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Open Mohs wound care specialist
Condition We Treat · San Antonio

Open MohsWound CareSan Antonio

After Mohs surgery, wounds left open to heal by secondary intention require careful wound care to reduce infection risk, support healthy granulation, and protect the final cosmetic result. Our physician-led team in San Antonio helps manage post-Mohs wounds with advanced dressings, wound-bed preparation, infection monitoring, and coordinated care when needed.

Post-Surgical Wound SpecialistsMedicare AcceptedBiologic Skin SubstitutesSeen Within 48 Hours
Why It Matters

Open Mohs Wounds Are Delicate.They Require Specialist Care.

When Mohs wounds are left to heal by secondary intention, the outcome depends almost entirely on the quality of wound management that follows. These wounds — often located on the face, scalp, nose, and ears — are in highly visible, functionally important areas where infection, poor granulation, or mismanaged dressings can have lasting cosmetic and functional consequences.

Specialist wound care ensures the right dressing at the right stage, early identification of complications, and access to advanced biologics and HBOT when healing stalls — protecting both your health and your appearance.

Warning Signs

Don't wait — seek specialist care

A Mohs surgical site that shows no signs of closure after 2–4 weeks
Increasing redness, warmth, swelling, or tenderness around the wound
Foul odor, cloudy drainage, or pus from the surgical site
Wound edges pulling apart or dehiscing after initial repair
Skin around the wound turning dark, dusky, or developing blisters
Fever, chills, or fatigue — signs that infection may be spreading systemically

Contact your Mohs surgeon or seek urgent care if you have rapidly spreading redness, uncontrolled bleeding, fever, severe pain, or worsening swelling.

Your Healing Plan

Your Personalized Post-Mohs Wound Healing Plan

01

Post-Mohs Wound Assessment

We start by carefully evaluating the wound's size, depth, location, tissue health, drainage, infection risk, and whether it is healing as expected after Mohs surgery.

02

Moisture-Balanced Wound Dressings

We select dressings designed to protect the wound, support healthy granulation tissue, manage drainage, and help protect the surrounding skin as healing progresses.

03

Infection Monitoring & Management

Our team watches closely for signs of infection, obtains cultures when appropriate, and coordinates antibiotics or follow-up with your Mohs surgeon when clinically needed.

04

Wound-Bed Preparation

When appropriate, our physicians remove nonviable tissue and help prepare the wound bed to support healthy healing, especially for wounds healing by secondary intention.

05

Cellular & Tissue-Based Products for Select Wounds

For appropriate non-healing post-Mohs wounds, advanced cellular and tissue-based products may be considered when standard wound care alone has not been enough.

06

HBOT Evaluation When Medically Appropriate

HBOT is not routine for most post-Mohs wounds, but for select qualifying cases — such as compromised grafts, flaps, or radiation-damaged tissue — our team can evaluate whether it may support healing.

07

Scar Management & Cosmetic Coordination

As the wound heals, we provide scar-care guidance and coordinate with your Mohs surgeon, dermatologist, or plastic surgeon when needed to help protect comfort, function, and the final cosmetic result.

Why Hill Country

San Antonio's Largest
Physician-Led Wound Care Network

From board-certified physicians to cutting-edge therapies and three convenient locations, we deliver personalized, compassionate care tailored to your healing journey — at a fraction of hospital costs.

01

Largest Private, Physician-Led Network

San Antonio's most extensive private outpatient wound care & hyperbarics network, led by board-certified physicians.

02

Physician-Led, Patient-First

Board-certified physicians oversee your treatment, explain every step, and customize your plan as you improve.

03

Three Convenient Locations

Advanced Healing Centers in North, East, and Southwest San Antonio — with easy parking and convenient hours.

04

Affordable Outpatient Model

We accept Medicare and most major insurances. Our outpatient setup keeps your out-of-pocket costs lower than hospital-based programs.

Ready to start your healing journey? Our team is here to help.

From Our Blog

Related Articles

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Open Mohs Wound FAQs

Have more questions? Visit our full FAQ page or explore our articles.

Greater San Antonio

Had Mohs Surgery? We Can Help Your Wound Heal.

Expert post-Mohs wound care in San Antonio — protecting your health and your appearance. Most patients are seen within 48 hours at any of our three locations.

(210) 610-8154

Post-Mohs Open Wound Care in San Antonio, TX

Hill Country Wound Care provides specialized outpatient care for open Mohs surgical wounds healing by secondary intention. Our physician-led team in San Antonio collaborates with dermatologists and Mohs surgeons to manage these delicate wounds, particularly on the face, scalp, and nose. Our goal is to promote faster healing, prevent infection, and optimize the final cosmetic and functional outcome through the use of advanced wound care techniques.

What is Healing by Secondary Intention?

After Mohs surgery, some wounds are left open to heal from the base up. This process, called healing by secondary intention, is often used for wounds in concave areas or where skin flaps or grafts might compromise the cosmetic result. While effective, it requires diligent, expert wound care to guide the healing process and ensure a healthy, well-formed scar.

Our Specialized Post-Mohs Wound Care

Our treatment protocol for open Mohs wounds includes: 1) Advanced Moisture-Balanced Dressings to create the ideal environment for granulation tissue to form. 2) Application of Cellular and Tissue-Based Products (Biologics), such as amniotic membranes, to accelerate healing and reduce scar formation in complex or slow-healing wounds. 3) Meticulous Wound Bed Preparation to ensure healthy tissue growth. 4) Early Scar Management protocols once the wound is closed, including silicone sheeting and compression. 5) Close coordination with the referring dermatologist or Mohs surgeon throughout the healing process.

Why Specialist Wound Care for Mohs Wounds?

Specialist care ensures that the wound is healing properly at every stage. We can identify early signs of complications like infection or stalled healing and intervene with advanced therapies that may not be available in a general dermatology setting. This proactive management is key to achieving the best possible result after Mohs surgery, minimizing recovery time and visible scarring.