Aftercare

SURGITRON® POST-CARE

Face Doctors Remuera
Surgitron Post Care

You have had a mole or skin lesion removed today.

Please follow this advice to help you feel comfortable post procedure and to optimize wound you’re healing.

Pain

You should not be in severe pain, you may take painkillers such as paracetamol. Make sure you follow the instructions on the packet. You should avoid aspirin, as this may increase the risk of bleeding. If you are already taking aspirin for other reasons, you should continue this as prescribed.

Wound Care

  • If there is no dressing in place, clean the wound gently once daily with warm water, but generally keeping as dry as possible for 2 hours. After cleaning, apply Vaseline (or other moisturizing/barrier agent).
  • If the wound has steristrips, make sure the area is kept dry as possible for 48hrs. Take special care when bathing or showering, gently patting your steristrips dry. They will fall off on their own in 5-7 days.
  • If the wound is dressed, leave the dressing in place for 48 hours and keep the wound as dry as possible
  • After 48 hours remove the dressing gently, leaving the wound open to the air. Do not cover with a waterproof dressing.
  • After 48 hours you can shower as normal, but pat the wound dry carefully.

  • If the wound starts bleeding apply firm pressure to the wound with gauze or tissues for 15 minutes.
  • The wound may ooze a little over the next ten to 14 days. During this time, scab will form. This will fall off over the next three weeks to leave a pink / red scar. Over time, this will settle down.

  • A little petroleum jelly (Vaseline) applied to the scab will help it to gradually separate.
  • Bruising and swelling may occur around wound. This is normal. If the wound starts to weep and become increasingly red and painful, this may be a sign of infection and you should seek medical advice, contact us, go to your doctor or an urgent care centre.
  • To optimize wound healing do not smoke and minimize UV light exposure, by shading your wound and using sunblock 2 weeks after your treatment. Scar tissue is very sensitive. Sun exposure not only discolors scars, but it can also cause the tissue to thicken. Both of these effects make a scar more conspicuous.

SURGICAL LESION REMOVAL
POST-CARE PATIENT HANDOUT

Patient Information Handout. Care of Your Skin after Surgery.

Supplies needed

  • Clean petroleum jelly (a squeeze tube is cleaner than a tub) (Vaseline is one name brand) (Do not use Neosporin or Triple Antibiotic)
  • Dressing or gauze that is made for wound care (Band-Aids are one name brand)
  • Optional – cotton-tipped applicators (Q-tips are one name brand)

Directions

  • Keep the site clean and dry and do not remove the original dressing for 24 hours.
  • After 24 hours you may shower daily. Gently wash the surgical site with soap and water in the shower or at least once daily
  • Apply petroleum jelly to the clean wound with a clean finger or cotton-tipped applicator one to two times per day.
  • Use a dressing to cover the wound. While cleansing is only needed once or twice a day, additional petroleum jelly may be added as needed to keep the wound moist.
  • Panadol or ibuprofen can be taken for pain if needed. DO NOT start taking any medications with aspirin or aspirin products.

Repeat these instructions daily until the wound is healed. This may be anywhere from 5 to 20 days.

The wound will actually heal better and scar less if kept clean and covered with petroleum jelly.

Bleeding

If bleeding occurs, apply firm pressure to the site. Direct pressure should be applied to the wound. Five minutes should be adequate if the bleeding is minor and the wound is smal. However, if the wound is larger and the bleeding is more severe, apply pressure for 10 minutes, timed by looking at a clock. It is best not to discontinue pressure to see if the bleeding has stopped until 10 minutes have passed. If the bleeding continues, remove the pad and press directly with a clean gauze pad over the bleeding site. If bleeding soaks through the gauze or is not stopped by firm pressure, cal and go to your doctor or an urgent care center.

Infection

If you notice pus or discharge coming from the wound this may be an infection. This is particularly worrisome if you develop a fever and the wound is red, painful, swollen, and warm. Other signs of infection could be red streaks from wound, increased pain, and painful or swollen lymph nodes (glands). If you have any suspicion of having an infection, you should seek medical advice, contact us, go to your doctor or an urgent care centre.

Shower and washing

You may shower daily after the first 24 hours have passed. At first, you may leave the dressing on during the shower to protect the wound from the flow of water. Alternatively, if the wound needs cleaning, the shower is helpful to remove crusts and discharge. Dry the area gently and then apply the petroleum jelly and cover the healing wound as described above. We recommend not bathing in a tub or hot tub until the wound is completely healed over to avoid infection.

