Day 10 since forehead full thickness skin graft. Very dark? Mohs (Photo)

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. Karamanoukian
Realself100 Surgeon

Dear Gortx, Thank you for your question. A skin graft can often be more darkly colored at day ten. Stay in close touch with your surgeon, because you will likely need further procedures to help improve the result. Such procedures might include dermabrasion or laser resurfacing. Please let us know if you have any other questions or concerns. Good Luck! 

It is difficult to tell whether the skin graft has taken and best to see your PS for advice and reassurance. 

Unfortunately, there is no guarantee that a skin graft will "take". For that matter, there is no guarantee with anything in medicine. That  being said, there are questions doctors performing surgeries like this should ask their patients. They are questions about smoking, blood pressure and bleeding(such as taking blood thinners), as these can all put a graft or flap at risk. If there are risk factors present for either a graft or flap, the wound could be allowed to heal by itself. In this location and size of the wound, the result could be very acceptable. All of this could have been taken into consideration. As far as the fate of your graft, we'll, it doesn't look great, but still might take. If it doesn't take, it will probably be left in place as a "biologic dressing" until it sloughs off.