Frisco Dermatologists

Ok to Wait 48hrs Between Mohs for a BCC on my Eyelid and Reconstructive Surgery?

Due to scheduling, I have my Mohs procedure scheduled on a Wed at 2PM with reconstructive surgery scheduled the following Friday at 11am (almost 48 hrs later). Is that to long of a wait? Thanks very much, George

This is very common with some Mohs reconstructions.  It is very common that someone will have a large tumor that takes several stages to clear - surgery is not complete till the late afternoon.  The next day the patient goes to the reconstructive surgeon usually. Sometimes, OR schedules won't allow that next day or the reconstructive surgeon can't do it the next day.  A 48 hour wait should cause no problems. 

Brent Spencer, MD

Frisco Dermatologic Surgeon

I Had Steroid Injection into my Nose to Help with Pincushioning of Mohs Bilobed Flap. Now my Nostril Flat is Worse Than Before

I had injection. Is this common? I had my Mohs surgery 6 weeks ago. I have been told it will get better but I am worried this injection made it worse.

There is still a lot of remodeling going on when you are just 6 weeks post-op.  This may improve as time goes on.  Do you have a picture of your repair?  It would be pretty rare for intralesional kenalog to make things worse in regards to pincushioning.  Now if it was done too aggressively, you may have some atrophy (depression) at the site.

Brent Spencer, MD

Frisco Dermatologic Surgeon

My Neck Seems to Sag on Side Where I Had Mohs on my Nose 6 Weeks Ago. Is This Common?

My Neck Seems to Sag on Side Where I Had Mohs on my Nose 6 Weeks Ago. Is This Common?

If I am understanding correctly, you had Mohs on your nose, and now your neck is sagging.  This sounds very unusual, and I would highly recommend you bring this concern up to your Mohs Surgeon.

More information would be helpful.  What type of repair did you have?

Brent Spencer, MD

Frisco Dermatologic Surgeon