing the incisions.  Lymphatics grow in over time but swelling should be minimal if present at all no matter what technique was used by 5 months.

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Brad M. Gandolfi, MD

Hi David, that does not look like pus. Generally what you will see is some necrotic (dead-ish) skin debris. Without a graft, expect your nostril to get pulled up pretty significantly as the wound heals. However, in this location, a skin graft would not be the first option for reconstruction.

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