Wound healing

After the wound looks healed over you can stop daily dressing changes. The wound may remain red and wil slowly fade over the next few weeks or months. Sometimes it can take 6 months to 1 year for the redness to fade completely.

You may experience a sensation of tightness as your wound heals. This is normal and wil gradually fade. After the wound has healed, frequent, gentle massaging of the area wil help to loosen the scar. Sometimes the surgery involves small nerves and may take up to a year before feeling returns to normal. Only rarely will the area remain numb permanently.

Your healed wound may be sensitive to temperature changes (such as cold air. This sensitivity improves with time, but if you are experiencing a lot of discomfort, try to avoid temperature extremes. You may experience itching after your wound appears to have healed. This is due to the healing that continues underneath the skin. Petroleum jelly may help to relieve this itching. Try not to scratch the wound since this may cause it to reopen.

Avoid sunlight to the scar by keeping it covered and/or using sunscreen. Prolonged sun exposure may turn the pink scar to a darker red or purple color and delay healing.

Shower & Washing

You may shower daily after the first 24 hours have passed. At first, you may leave the dressing on during the shower to protect the wound from the flow of water. Alternatively, if the wound needs cleaning, the shower is helpful to remove crusts and discharge. Dry the area gently and then apply the petroleum jelly and cover the healing wound as described above. We recommend not bathing in a tub or hot tub until the wound is completely healed over to avoid infection.

Infection

If you notice pus or discharge coming from the wound this may be an infection. This is particularly worrisome if you develop a fever and the wound is red, painful, swollen, and warm. Other signs of infection could be red streaks from wound, increased pain, and painful or swollen lymph nodes (glands). If you have any suspicion of having an infection, you should seek medical advice, contact us, go to your doctor or an urgent care centre.

Wound Healing

After the wound looks healed over you can stop daily dressing changes. The wound may remain red and wil slowly fade over the next few weeks or months. Sometimes it can take 6 months to 1 year for the redness to fade completely. You may experience a sensation of tightness as your wound heals. This is normal and wil gradually fade. After the wound has healed, frequent, gentle massaging of the area wil help to loosen the scar. Sometimes the surgery involves small nerves and may take up to a year before feeling returns to normal. Only rarely will the area remain numb permanently. Your healed wound may be sensitive to temperature changes (such as cold air. This sensitivity improves with time, but if you are experiencing a lot of discomfort, try to avoid temperature extremes. You may experience itching after your wound appears to have healed. This is due to the healing that continues underneath the skin. Petroleum jelly may help to relieve this itching. Try not to scratch the wound since this may cause it to reopen. Avoid sunlight to the scar by keeping it covered and/or using sunscreen. Prolonged sun exposure may turn the pink scar to a darker red or purple color and delay healing.

Bleeding

If bleeding occurs, apply firm pressure to the site. Direct pressure should be applied to the wound. Five minutes should be adequate if the bleeding is minor and the wound is smal. However, if the wound is larger and the bleeding is more severe, apply pressure for 10 minutes, timed by looking at a clock. It is best not to discontinue pressure to see if the bleeding has stopped until 10 minutes have passed. If the bleeding continues, remove the pad and press directly with a clean gauze pad over the bleeding site. If bleeding soaks through the gauze or is not stopped by firm pressure, cal and go to your doctor or an urgent care center.

SPECIAL INSTRUCTIONS FOR ALL WOUNDS WITH STITCHES (SUTURES)

  • After surgery, go home and take it easy (avoid exertion, lifting, bending, or straining).
  • Be very careful not to accidentally cut the sutures, especially while shaving.
  • For one month, avoid heavy lifting or vigorous exercise that could cause your wound to pull apart.
  • Contact the clinic if the incision pulls apart.

SPECIAL INSTRUCTIONS FOR WOUNDS ON THE FACE WITH STITCHES

Keep your head elevated for the first 2 nights even while sleeping

  • Avoid sleeping on the same side of the body as the wound
  • Do not bend over with your head lower than your heart level. Bend at the knees to stoop down. Be careful not to lift anything heavy or do anything that might cause strain on the sutures.
  • It is perfectly normal to have bruising or discoloration around the surgery site, especially if the wound is around the eye area. There car be a lot of swelling and dark bruising around the eyes at first but it will eventually fade and return to normal color