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Nodular BCC - After Mohs Surgery
Hello,
I had Mohs surgery done 2 weeks ago. My doctor could not do the surgery so another surgeon came in his place. It is the Social Security in Span, you can’t pick your doctor: this is “free” treatment.
Only one slice taken off and I was celan of BCC, I was lucky. As it was small, surgeon said, she performed a direct suture wound closure (primary intention). She added Steri-Strips on top.
Once home, I followed instructions nurses told me:
- Day 1 and 2: two days dry. Do not touch.
- From Day 3: clean, dry well with cold air from hairdryer and add iodine.
- Day 4: Take off Steri-Strips with care, softening them with warm water. (one nurse told me leave them to fall on their own, the other one told me to take them off after 48h. I did take them off, with a lot of care, on day 4 as they were about to fall anyway.)
When I took them off, I saw had some skin “damage”, and I thought it had been done on purpose and it was normal. A crust form over the damaged skin.
Day 10: I go to have the sutures taken off.
The nurse that took of my sutures told me
- it was wrong to use iodine and it was a mistake from the nurses to tell me to do so.
- Two sutures had opened. (if that was the case, they had opened on Day 1 or 2 or 3, while I had the Steri-Strips on, so I did not see it happening.)
- I had a small infection which she cleaned.
- Wound can not be closed now, a secondary intention is needed with worse aesthetic outcome.
She took off the crust and told me “do not allow it to grow again”.
- Clean it once or twice everyday with soap, very well
- soften the crust and take it off every day.
- Then, add on top antibiotic gel.
- Do not cover it, only when you go to bed.
Day after I went to see a dermatologist I trust, the only one that had told me the BCC was small (all the others told me it was not). He told me the suture went wrong, it was in an area with a lot of tension and it broke. He also told me not to take the crust off. So I don’t.
Now I am a bit lost with questions in my head. Something that was small and should have been easy ... is not. I do not want to make it worse:
- Can a suture break in 2 days? That quick?
- Should I take the crusts off (I have a second crust now) or leave them on?
- What can I expect from the healing?
- What should I do next to improve the scar.
Thanks!
I had Mohs surgery done 2 weeks ago. My doctor could not do the surgery so another surgeon came in his place. It is the Social Security in Span, you can’t pick your doctor: this is “free” treatment.
Only one slice taken off and I was celan of BCC, I was lucky. As it was small, surgeon said, she performed a direct suture wound closure (primary intention). She added Steri-Strips on top.
Once home, I followed instructions nurses told me:
- Day 1 and 2: two days dry. Do not touch.
- From Day 3: clean, dry well with cold air from hairdryer and add iodine.
- Day 4: Take off Steri-Strips with care, softening them with warm water. (one nurse told me leave them to fall on their own, the other one told me to take them off after 48h. I did take them off, with a lot of care, on day 4 as they were about to fall anyway.)
When I took them off, I saw had some skin “damage”, and I thought it had been done on purpose and it was normal. A crust form over the damaged skin.
Day 10: I go to have the sutures taken off.
The nurse that took of my sutures told me
- it was wrong to use iodine and it was a mistake from the nurses to tell me to do so.
- Two sutures had opened. (if that was the case, they had opened on Day 1 or 2 or 3, while I had the Steri-Strips on, so I did not see it happening.)
- I had a small infection which she cleaned.
- Wound can not be closed now, a secondary intention is needed with worse aesthetic outcome.
She took off the crust and told me “do not allow it to grow again”.
- Clean it once or twice everyday with soap, very well
- soften the crust and take it off every day.
- Then, add on top antibiotic gel.
- Do not cover it, only when you go to bed.
Day after I went to see a dermatologist I trust, the only one that had told me the BCC was small (all the others told me it was not). He told me the suture went wrong, it was in an area with a lot of tension and it broke. He also told me not to take the crust off. So I don’t.
Now I am a bit lost with questions in my head. Something that was small and should have been easy ... is not. I do not want to make it worse:
- Can a suture break in 2 days? That quick?
- Should I take the crusts off (I have a second crust now) or leave them on?
- What can I expect from the healing?
- What should I do next to improve the scar.
Thanks!