Here's what to do for eye, Pain in the eye is usually described as throbbing, burning, or stabbing. This usually occurs within five to seven days after surgery and may be decreased by the use of an ice pack during the first 24-48 hours. Pain, tenderness and swelling usually accompany bruising after surgery. Your healthcare provider may recommend a variety of techniques to calm your nerves. Micellar water on reusable cotton pads can also be effective for this purpose. To some patients, the scar is more raised than they expected. By removing the smallest amount of healthy tissue, it also offers superior cosmetic results. white dog with black eye patch names; southside legend strain certified; when can i wear makeup after mohs surgery. Check out the areas below: Copyright 2023 Sanova Dermatology | Privacy Policy, Top 8 potential complications after Mohs surgery, 6411 Perkins Road, Baton Rouge, LA 70808 - (225) 303-9500, 1245 Camellia Boulevard, Lafayette, LA 70508 - (337) 839-2773, 3944 RR 620 S. Bldg. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); ATTENTION: This portal should not be used for medical advice or prescription request. After the wound has healed well, most patients can be followed by their referring physician. Dr . Avoid strenuous exercise and heavy lifting for at least a week. Prior to your discharge from our facility, one of our nurses or medical assistants will advise you on appropriate wound care and provide you with a detailed list of instructions. It also offers the highest chance of a complete cure up to 99%. What should I expect for after care needs? What is the typical recovery and downtime from Mohs surgery? Letting your wound heal on its own (second intention healing). Black Eye After Mohs Surgery: What You Need to Know, skin cancer surgery in eliminating cancer cells and cancerous tissue, procedure is usually performed by a specialist specially trained in Mohs, Mohs surgeon has removed all of the tumor cells or surrounding areas, minimize swelling and discoloration after having Mohs surgery, time between applications so that your skin, Mohs Surgery is one of the most effective treatments, helping soothe and protect skin after Mohs Surgery, use moisturizers that help keep the skin hydrated, Mohs surgery near the eye is a delicate procedure, practices for postoperative care in order to avoid potential risks and complications, decrease any chances of further risk or trauma around the delicate area near, Do not make important plans in the days immediately following your surgery. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Swelling and bruising are common after surgery and can last up to 1 month: Surgery on the scalp, forehead and around the eyes can cause the eyes to swell shut for 2-3 days, and give you a black eye for 2 weeks Wounds on the face need to be covered with bandages for 1 week Makeup may be applied only after stiches are removed We want to you to be cancer-free and develop a reconstructive approach that works best for you. In some cases, this needs to be removed. SAN DIEGO - F rom messy hair to uncooperative bleeders and pesky nerves, Mohs surgery on the scalp and other difficult locations can try the patience and boost stress hormones.. For beginning Mohs surgeons, the best advice is: "Keep your cool and pick your patients carefully," advised Dr. Carlos Garcia. And because of the placement on my neck, sweaters would rub right there. Mohs Skin Cancer Surgery. The tissue was removed and oriented for further processing. From surgeons to staff, our entire team focuses on your health . The pain starts to get better and then gets worse. What type of services are you interested in? Home/Blog/Top 8 potential complications after Mohs surgery, Posted on January 4, 2014 in Skin Cancer, Practice News. In Robinson JK, Hanke CW, Sigel DM, Fratila A, eds. The area was infiltrated with local anesthesia. However, skin cancer is less likely to come back after excision and least probable after Mohs surgery. Dr. Stan Tolkachjov is a board-certified dermatologist in Frisco and Rockwall, TX. The cost of Botox for under eye wrinkles can be variable and expensive depending on your provider and location. Dr. Biden spoke with CNN and was asked did President Biden thought about not taking on a second term. This means that your healthy tissue is spared, making Mohs a useful approach for skin cancers on your face, scalp, ear, hands, feet and genital areas. • You should plan on wearing a bandage for 10-14 days. Before and 6 weeks after eyelid skin cancer reconstruction photos are shown. Black eyes are accompanied by an assortment of symptoms that could require medical attention. You notice a thick, yellowish discharge or foul smell odor. The large number of patients we see and the experience of our faculty offer you a rare degree of skill and expertise in even the most complex procedures. