Open wounds follow burning, freezing, or shaving of a skin growth
or lesion. These should heal the same way a scrape or skin abrasion
would heal. Following the above directions should speed up healing,
limit scarring and prevent infection. Studies show that wounds covered
with a dressing and ointment heal faster than uncovered wounds. The
"old wives tale" that wounds heal faster if left open to the
air is wrong -- if care is taken to avoid infection. A thin rim of red
is normal around an open wound. About 3 in 100 wounds will become
infected no matter what you or the doctor does. If you are not certain
if your wound is healing, please call us.
Remove your bandage within 24 hours. Afterwards you may wash the
area gently with mild soap and tap water twice daily. If you are prone
to infections use antibacterial soap (lever 2000) and rinse with
sterile saline (the type for contact lenses). A non-stick bandage can
be worn during the day. Put a dab of antibiotic ointment (Bacitracin,
Polysporin) under the bandage, and again at bedtime. You can take
tylenol, Advil or Nuprin for the pain.
To get the best cosmetic results, until the areas are healed (one
to two months), avoid sun completely between the hours of 10:00 a.m.
and 3:00 p.m. Rearrange your schedule so you do "inside
things" during these hours. Thick, lumpy, or itchy scars
sometimes occur. If you are prone to these, keep a piece of tan "Micropore
paper tape" over the scar once it is healed for 3 months. If
thick scars occur anyway, we can treat them. The tape or will also
block out sunlight. Understand there is no tan color under a lesion,
because the lesion has shielded the sun from the underlying skin. When
the lesion is removed, the underlying skin will be the same color as
the buttock skin. You can color these spots in with sunless tanning
lotion.
Never pick off or scrub off any scabs or blisters; because this
will remove pigment cells resulting in a permanent white scar.
You can expect the scabs to fall off in one week (face, scalp and
ears) or two to three (neck, chest, hands, arms and back) or six to
eight (thighs, legs and feet). If the treated spot returns,
re-treatment will be needed. If the skin around the wound becomes red,
swollen and painful, you may have an infection. Call and ask the
doctor be told about this. It is normal for the wound to drain small
amounts of clear or red fluid. If the wound drains white-yellow fluid
or pus call us immediately. Failure to call about an infected wound
can have serious consequences. All patients with skin cancer should be
re-examined every 6 months for at least years, and use sun protection
such as a hat and sunscreen rated at least spf 15.