What is the typical recovery and downtime from Mohs surgery? What should I expect for after care needs?

More and more dermatologic surgeons are moving to just plain vaseline or Aquaphor for post-op wound care as there is significant prevalence of allergy to neomycin, bacitracin and/or polysporin. Sometimes it may not be easy to distinguish wound infection vs. allergic reaction to topical antibiotics. The hallmark of infection is pain and the hallmark for allergic reaction is itching. Prophylactic oral antibiotics may not always be necessary; however if one experiences pain in surgery site after first 3-4 days, you should call your Mohs surgeon for consideration of oral antibiotics and re-evaluation to rule out post-op infection or hematoma (entrapment of blood drainage).

Your recovery all depends on the location of the surgery, the extent of the removal and size of the defect prior to closure, the amount of tension and the type of closure. Swelling is more likely to occur around the eyes, as well as bruising. Lips tend to swell also. Ears may be more painful postoperatively than other sites. Usually within two to four weeks, the closure begins to look more presentable, but again, this all depends on the factors mentioned previously.