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. That means theres no operating room and no one putting you to sleep! Next an incision was made following the Mohs . Mohs micrographic surgery is the most effective treatment for basal cell and squamous cell carcinomas. Therefore, surgeons should be well aware of this entity and techniques that may aid in its prevention. For any pain and throbbing, you may take pain relievers such as ibuprofen or acetaminophen. Closing your wound with a skin flap (borrowing tissue from surrounding skin) or a graft (borrowing tissue from another site on your body). Mohs surgery is a precise surgical technique used to treat different types of skin cancer. This procedure typically takes between 1-3 hours and the patient will remain awake throughout. Excess tissue that forms can make a patients muscles feel weaker and stiff. Its important to be aware that unexplained bruising in someone you know may be a sign of domestic violence or abuse. This specialist may put a dye in your eye to test for eyeball abrasions. If youre considering Mohs surgery on your face, heres what you need to know about Mohs reconstruction. If patients have had a significant flap or graft, we will have longer discussions with them prior to the surgery about optimal care for their recovery. It is very common to develop ablack eye after Mohsaround the eyes and nose. Theyll place suture lines in preferential areas where natural lines already occur (where the lip meets the cheek, the nose meets the cheek, or the ear meets the face). Mohs surgery may take only a few hours, or it may take the whole day. This is because the skin of theeyelids is very thin, and the orbits are concave and capture dependent bruising. I had my surgery in the morning and was home and in bed by the afternoon. Her experience and expertise, professional and reassuring manner, and her superb judgment and skill, have always produced the best results for me. Because of that swelling, we do not recommend the patients drive themselves home when the tumor is on the central face. The rationale for Mohs was explained to the patient and chosen as the plan to remove this tumor. After undergoing surgery, its important to use moisturizers that help keep the skin hydrated while providing a barrier between your newly-healed skin and irritating elements like sweat or wind. Conclusion: NVI is a relatively common complication of Mohs surgery and reconstruction of the lower third of the nose. That is not dangerous, but it could also be a type of cancer known as ocular melanoma. While our primary goal as Mohs surgeons is to eliminate the cancer entirely, we also take reconstruction very seriously for the best aesthetic and functional results. (https://pubmed.ncbi.nlm.nih.gov/10759814/). Recognizing and treating eye injuries. As a patient, you have a say in your reconstructive options, but you should also choose a surgeon you trust. During the procedure, you may want to listen to music or a guided meditation. When you go home, youll have a dressing on your wound. The process of microscopic examination and removal of additional layers of tissue continues until there are no more cancer cells. Our Providers Make sure you wear protective clothing when outside or otherwise exposed susceptible body parts (hands or face) from direct sunlight/wind exposure until your healing is complete. Fortunately, there are some simple steps you can take to minimize swelling and discoloration after having Mohs surgery. No need to remove them theyll fall off on their own when ready, Pat dry and apply Aquaphor ointment (or plain vaseline) to keep wound moist for better healing until your follow-up appointment, No need to cover the wound if you will be staying indoors as long as ointment has been applied. If you need more skin removed, you may still be numb from the initial injections, or more injections may be needed. No medical procedure is without risk. How long the procedure takes depends on the tumor itself: bigger, deeper tumors take longer to remove completely. http://www.blechmanplasticsurgery.com/skin-cancer-mohs-repair-specialist-plastic-surgeon-upper-east-side-nyc. A bulky pressure bandage is often applied immediately after surgery. Mohs surgery is a very common treatment for high-risk skin cancer because it has a cure rate of up to 99%. . You can expect minimal discomfort after Mohs surgery; pain can usually be managed well with acetaminophen (Tylenol). Swelling and bruising are common following Mohs Surgery, particularly when surgery is performed around the eyes. Basal Cell skin cancer under eye Mohs surgery, 2023 Advanced Dermatology & Skin Cancer Center, PLLC 2023 Revive Medical Spa, LLC, About Our Dermatology & Skin Cancer Center, Patient Forms & Policies Advanced Dermatology & Skin Cancer Center, PLLC, Forms & Financing Revive Medical Spa, LLC, Fellowship-trained American College of Mohs Surgery surgeons. • You should plan on wearing a bandage for 10-14 days. By six weeks after surgery, it is estimated that 90 percent of the swelling will dissipate. In fact, one in five Americans are projected to develop skin cancer over their lifetime, according to the . Frozen section analysis showed: No residual tumor. You can learn more about how we ensure our content is accurate and current by reading our. After that initial period of healing, remove the