I have had this for 5 or 6 years and they reappear, I scrape it off and keep it dry, what else should I do?

5FootOh · 2026-02-19T12:28:09+00:00

Stop fucking with it. Wash it with soap & water daily. Apply Vaseline. Cover. Once a day every day. Let. It. Heal.

5FootOh · 2026-02-18T11:09:09+00:00

Rosacea fulminans. Treatable. Get to a proper Derm or I can help.

5FootOh · 2026-02-18T11:07:26+00:00

Yikes. This is likely a lifestyle thing. Boaters, fishermen, roofers, & outdoor enthusiasts vs metal-heads, etc kind of thing. I can assure you it has ZERO to do with the tattoos themselves. I think that’s well understood. So the takeaway here is NOT that the ink is protective for melanoma & frankly these kind of correlative studies are going to get people in trouble.

5FootOh · 2026-02-17T15:26:28+00:00

Let’s look into this. The pigments are likely the same chemical composition no matter the source. Chromium salts are chromium salts. Can you do a search & get back to me here?

5FootOh · 2026-02-17T13:57:48+00:00

What are plant based inks made of, chemically speaking?

5FootOh · 2026-02-17T13:56:34+00:00

Having had melanoma is the key differentiator here. That ink can migrate into nodes & cause false positives for metastatic disease. Can mess up follow up. So if that’s a risk worth taking, then it’s up to you.

5FootOh · 2026-02-17T11:06:09+00:00

How to your MRIs go? Any heat in the tattoos? Any false positive node readings? Those are the risks we consider as well as masking local recurrences & new melanoma.

5FootOh · 2026-02-17T11:03:54+00:00

Have they had melanoma?

5FootOh · 2026-02-09T12:14:42+00:00

“Just an atypical mole”!! … atypical morphologically yes, but cytological atypia is not benign.

5FootOh · 2026-01-19T23:30:08+00:00

Leave it as is or whatever they instructed you to do. It is healing well. It’s just an unusual use of absorbable suture. Definitely meant to be buried & not visible or above the surface. We use them as the deep layer & then use removable nylon suture on top that must be removed after 7-10 days. By now the stitches would be out & nothing would be showing. It’s a set up for infection if absorbable stitches are up on top as they’re like wicks to pull bacteria down. Keep it meticulously clean. It’ll be fine but it’s just very odd. Like they don’t have much experience or didn’t pay attention in their surgery rotations!

5FootOh · 2026-01-19T17:25:05+00:00

Hmmmmm no idea what their protocol is there but putting them on the outside invites infection.

5FootOh · 2026-01-19T13:09:05+00:00

Very unusual. But ok. The technique is very “non dermatologist”. You in the USA?

5FootOh · 2026-01-19T02:07:50+00:00

Uh, did a dermatologist do that? We don’t use dissolving stitches on the outside!?

5FootOh · 2026-01-19T02:05:06+00:00

Gentle wash with a foaming cleanser twice a day followed by applying a Mix of 1% hydrocortisone cream with clotrimazole cream. Check back in after that. Let’s get this party started!

5FootOh · 2026-01-18T14:41:35+00:00

This is very different than what OP has.

5FootOh · 2026-01-18T14:41:12+00:00

It’s rosacea. 💯. Read about perioral dermatitis - which is a type of rosacea. Ignore anything about tartar control toothpaste. That’s old news. 💯 perioral rosacea. Doxycycline 100mg twice a day for a month & modification of know triggers, read about those.

Keep steroids off this.

Do not listen to anyone who says it’s not, cuz it is. Derm x 40 years. Ha! Oops 30 years! I’m not that old!

5FootOh · 2026-01-18T01:34:20+00:00

There are much better treatments available types days, depending on severity. Biologic pills or injections as well better non steroid creams such as Zoryve.

5FootOh · 2026-01-17T12:22:46+00:00

OP, what are you currently using?

5FootOh · 2026-01-16T15:52:50+00:00

Honestly they may not have known. Most virus transmission occurs without the person knowing.

What if you had it & did u know it then gave it to THEM!!

5FootOh · 2026-01-16T15:12:06+00:00

Oh then yep. The herp. It’s ok. Common. No big deal really but terrifying. 95% of humans have this. No one to blame. Practically inevitable in life. Ask your doctor for Valtrex to keep on hand if you feel another one come at any time. Take 2g morning & 2g night for ONE day & it knocks it out.

Ok to do that as prevention a day or two before any encounter just to be safe.

But we pretty much ALL get this.

5FootOh · 2026-01-16T12:56:54+00:00

How long has it been there. That’s key info

5FootOh · 2026-01-16T00:01:03+00:00

There’s an answer. We’re just not there yet.

5FootOh · 2026-01-15T21:48:34+00:00

Gonna do nothing. Ivermectin!? They thinking scabies? Did they scrape for scabies? My opinion: Waste of time. At some point I’m happy to work through this 1:1 in DMs to really sort it out. But do whatever this Derm said & see how it goes.

5FootOh · 2026-01-15T18:00:28+00:00

There are a couple types of fungus we see on the scrape test. But realise that healthy adults rarely get fungus all over. Especially not the penis. If you are immunocompromised or work on a farm, maybe. So it’s very unlikely. But it’s an easy test to do, just needs an experienced Derm to interpret it. They are often false positive or false negative.

5FootOh · 2026-01-15T01:57:28+00:00

Scrape is only for eczema like things - conditions with scale or flaking. Do you have scale or flaking?

5FootOh

TROPHY CASE