Post-Mole Removal Care: Managing Slow Healing and Redness - Dermatology

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Post-operative care for the excision of a raised mole?


Hello, I had a mole excision surgery about a week ago.
The wound is approximately 0.6 cm in diameter and has not been sutured.
The healing process seems to be a bit slow, and in the past few days, I've noticed some redness and swelling around the area.
Should I apply medication (tetracycline or povidone-iodine) to keep the wound dry, or is it better to use an artificial dressing?

Niming, 20~29 year old female. Ask Date: 2019/07/22

Dr. Wu Yuxin reply Dermatology


For sutured wounds, it is recommended to apply an antibiotic ointment and keep the area clean; the use of artificial dressings is not advised.

Reply Date: 2019/07/22

More Info


After undergoing a mole removal procedure, it is essential to prioritize proper wound care to ensure optimal healing and minimize complications. Given your situation, where the wound is approximately 0.6 cm in diameter and has shown signs of slow healing and surrounding redness, it is crucial to address these concerns effectively.


Wound Care Recommendations
1. Keep the Wound Clean: Initially, it is vital to keep the wound clean. You can gently wash the area with mild soap and water. Avoid scrubbing the wound, as this can irritate it further. After cleaning, pat the area dry with a clean towel.

2. Topical Antibiotics: Applying a topical antibiotic ointment, such as tetracycline or a similar product, can help prevent infection. However, it is essential to apply it sparingly and not to over-saturate the wound. If you are using iodine-based solutions, ensure that they are suitable for your skin type, as some individuals may experience irritation from iodine.

3. Dressing the Wound: The choice between keeping the wound uncovered or using a dressing depends on the wound's condition. If the wound is oozing or has a risk of contamination, using a sterile dressing is advisable. This can protect the wound from bacteria and further injury. However, if the wound is dry and not at risk of infection, allowing it to breathe may promote faster healing.
4. Monitor for Infection: The redness and swelling around the wound could indicate an infection, especially if accompanied by increased pain, warmth, or discharge. If these symptoms persist or worsen, it is crucial to seek medical attention promptly. An infection may require oral antibiotics or further intervention.

5. Avoid Irritants: Keep the area away from potential irritants, such as harsh soaps, lotions, or chemicals. Wearing loose-fitting clothing can also help prevent friction against the wound.

6. Moisture Balance: Maintaining a balanced moisture level is essential for wound healing. While keeping the wound dry is important, overly dry wounds can also impede healing. If you choose to use a dressing, consider using a non-adherent dressing that allows moisture to escape while keeping the wound protected.

7. Follow-Up Care: Regular follow-up with your healthcare provider is crucial, especially if you notice any changes in the wound's appearance or if healing does not progress as expected. Your doctor may recommend additional treatments or interventions based on the wound's condition.


Healing Timeline
Wound healing can vary significantly from person to person, influenced by factors such as age, overall health, and the presence of underlying conditions (e.g., diabetes). Generally, superficial wounds like those from mole removal can take anywhere from a few days to a couple of weeks to heal. If you notice that the wound is not healing or if the redness persists beyond a week, it is advisable to consult your healthcare provider for further evaluation.


Conclusion
In summary, managing a post-mole removal wound involves keeping it clean, using appropriate topical treatments, and monitoring for signs of infection. The decision to use a dressing or keep the wound uncovered should be based on the wound's condition. If you have any concerns about the healing process or notice any signs of infection, do not hesitate to reach out to your healthcare provider for guidance. Proper care and attention can significantly enhance the healing process and ensure a favorable outcome.

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