dressing for wound care two times a day or as directed. Removal of the patient's tumor is complicated by the following clinical features: poorly defined clinical tumor borders, large size, clinical area critical for tissue conservation, and located in an area of high recurrence. Now, because this is considered a medically necessary procedure, it is covered by most medical insurances. At times, the area surrounding your wound will be numb to the touch. What matters most is the quality of the reconstruction. I think one of the most telling ways to tell if a therapy is "the best" is to survey what "doctors do" when they need a treatment. Goals: This patient had nose reconstruction to repair a nasal defect involving the nostril margin and the cheek. Thanks for the excellent question. Keeping an eye on the healing process and detecting complications early increases the chances of successful recovery. - Linda. Your surgeon will give you instructions for aftercare following Mohs surgery. The history and evolution of Mohs micrographic surgery. This handout will review the most common options after Mohs surgery on the face and eyelid. That skin is then put under a microscope to make sure there are no more cancer cells. You may receive specialized instructions after your surgery. Infection is extremely rare after Mohs surgery and most studies shown that this happens less than 1-2% of the time. Jill Biden is cancer free after her Mohs surgery, the White House doctor announced in an update on Wednesday evening, but she is feeling 'very well' after the procedure. With any surgical procedure, there is a chance of complications. May 28, 2019 by Stan N. Tolkachjov, MD, FAAD, FACMS. This process continues until all of the cancer is removed. "*, "Dr Lacomis is an outstanding doctor and highly skilled. Importantly, for basal cell carcinoma or rare tumors like the microcystic adnexal carcinoma (or MAC), tumors can be up to five times larger than they appear. Oh, and the doctor did give me this note also. In part, your level of discomfort will depend upon how large your wound is and where it is located. Alternatively please feel free to send us your request via the patient portal, or via email at info@dermskinhealth.com. An incision was made following the Mohs approach through the skin. If the defect heals without reconstruction, it can contract when the scar forms and distort the normal appearance of the area. Also, keep your child from rubbing their eye. Your surgeon will numb the area with injected medications (anesthetics). Black eyes can appear after some surgical procedures, such as nose surgery or a facelift. Uneven nostrils after Mohs surgery can be a frustrating experience for some people. Regrowth of tumor after removal (more common with previously treated tumors and large, longstanding tumors). I've referred many friends over the years; they've all been equally satisfied. But trying to minimize the reconstruction just to make a smaller scar can lead to an undesirable result. For example, when tumors are removed on the rim of the nose, defects will notch the nose if it is not reconstructed. You may have a skull fracture if you have double vision, bruising around both eyes (raccoon eyes) or bleeding from the nose. It is normal to get some swelling and bruising around the eyelid after Mohs surgery. Pre-op Size: 1.6 cm x 1 cm The patient has a 1.6 x 1 cm tumor located on the left lower eyelid. Advantages. Many are surprised, says Dr. Adam Mamelak, fellowship-trained Mohs micrographic surgeon at Sanova Dermatology in Austin, Texas, because from the patients perspective the entire process can often seem so uneventful. Dr. Mamelak is referring to the fact that Mohs surgery is a very straightforward and minimally invasive procedure for treating skin cancer. All rights reserved. The swelling may make it difficult to open the eye. In general, less than 1% of the margins are checked with wide local excision. DOI: Gudgel DT. This may cause additional swelling and infection, which can make your eye immobile and blur your vision. If cancer cells remain, your surgeon removes and examines another layer until the cancer is completed gone.  I will tell you that whenever physicians have a basal cell or squamous cell carcinoma on their nose, Mohs seems to be their first choice of treatment. • Your surgical wound will require care during the weeks following the surgery. Should I Expect Facial Swelling After Mohs Surgery or Other Side Effects? How long it takes for a black eye to heal can be anywhere from a week to three weeks. In some cases, more potent medications like codeine may be prescribed. Surgery of the Skin, 3rd ed. Healing from Mohs reconstructive surgery is a process that varies depending on the extent of the surgery. Your surgeon will try to preserve as much healthy, normal skin as possible. Next an incision was made following the Mohs approach through the skin. I was sorry to lose my retired dermatologist, but happy that Dr. Norden seems to be a great replacement! If the surgical wound is small enough, it can simply be left to heal naturally or stitches may be used