Post-Mole Removal Care: Common Concerns and Best Practices - Dermatology

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Post-operative care after mole removal?


Hello, Doctor: I visited a medical aesthetic clinic on November 7 for an Erbium-YAG laser mole removal, and I have the following questions:
1.
The doctor there mentioned that I would have tissue fluid drainage from the wound for about three days and would need to frequently change the artificial skin.
However, I only experienced significant tissue fluid drainage on the first day, with much less on the second day, and there has been no bleeding (only on the first day).
Is this considered normal?
2.
Does exposure to indoor fluorescent lights affect the mole removal site, or should I only be concerned about sunlight outdoors? Is sun protection necessary only after the scab has formed?
3.
Will the scar from the Erbium-YAG laser mole removal be large?
4.
When changing the artificial skin, is it acceptable to clean the wound with saline solution and sterile gauze?

Zhiren, 20~29 year old female. Ask Date: 2016/11/08

Dr. Wu Yuxin reply Dermatology


I am not aware of your specific situation; you should consult your attending physician regarding this issue, as they are the most familiar with your condition.

Reply Date: 2016/11/08

More Info


Post-mole removal care is crucial for ensuring proper healing and minimizing complications. Here are some common concerns and best practices based on your questions:
1. Fluid Drainage and Wound Care: It is normal for a wound to produce some serous fluid (also known as tissue fluid) after a procedure like mole removal, especially within the first few days. The fact that you experienced more drainage on the first day and less subsequently is a good sign that your body is beginning to heal. If there is no excessive bleeding or signs of infection (such as increased redness, warmth, or pus), this is generally considered normal. It’s essential to follow the advice given by your healthcare provider regarding changing the artificial skin or dressing. Keeping the area clean and protected is vital to prevent infection.

2. Exposure to Light: Regarding your concern about exposure to indoor lighting, such as fluorescent lights, it is generally not a significant issue. The primary concern is direct sunlight, which can cause irritation and pigmentation changes in the healing skin. It is advisable to avoid direct sun exposure for at least a few weeks post-procedure. Once the scab has formed and fallen off, you should use sunscreen on the area to protect it from UV rays, as new skin is more susceptible to sun damage.

3. Scarring from Erbium-YAG Laser: The Erbium-YAG laser is known for its precision and minimal thermal damage to surrounding tissues, which typically results in less scarring compared to other methods. However, the extent of scarring can vary based on individual healing responses, the size of the mole removed, and how well you care for the wound post-procedure. Following proper aftercare instructions can significantly reduce the risk of noticeable scarring.

4. Cleaning the Wound: When changing the artificial skin or dressing, using saline solution and sterile gauze is appropriate for cleaning the wound. This method helps to remove any debris and keeps the area moist, which can promote healing. Ensure that you are using sterile materials to prevent introducing bacteria into the wound.


Additional Recommendations:
- Avoid Picking or Scratching: It’s crucial to avoid picking at the scab or the area around the mole removal site. This can lead to infection and increase the risk of scarring.

- Moisturization: Keeping the area moisturized can help with healing. Once the initial healing phase is over and the scab has fallen off, consider using a silicone gel or ointment to help minimize scarring.

- Follow-Up Appointments: Attend any follow-up appointments with your healthcare provider to ensure that the healing process is on track. They can assess the wound and provide additional care recommendations.

- Signs of Infection: Be vigilant for any signs of infection, such as increased redness, swelling, warmth, or discharge that is yellow or green. If you notice any of these symptoms, contact your healthcare provider immediately.

In summary, your healing process seems to be progressing well based on your description. Continue to follow the aftercare instructions provided by your healthcare provider, and don’t hesitate to reach out to them with any concerns or questions as you recover. Proper care will help ensure the best possible outcome after your mole removal procedure.

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