Post-Mole Removal Care: Addressing Darkening Skin Concerns - Plastic Surgery

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Post-operative care after mole removal?


Dear Doctor, I had a mole surgically removed from my face, and I was advised to consistently and diligently apply silicone gel.
This month on the 12th marks one month since the procedure, but I have noticed that the area where the mole was removed seems to be getting darker in the past few days.
Should I purchase a scar cream to apply? Thank you, Doctor.

Lai's, 30~39 year old female. Ask Date: 2024/02/19

Dr. Lu Daokuan reply Plastic Surgery


The dark discoloration of the wound will improve in 6-8 weeks, and it is important to continue using artificial skin, as the effects of cosmetic adhesive are insufficient.

Reply Date: 2024/02/19

More Info


After mole removal, it's common to have concerns about the healing process and the potential for darkening of the skin in the treated area. The darkening you are experiencing could be a result of several factors, including the healing process itself, sun exposure, and the natural pigmentation response of your skin. Here’s a comprehensive guide on post-mole removal care and how to address concerns about darkening skin.


Understanding Skin Darkening After Mole Removal
1. Healing Process: After a mole is removed, the skin undergoes a healing process that can involve inflammation and changes in pigmentation. Initially, the area may appear red or darker as it heals. This is a normal part of the recovery process, and the skin may gradually return to its normal color over time.

2. Hyperpigmentation: Sometimes, the skin can react to trauma (like mole removal) by producing excess melanin, leading to hyperpigmentation. This can be more pronounced in individuals with darker skin tones or those who have a history of post-inflammatory hyperpigmentation.

3. Sun Exposure: UV exposure can exacerbate darkening in healing skin. If the area is exposed to sunlight without adequate protection, it can lead to further pigmentation changes. This is why sun protection is crucial during the healing phase.


Post-Mole Removal Care
1. Keep the Area Clean: Gently cleanse the area with mild soap and water to prevent infection. Avoid scrubbing the area, as this can irritate the skin.

2. Moisturize: Use a gentle, fragrance-free moisturizer to keep the area hydrated. This can help with the healing process and minimize dryness, which can lead to irritation.

3. Silicone Gel or Sheets: As you mentioned, using silicone gel or sheets can be beneficial for scar management. These products can help flatten and soften scars and may also assist in reducing pigmentation over time.

4. Sun Protection: Apply a broad-spectrum sunscreen with an SPF of at least 30 to the area daily, even if it’s not sunny. This is crucial to prevent further darkening and protect the healing skin from UV damage. Reapply every two hours if you are outdoors.

5. Avoid Picking or Scratching: It’s important to avoid picking at the scab or the healing skin, as this can lead to scarring and further pigmentation issues.


When to Consider Scar Creams
If you notice that the area is becoming increasingly dark and you are concerned about the appearance of the scar, you may consider using a scar cream. Look for products that contain ingredients like:
- Hydroquinone: This can help lighten hyperpigmented areas but should be used under the guidance of a healthcare provider due to potential side effects.

- Vitamin C: Known for its brightening properties, it can help improve skin tone and reduce pigmentation.

- Retinoids: These can promote cell turnover and help fade dark spots over time.


Consultation with a Dermatologist
If the darkening persists or worsens, it’s advisable to consult with a dermatologist. They can assess the area and recommend appropriate treatments, which may include topical medications, chemical peels, or laser therapy, depending on the severity of the pigmentation.


Conclusion
In summary, while some darkening of the skin after mole removal can be expected, proper care and protection can help manage this concern. Focus on keeping the area clean, moisturized, and protected from the sun. If you have ongoing concerns about pigmentation or scarring, don’t hesitate to seek professional advice. Remember, patience is key, as skin healing and pigmentation changes can take time.

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