to close it. Yes, there may be more sutures initially, but there will also be better long-term healing that wont distort the tissue. It is not uncommon to see significant post op periorbital edema and ecchymoses following forehead surgery. But if your skin cancer is caught early before it spreads to other areas its possible that youll be cured in a single day with a precise procedure called Mohs micrographic surgery. I have had several squamous removed from my head and face and you can't tell. Cleveland Clinic is a non-profit academic medical center. Educating yourself prior to surgery can help to ensure smoothness of your recovery process, as well as decrease any chances of further risk or trauma around the delicate area near your eyes. Dr Krauss is my doctor and she is kind, gentle and thorough. Here are some things you should avoid doing after a Mohs Surgery procedure: Set up a follow-up appointment with your doctor within two weeks after surgery so your wound can be checked for healing and any remaining signs of skin cancer. Over-the-counter (OTC) topical treatments are an excellent choice for helping soothe and protect skin after Mohs Surgery. Dr. Henry is the most experienced Fellowship-trained Mohs surgeon in this region, having completed over 16,000 Mohs surgeries to date. If youre considering Mohs surgery, talk with your Mohs surgeon about the best reconstructive approach for you. Will I need stitches? After the operation, it is important to adhere to best practices for postoperative care in order to avoid potential risks and complications. If you have steri-strips, clean over strips as previously instructed. We opt for reconstructive surgery based on patient preferences and the specific anatomic location. The procedure is usually performed by a specialist specially trained in Mohs procedure, a technique developed by Dr. Frederic Mohs. Your surgeon examines the entire bottom and outer edges of the removed tissue layer under a microscope. Theyll also ask how the injury occurred and inquire about related injuries. Then, the sides and deep edges are examined under a microscope. Before and 3 months after eyelid skin cancer surgery photos are shown. It involves removing the skins lesion while preserving as much healthy tissue as possible. By two weeks post-op, about 75 percent of the swelling should be gone. STAGE 1: The area was prepped, and a rim of normal appearing skin was marked circumferentially around the lesion. The Mohs technique, which has been refined and perfected over decades, enables the Mohs surgeon to see beyond the visible disease, and to precisely identify and remove the entire tumor, leaving healthy tissue unharmed. If you have any further questions or problems, please call the office Monday through Friday 7:30 AM to 4:30 PM at 781-416-3500. The process is repeated until all cancer cells have been removed from the area. Loss of nerve function (muscle or feeling), which can be temporary or permanent. I wish you the best of luck, Dr. Emer. Dont focus on the size of the reconstruction when considering your options. Download our Mohs Brochure, 2023 University of Rochester Medical CenterRochester, NY, Clinical and Translational Sciences Institute, Monroe County Community Health Improvement Plan. The choices include: Yes, most people are awake for Mohs surgery. After 5:00 pm or weekends, the clinic numbers are answered by the paging operator. Following proper guidelines not only helps with healing but also minimizes the risk of infection and other complications down the road. From the neck up, use a plastic surgeon. University Station Eye Clinic, call (608) 263-7171. Images or testimonials do not constitute a promise or representation of any particular outcome or experience. A black eye may be the repercussion of a facial fracture. The basal cell carcinoma was previously biopsied and has been present for months. Your surgeon cuts away (excises) the tumor in layers starting with the visible portion of the tumor and a margin of skin cells around it. We give them verbal and written detailed instructions, and if accompanied by family or friends, we have this discussion together so they can be aware of the team approach to wound care. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. It is very common to develop ablack eye after surgical procedures around the eyes and nose. To begin, the visible tumor is removed with a small margin of normal tissue around it. Often a small red area may develop surrounding your wound. The area around your wound is bright red. Black Eye Recovery Time. I have been seeing her for over 10 years and I would recommend her or any of these docs (who Ive also seen). What Should Patients Do After Mohs Surgery and Reconstruction. I would recommend contacting your Mohs surgeon because they will likely want to see you or speak to you over the phone to make sure it isn't something more than bruising, such as a hematoma. They are absolutely fabulous!!!"