Mohs Wound Care

For After Mohs Surgery

For general wound care, please click here.

Wound Care Instructions

  • Leave the bandage in place for 24-48 hours as instructed by your doctor. Do not allow this bandage to get wet
  • For the first 24 hours after surgery, use an icepack over the bandage 20 minutes on/20 minutes off if you have pain or swelling. A frozen bag of peas wrapped in a towel can serve as an icepack
  • Take Tylenol (acetaminophen) for pain every 4-6 hours, no more than 8 extra strength Tylenol per day.
  • Please limit use of Ibuprofen (Advil), Naproxen (Aleve), and Excedrin as these can cause increased bleeding
  • No aspirin for pain for 48 hours after surgery, if you take aspirin because you have had a stroke or heart attack, please continue to take this medication
  • No alcohol after surgery for 48 hours
  • Exercise or other activities that elevate your heart rate must be avoided for 48 hours after surgery
  • If your wound is on your face or scalp, please keep your head above your heart (limit bending over) for 48 hours
  • Sleep with an extra pillow under your head for 48 hours or in a recliner if you are more comfortable
  • If your wound is on your leg, please prop your leg up whenever you are resting
  • After 24-48 hours, remove the bandage and allow the stitches to get wet by washing gently with soap and water
  • Gently remove any scab that has formed on the stitches, it is normal to have a small amount of scab or dried blood
  • After washing the wound, pat the wound dry with a clean towel
  • Apply the Vaseline provided to the stitches and the skin immediately beyond and cover with a bandaid
  • Repeat this cleaning daily until stitches are removed

Normal Reactions After Surgery

  • With any facial or head surgery, it is normal to have swelling and mild redness around the wound and in the immediate skin area, it is also very common to develop black eyes
  • Mild to moderate discomfort at the surgical site is normal and should be controlled with Tylenol unless instructed by your doctor or if a prescription pain medicine was given
  • A small amount of bleeding can occur through the stitches

Abnormal Reactions After Surgery

Please call our office if:

  • Excessive bleeding: bleeding through your bandage that is soaking the bandage
    • If aggressive bleeding occurs, hold firm pressure on the bandage for 30 minutes without peeking and call your doctor
  • Increased pain or redness around the surgery site especially after 48 hours
  • Smelly drainage or pus like drainage
  • Flu-like symptoms
  • Any other symptom that seems abnormal after a skin surgery

 Please do not hesitate to call us with any questions or concerns, your physician is available 24 hours a day in case of emergency

 

775-324-0699

Kevin Kiene, MD

Whitney Hovenic MD, MPH

Jonathan Staidle, MD

 

775-882-8777

Dan Rowe, MD