Post-procedure Care

Dr. Mouhammad Aouthmany, MD, FAAD
Board Certified Dermatologist


Post-procedure Care

Leave the pressure dressing DRY and IN PLACE for 48 hours after surgeryYou may reinforce the bandage with tape if needed. After two days, remove the pressure bandage, clean the site with mild soap and water, pat dry, liberally apply one of the over the counter ointments below:

Vaseline (petroleum jelly)
Vaniply
Aquaphor
DML Forte
Cerave ointment
Apply to the wound, and then cover with a new bandage. Repeat this process daily until the site is fully healed. Do not use hydrogen peroxide unless instructed!!  This can dissolve the sutures and that is not good!

  • If the bandage is removed and 'air-dry' the wound, it will heal faster but with more scar tissue.  
  • leaving the bandaid on will keep it looking 'moist' and take over 2 weeks to really heal, even longer on the legs.  
While it is normal to experience some swelling and bruising around the surgical site, there are steps you can take to minimize this:
1)  If the surgical site involved your face or scalp: Sleep in a recliner or with your head elevated on at least two pillows for 2-3 days after surgery. Avoid bending over, heavy lifting and strenuous activity for at least 2 weeks after surgery
2)  Periodically apply an ice pack to the skin surrounding the surgical site.
3)  Avoid sleeping on the side of your body that was operated upon.
4) Wrap the area if on the legs as that will help reduce the swelling in the legs and not stretch out the wound. (use coban or any other strong wrap, and better to do this in the morning when less swelling in the legs)
If your wound begins to bleed: If the bandage is saturated with blood, remove it so that direct pressure can be applied to the wound. Using a clean, dry washcloth or gauze, apply continuous pressure directly to the wound for 30 minutes (time it). Repeat with an ice pack if needed. If rapid bleeding continues after these measures, contact our office. 
If you are unable to reach someone, report to the emergency room.
If you have pain after surgery: Please take any prescribed pain medication as directed. We recommend extra-strength Tylenol for pain after surgery. Call if you have severe pain not controlled with Tylenol. Avoid ibuprofen, aspirin, naproxen and other NSAID pain medications for 48hours following surgery UNLESS PRESCRIBED FOR ANOTHER MEDICAL CONDITION.
Wounds without sutures (second intention healing): The wound will heal on its own, from the outside edges to the center, without stitches.  It is important to keep Vaseline or Aquaphor ointment on the wound so that a scab does not form.  The body will produce its own tissue to fill in the surgical wound and will become level with the surrounding tissue area. The edges of the wound will become slightly reddened and you may see some yellowish matter inside of the wound. This is normal appearance of a healing wound. These are NOT signs of infection. As you clean the wound, there may be some pinpoint areas of bleeding from the base. If a scab forms, it may be removed by soaking and gently cleansing with hydrogen peroxide. 
You may be scheduled for a wound check a few weeks after surgery. If you wound is well-healed and you have no concerns, you may cancel this appointment (please call to let us know).
After your sutures have been removed, you may use a silicone dressing such as ScarAway at bedtime to minimize scarring. 
Avoid strenuous physical activity for at least two weeks following surgery.
Avoid and submerging into water (pool, lake, bath) at least 2 weeks