Appearance of skin graft after Mohs reconstruction
Skin grafts go through an evolution of color changes during the first several weeks and months after surgery as the new blood vessels grow into and integrate within the graft. At 1 week, grafts can often have a similar appearance to what you show in your photos. There is always a chance that a portion of the skin graft may not survive, but in many cases even when this does happen, the final outcome ends up okay as the rest of the tissue heals in from the undersurface. I would recommend continuing follow-up with your surgeon in the first several weeks after the graft if you have ongoing concerns.
Is this a normal appearance for 1 week after a Mohs graft on nose?
Yes it is pretty normal. I do a ton of these Mohs reconstructions. That skin graft will take months before it really looks the way it should look. It will go through lots of changes over the next 6 weeks. The early phase of wound healing is the inflammatory phase and that is why it looks so angry. It will slowly grow new blood supply and change over the next several months so just be patient. I know it is hard because it is your face, but rest assured it will get better. Sincerely,DrRickAZ
Skin graft question...
Skin grafts are fragile repairs that simply take a bit more time to heal than other methods. Overall yes I think the graft looks fine and the darkness that you are seeing is common and will most likely resolve. Think of the graft like planting a piece of sod grass...it is harvested from somewhere and placed somewhere else. In the process, the graft must recreate its root system and "take" to the new location. There may be a few parts of the graft that struggle a bit more but overall I think it looks like it will be ok. Be sure to follow your instructions, which likely call for keeping it greased up with Vaseline (or similar).