I did not have a wound care nurse after takedown. My surgeon instructed me to remove the dressing and shower 2x a day , not touching the wound, but letting water rinse over it, then putting on a clean band-aid. The wound was not 'closed' or packed to prevent infection, but it healed well. There was one spot that kept bleeding, but the doc just cauterized it in a second with a silver nitrate stick. The scar is less than I expected.