{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:53:46Z","timestamp":1791986026572,"version":"4.4.0"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Postoperative wound care following Mohs micrographic surgery (MMS) has high variability and surprisingly limited real\u2010world evidence. Despite over one million MMS procedures performed annually in the United States, recommendations for topical agents, pressure dressings, wound cleansing, dressing change frequency, activity restrictions, and wound check intervals vary substantially across practices and are frequently based on training tradition rather than clinical data. This narrative review critically evaluates 15 common post\u2010Mohs wound care practices, characterizing the evidence quality for each. Six practices are supported by at least Level III evidence, most notably plain petrolatum over topical antibiotics and over multi\u2010ingredient ointments such as Aquaphor, gentle soap\u2010and\u2010water cleansing, the safety of early showering, targeted acetic acid soaks for hypergranulation tissue, and virtual wound checks. Evidence discourages cytotoxic antiseptics such as hydrogen peroxide and Dakin's solution. Most other common postoperative practices, including pressure dressings, activity restrictions, and dressing change frequency, remain understudied in MMS. Standardizing established practices while transparently acknowledging areas of uncertainty may reduce patient confusion, improve outcomes, and highlight priorities for future prospective research in dermatologic surgery.<\/jats:p>\n                  <jats:p>\n                    <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                      <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/ijd70728-gra-0001-m.png\">\n                        <jats:alt-text>image<\/jats:alt-text>\n                      <\/jats:graphic>\n                    <\/jats:boxed-text>\n                  <\/jats:p>","DOI":"10.1111\/ijd.70728","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:39:32Z","timestamp":1791985172000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Wound Care in Mohs Micrographic Surgery: Tradition, Variation, and the Evidence"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8200-9970","authenticated-orcid":false,"given":"Meredith","family":"Hengy","sequence":"first","affiliation":[{"name":"Department of Dermatology Wayne State University  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0442-2836","authenticated-orcid":false,"given":"George M.","family":"Jeha","sequence":"additional","affiliation":[{"name":"Division of Dermatology Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2140-9302","authenticated-orcid":false,"given":"Umer","family":"Nadir","sequence":"additional","affiliation":[{"name":"Division of Dermatology Baylor University Medical Center  Dallas Texas USA"},{"name":"Epiphany Dermatology  Dallas Texas USA"},{"name":"Texas A&amp;M College of Medicine  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0725-1649","authenticated-orcid":false,"given":"Stanislav N.","family":"Tolkachjov","sequence":"additional","affiliation":[{"name":"Division of Dermatology Baylor University Medical Center  Dallas Texas USA"},{"name":"Epiphany Dermatology  Dallas Texas USA"},{"name":"Texas A&amp;M College of Medicine  Dallas Texas USA"},{"name":"Department of Dermatology The University of Texas at Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"American Society for Dermatologic Surgery \u201cASDS Survey on Dermatologic Procedures \u201d(2023)."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000001952"},{"issue":"12","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1001\/jama.1996.03540120050033","article-title":"Infection and Allergy Incidence in Ambulatory Surgery Patients Using White Petrolatum vs Bacitracin Ointment. 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