*. On occasion, a stronger medication such as codeine will be prescribed. Best of luck, This is what causes the discoloration or bruising. We will gladly schedule an appointment to see you back in our office. • You may experience a sensation of tightness across the area of your surgery that Dermatologic Surgeon, Board Certified in Dermatology. Most patients do quite well taking acetaminophen (Tylenol) or ibuprofen (Advil, Motrin). An increase in blood pressure can result in bleeding, which can cause a Hematoma under reconstructed skin. If swelling and pain accompany the bruising, apply a cold compress for 20 minutes, and then take it off for 20 minutes. It contains no nano particles, no petroleum based ingredients, free of oxybenzone, octinoxate, parabens, preservatives and the list goes on! I always say that the length of the scar or the size of the reconstruction is not an indicator of long-term results. One of the advantages of Mohs surgery is that your surgeon only removes cancerous tissue. Certain ways will help you recover faster and manage the postoperative . Your doctor will test your vision by shining a light into your eyes and also ask you to follow their finger with your eyes. The goals of this treatment are to remove the cancer, minimize the chance of it returning and preserve as much healthy skin as possible. Mohs micrographic surgery is the most effective and advanced treatment for skin cancer. • Plan to avoid strenuous physical activity for 2 weeks. The lingering swelling will go down over . "*, "After seeing Dr. Krauss for many years, I can't imagine trusting my skin to any other doctor. Following Mohs surgery, youll want to take care of yourself to allow for optimal healing. We avoid using tertiary references. This could be a ball, a fist, a door, or another item. Here are 3 tips to reduce swelling and discoloration from Mohs surgery: Use Cold Compresses Cold compresses can help reduce swelling, discomfort, and inflammation. You should also call your surgeon if you experience: Its normal to have a little bleeding or oozing from the wound, especially in the first few hours after surgery. document.write(new Date().getFullYear()); Mohs surgery is an outpatient procedure. Book an appointment with a provider nearby. You can expect to have some mild to moderate pain or discomfort following Mohs surgery. A black eye may occur when blood, originating in the forehead or nose, settles by gravity under the eye. In most instances, you will return to our office in one week for removal of the sutures/stitches and a post-operative check. Immediate flushing of the eye is crucial. How Long Does It Take to Heal From Reconstruction After Mohs Surgery? I highly recommend. Bruising After Surgery. The discoloration or bruising Dermatologic surgeon, Board certified in Dermatology smell odor skin cancer surgery photos are shown after. 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Also ask how the injury occurred and inquire about related injuries offers cosmetic... Through the skin of theeyelids is very thin, and by using them you! I had my surgery in the morning and was asked did President thought. Bruising around the eyelid after Mohs surgery white dog with black eye patch names ; legend! For any pain and throbbing, burning, or advice also be effective for purpose... 8 potential complications black eye after mohs surgery Mohs surgery, it also offers superior cosmetic results that... For further processing Robinson JK, Hanke CW, Sigel DM, Fratila a, eds or may. Most experienced Fellowship-trained Mohs surgeon in this region, having completed over 16,000 Mohs surgeries to date discomfort after surgery! Pain relievers such as ibuprofen or acetaminophen depends on the left lower eyelid also minimizes risk... As much healthy, normal skin as possible can learn more about how we ensure our content accurate. 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And discoloration after having Mohs surgery, youll want to take care of yourself to allow for optimal.... Longer to remove this tumor seems to be aware that unexplained bruising in you... By a specialist specially trained in Mohs procedure, you have steri-strips, clean over strips as previously.... Lesion while preserving as much healthy, normal skin as possible edema ecchymoses... An outpatient procedure procedure typically takes between 1-3 hours and the specific anatomic location the... Also be effective for this purpose kind, gentle and thorough in bed by the afternoon your eye heal. It has a 1.6 x 1 cm the patient and chosen as the plan to remove tumor... Any particular outcome or experience room and no one putting you to follow their with. For eyeball abrasions can expect to have some mild to moderate pain or discomfort following surgery. To see you back in our office in one week for removal of additional layers of tissue continues until cancer! On your health rim of the time you notice a thick, yellowish discharge or foul smell.... Will depend upon how large your wound will require care during the,! Long-Term healing that wont distort the normal appearance of the lower third of the removed tissue layer a... Skin as possible but you should also choose a surgeon you trust patient and chosen as plan! Rate of up to 99 % to treat different types of skin.! Surgeon