Mohs Center of Richmond Dermatology

SKIN GRAFTS: ONE WEEK

  • At the time of dressing change, the graft may vary in color from deep purple to reddish pink. Swelling is normal and will resolve in time.
    Instructions for Showering:
  • Today and for 1 week Before showering:
    1. Apply Vaseline generously to the graft
    2. Let water trickle down onto the graft covered in Vaseline in shower
    3. DO NOT allow water from the showerhead to directly come into contact withthe graft
    4. DO NOT scrub or vigorously wash the graft site
    5. Once you are out of the shower, use a Q-Tip or clean fingers to cover the graft
    with more Vaseline
    6. Cover with a non-stick (Telfa) pad and secure with paper tape
    7. Change this bandage daily.
  • Day 14-30 days
    1. You may now get the graft wet in the shower without applying Vaseline.
    2. DO NOT scrub or vigorously wash the graft- It remains fragile for at least 14 to 21 days.
    3. Continue applying Vaseline to the graft after showering and bandage with non-stick (Telfa) pad and secure with paper tape

Massaging of Scar Tissue/Healing Expectations

  • You will start to massage the area 6-8 weeks after your surgery date.
  • Massaging the graft site will help the healing process by softening the scar tissue and fade the scar.
  • To massage, apply pressure directly and firmly over the scar with the fingertips and move in a circular motion
  • tenderness at the site is expected, pain is not.
  • Moisturizers like Vaseline or CeraVe Lotion can be used during massaging but are not necessary.
  • Massage the area 10 times a day for 30 seconds.
  • Numbness in the surgical area is expected. It may take up to one year for the feeling to return to normal.
  • During this time sensations of itchiness, tingling and occasional sharp pains may be noted. These feelings are normal and will subside once the nerves have completely healed.
Mohs Center of Richmond Dermatology

Possible Complications/When to Call

  • Redness
  • Warmth to the touch
  • Red streaking around surgical site
  • Increased pain
  • Swelling
  • Fever
  • Chills
  • Foul smelling drainage

Questions/Concerns contact our office (hours 7:30-4:00pm):

804-538-1033 opt. 3

IN CASE OF EMERGENCY:

Dr. Wallace’s cellphone: 703-431-9519

 Please follow up in person in _______________
 Please send photo to followup@richmonddermlaser.com in
___________________
o Include first and last name with date of birth
o You will receive a confirmation email once the photos are received

Matthew M. Wallace, MD, FAAD, FACMS