Rancho Cordova, Roseville and Sacramento Dermatology
Care Instructions after Surgery
The Dermatologist used 2 layers of sutures to close the wound. The deep layer should dissolve in a few
months and the top layer of stitches will need to be removed at a scheduled time. The area can feel tight
for a week or more.
Today, please apply an ice compress for 10-15 minutes every hour for the first day. A bag of frozen
peas or an ice pack can be used wrapped in a thin towel. This is usually helpful the day of surgery to
help minimize swelling.
If the wound bleeds, apply firm direct pressure on area for 15 minutes. You may need to repeat this
twice. Do not lift up and “peek at the wound” during this time. If it does not stop bleeding, call us.
For pain, you may take Acetaminophen (Tylenol) as directed if OK with your medical conditions.
Limit activity and stretching in the wound area; this can lead to bleeding or sutures coming loose. If
the wound is on the head or neck, do not bend over at the waist. If the wound is on the lower leg,
elevate the surgery site ABOVE THE HEART for 2+ hours at a time to help reduce swelling. If you
notice swelling increasing as the day progresses and the swelling is down the next morning, you are
probably doing too much during the day.
Leave the bandage cover on for 24 hours or longer as directed.
1. Then remove the bandage. Using clean fingers or a wash cloth and using a mild, non- scented
soap, e.g. Dove, and warm water, wash the area to remove any crust or scab and all old
2. Rinse well and pat dry
3. Apply a thin layer of Vaseline (petrolatum jelly) or Aquaphor Healing Ointment.
4. Please DO NOT use Neosporin, Polysporin or Double or Triple Antibiotic ointment.
These products can cause irritation.
5. Apply a bandage or band aid large enough to prevent adhesive from sticking to the open wound.
It does not matter what shape of the band aid you choose to use.
Do this every day until the stitches are removed.
You will need to purchase additional ointment and band aids if you do not have them at home.
General Information
Please DO the following:
1. Know it is normal for bruising to appear on or around the surgical site.
2. For facial, forehead and scalp surgery area: It is normal to have bruising on the cheeks, neck
and chest areas. You may also have puffy or swollen eyelids. You may apply an ice compress
for 10-15 minutes every hour as needed. Do not sleep lying flat for the first few days to help
decrease swelling.
3. If you develop a rash where the adhesive of the band aid has contact with the skin, Please
remove the bandage and apply Vaseline to the rash 3 - 4 times a day for a week or two.
4. Watch for infection. Signs of infection are: redness (like color of red, raw beef) that is
spreading outward, increasing pain, increased swelling in the area, pus, and increased warmth at
the site. If these occur please contact us.
5. It is normal to have pinkness at the cut of the wound and where the stitches are inserted but the
pinkness should not increase in size.
6. It is normal to have a yellow color on the band aid or at base of an open wound. A yellow color
is not always a sign of infection.
Please DO NOT
do the following:
Do Not use a soap that has a scent to it. It can cause irritation to the area.
Do Not clean the area with Hydrogen Peroxide or Alcohol
Do Not leave it “open to air” or let crusting
material accumulate on the surgical area.
Do Not appl
y Vitamin E or Aloe Vera Products on the area.
Do Not apply 1% Hydrocortisone on the surgical site itself.
Do Not use a spa, hot tub or sauna while the stitches are in.
- 4:00pm
916 631 – 3010
Weekends, evenings, and holidays
Medical Advice 916 631 - 3040
ure Removal Appointment
Day ________________
Date _________________
Time _________________