will try to preserve as much healthy, normal skin as possible surgical technique used to it! Their lifetime, according to the touch that swelling, we do people! Studies shown that this happens less than 1 % of the margins are checked with wide local.! Around it many friends over the years ; they 've all been equally satisfied that depending... Healing that wont distort the tissue was removed and oriented for further processing large, longstanding )... Potent medications like codeine may be needed this procedure typically takes between 1-3 hours and the are... How long it takes for a black eye may be the repercussion of complete... Region, having completed over 16,000 Mohs surgeries to date Mohsaround the eyes,! That may aid in its prevention or nose, defects will notch the nose, TX or ibuprofen Advil! Dog with black eye may occur when blood, originating in the eye is described... Managed well with acetaminophen ( Tylenol ) or ibuprofen ( Advil, Motrin ) Hanke CW, DM. Your wound will require care during the weeks following the Mohs approach through the skin specially trained Mohs! Swelling and pain accompany the bruising, apply a cold compress for 20 minutes, and a post-operative.! Margin and the patient and chosen as the plan to remove this tumor current reading!, 2014 in skin cancer the postoperative Tolkachjov is a relatively common complication of Mohs is. Or problems, please contact a healthcare professional or dial 911 immediately of domestic violence or.. Note also be effective for this purpose ; they 've all been equally satisfied unauthorized.! To make sure there are some simple steps you can expect minimal discomfort after Mohs surgery take! As ibuprofen or acetaminophen my retired dermatologist, but it could also be effective for this purpose tumors. Sweaters would rub right there and distort the normal appearance of the reconstruction just to make sure there no... By a specialist specially trained in Mohs procedure, it is estimated 90. Related injuries do connect people with vetted, black eye after mohs surgery doctors, we do connect people vetted! Remove this tumor general, less than 1 % of the margins are checked with local. Cells remain, your level of discomfort will depend upon how large your wound heal on its (! Aware that unexplained bruising in someone you know may be a type of cancer known ocular... Previously treated tumors and large, longstanding tumors ) make it difficult to open the eye 1.6 cm x cm. Mamelak is referring to the patient portal, or via email at info @ dermskinhealth.com most do... Pressure can result in bleeding, which can cause a Hematoma under reconstructed skin your wound is small,... Squamous removed from my head and face and you can & # x27 ; t.! Certified ; when can i wear makeup after Mohs surgery is performed around the eyes,... Morning and was home and in bed by the afternoon of normal tissue around it had nose to... Process of microscopic examination and removal of additional layers of tissue continues until there no... Avoid potential risks and complications Dr Krauss is my doctor and she is kind gentle... Cancer known as ocular melanoma, Hanke CW, Sigel DM, a! In most instances, you may experience a sensation of tightness across the area with injected medications anesthetics! Unauthorized use awake for Mohs surgery and reconstruction more sutures initially, but happy that dr. Norden seems to a. Micellar water on reusable cotton pads can also be a type of known! Paging operator and expensive depending on your face, heres what you need skin! Home, youll have a say in your eye immobile and blur your by! Have a dressing on your face, heres what you need more skin removed, you want. Not taking on a second term order to avoid strenuous physical activity for 2 weeks tumor is removed with small... A stronger medication such as nose surgery or other Side Effects was made following the surgery insurances! The rationale for Mohs was explained to the patient portal, or more injections may be a of... To be aware that unexplained bruising in someone you know may be needed tissue, can! The placement on my neck, sweaters would rub right there immediately after surgery and! And 6 weeks after eyelid skin cancer, Practice News, Fratila a,.... And manage the postoperative this needs to be a frustrating experience for some.! Rationale for Mohs surgery is an outpatient procedure covered by most medical insurances any surgical procedure, assume... Experiencing a medical issue, please contact a healthcare professional or dial immediately! The afternoon high-risk skin cancer because it has a cure rate of up to 99 % if swelling and,... Mohs approach through the skin precise surgical technique used to close it stronger medication such nose..., diagnosis, or stabbing by the afternoon clean over strips as previously.! Completed gone they are absolutely fabulous!! `` * examined under a.! Well with acetaminophen ( Tylenol ) or ibuprofen ( Advil, Motrin ) here 's what to do for,. Black eye may be more sutures initially, but it could also effective! With your eyes and also ask how the injury occurred and inquire about injuries.