Mohs Surgery Recovery Guide: Answers to the Questions We Hear Most Often

At Findley Dermatology, Dr. Alyssa Findley specializes in Mohs surgery, one of the most advanced and effective treatments for common skin cancers such as basal cell carcinoma and squamous cell carcinoma. During this precise procedure, Dr. Findley removes and examines layers of tissue under a microscope, ensuring that all cancerous cells are eliminated while preserving as much healthy skin as possible. This careful approach results in a very high cure rate.  By preserving the healthy surrounding skin, Dr. Findley can then focus the reconstruction on providing the most optimal long-term aesthetic result.  Extremely passionate about this approach, Dr. Findley has been guiding her patients through both Mohs and complex reconstruction for over a decade.

While recovery is usually straightforward, it’s natural to have questions about what comes next, especially when the surgery is performed on cosmetically sensitive areas like your face, scalp or chest. Here are some of the most common concerns patients share after Mohs surgery and what you can expect as you heal.

1. How do I care for my skin after surgery?  Follow your wound-care instructions carefully, as these will be tailored to what was done and set you up for optimal long-term healing.  Use a mild, fragrance-free cleanser and apply any prescribed ointments exactly as directed. Once the site has healed, daily use of a gentle moisturizer can help restore hydration and support healthy skin renewal.  

2. What about sun protection? After Mohs surgery, your skin may be more sensitive and protection is crucial for optimal healing and for faster resolution in any redness that results after surgery.  It is key to make sun protection a part of your daily routine to reduce the likelihood of growing future skin cancers.

3. Will there be a scar?  There will absolutely be an initial scar or wound right after surgery.  The approach to reconstruction is gilded in principals to set you up for optimal long-term healing, and Dr. Findley dedicates her surgical practice to guiding people through the procedure and healing process, which can vary from a week to months depending on the complexity.  She can frequently be heard telling her patients that she “will be there through all stages of healing.”  While most of her patients heal very well without a need for any intervention, some may opt for laser or other treatments to further conceal a scar.    

4. When can I wear makeup again? Every patient heals at a different rate. Generally, the initial healing phase lasts about two weeks, while full recovery may take up to six weeks or longer. Makeup should never be applied over open wounds, stitches, or fresh surgical sites. Once your doctor confirms the area is ready for your skin care products and make-up, you can get back to your normal routine. 

5. What products should I (or shouldn’t I) use long-term? Even after your skin has healed, it’s best to stick with gentle, non-irritating products, especially on or near the surgical site. Choose fragrance-free cleansers, lightweight moisturizers, and mineral-based sunscreens. Avoid exfoliants, retinoids, glycolic acids, or strong anti-aging serums until your dermatologist gives you the go-ahead, as these can irritate the skin or prolong the healing process. When introducing new products, start slowly and monitor how your skin responds.

Recovery after Mohs surgery is a gradual process, and patience is key. By following your surgeon’s recommendations, protecting your skin, and choosing gentle products, you’ll support beautiful healing and long-term skin health.

If you or a loved one has been diagnosed with skin cancer and you want to understand your treatment options, schedule an appointment today or call (401) 415-8586.