I had a mole shaved on my face about a week ago. I have since been using hydrogen peroxide + neosporin + band aid on it but it hasn't yet formed a scab. I was wondering if I was delaying healing by using hydrogen peroxide + neosporin and if it was recommended to not use these anymore? Also, are there any recommendations for scar preventions (Vit K/Vit.A/Scar creams or gels)? Thank you.
Recommended Post-op Care After Mole Removal?
Doctor Answers 16
Mole removal postcare
I do not recommend using hydrogen peroxide on the area. At this point, use vaseline or aquaphor on the area just for a few days. Also, make sure to minimize sun exposure to the area as it heals.
Wound Care After Mole Removal
Except for the hydrogen peroxide, you are doing the right things. Peroxide is toxic to new cells, so current knowledge lets us know it is best to avoid.
It does not sound like an issue in your case, but Neosporin is causing allergic rashes in up to 30% of people now. It has been around so long and used so much, it may have outlived its usefulness.
Keeping wounds covered is part of the "new" way of caring for skin. It does not "need air to heal" as the old myth goes. It gets its oxygen from the blood supply, not the air.
Finally what to put on to reduce or prevent scarring? Studies show Aquaphor ointment or Vaseline works best!
I know advertisers promote all kinds of other "scar creams," but, unless there is a raised or abnormal healing response, nothing fancy is needed or even likely to help.
Care of Mole After Surgery
I take a slightly different tack than many other doctors. Like so many, I do not recommend Neosporin or Polysporin because of the high potential for becoming allergic to it. Instead, our office recommends Calendula ointment, a homeopathic preparation that patients report does well for them (I think it heals tattoos faster from my personal experience)
And please don't fuss with or worry about the scar. It will take care of itself. Patients tell doctors detailed "scar stories" about which one fell off when or how and the truth is, it doesn't much matter.
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Post operative scar management
For open wounds, use bacitracin twice a day for three days and then vaseline.
When you return in a week, you may switch to vaseline once a day.
Scar care with scar cream for shaved mole would not start until intact skin is formed.
Hydrogen peroxide will delay wound healing
You are on the mark…too much moisture (i.e. neosporin in this case) and hydrogen peroxide will definitely delay wound healing.
Just think about getting a cut and leaving it under water all the time.
Wait until you have some wound healing. The Scar gels and creams come more into play for scar formation, not wound healing. They do help, but aren't necessarily worth a great financial investment if things are progressing normally.
Post operative care after a mole removal
Studies show there is no benefit from using antibiotic ointment compared to plain, clean Vaseline (petrolatum). Many people are allergic to antibiotic ointments, so it is better to avoid them.
We have patients wash the wounds twice a day with soap and water, then cover them with sterile Vaseline and either a Band-Aid or bandage. This works very well.
We do not recommend scar reducing creams. They are expensive and studies show they do not work. Save your money!
Recommended Post-op Care After Mole Removal?
Wound healing after shave excision
Aftercare for mole removal
Every scar will be different depending on the surgery and location of the mole. Our office employs different scar protocols; but most patients will start Melarase creams to prevent PIH.
Raffy Karamanoukian MD FACS
Wound care post mole removal
What we recommend at our practice is washing gently with soap and water so that the crust is completely removed which allows for better healing cosmetically. I would not use hydrogen peroxide as it can be too harsh to the delicate healing tissue. Dry gently then apply a bland ointment such as Vaseline (unfortunately Neosporin has an incredibly high allergy rate) followed by application of a small spot bandage. If you don't like the way the scar looks there are many things that can be done to finesse it (lasers, injections, dermabrasion etc) but wait a few months before pursuing these options so you have healed first.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.