What is the best way to recover from the shave biopsy/excision of a mole? Can I use a hydrocolloid dressing? (Photo)

Question

This was done two days ago. I start a new job in five days and am looking for the best way to promote healing. Right now I have antibiotic ointment on it, but it's somewhat itchy and when I leave the house, I would prefer to cover the wound. I have read that hydrocolloid bandages can be a good option. If I do use one, how will I know when to change it? There's a decent amount of exudate since no scab has formed, but I could probably leave the bandage on for a couple of days.

Payman Kosari, MD, FAAD · Answer

The only recommendation I give patients after mole removal is to make sure to wash with soap and water followed by application of petroleum jelly (i.e. Vaseline). This is usually enough for proper wound healing and there really is no need for a topical antibiotic as likelihood of infection is very low. With that said, you can try a hydrocolloid dressing in an attempt to expedite healing. When using Duoderm (a hydrocolloid dressing), I tell patients to cut a very small size (slightly larger than the size of their wound) of the dressing, leave it on for 24hrs before replacing it. You can continue this for 3-5 days and then assess the healing. If using Duoderm, you don't need to coat the wound with Vaseline. Good luck with your new job!Best,

Payman Kosari, MD, FAAD
Dermatology, Laser and Vein Specialists
Charlotte, NC

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Payman Kosari, MD, FAAD
Dermatology, Laser and Vein Specialists
Charlotte, NC

*Please remember to +1 answers you like to keep
them at the top
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Jacquelyn Dosal, MD · Answer

If the antibiotic ointment is making you itchy, I would switch to vaseline or Aquaphor and cover with a regular bandage.  Clean it twice a day with soap and water, apply the ointment and a fresh bandage and it should heal up nicely.

What is the best way to recover from the shave biopsy/excision of a mole? Can I use a hydrocolloid dressing? (Photo)

Answers (2)

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