Basal cell cancers are easy to treat and leave almost inconspicuous scars if removed early. If the lesion is inadequately treated, it may disappear from view for months or even years growing under the skin. When it reemerges, it may require extensive excision and reconstruction. Therefore, the margins of excision the first time must guarantee adequate removal.
Basal cells can be treated with radiation, but this is generally limited to much older patients where the collateral from the radiation is not a consideration and surgery might be hard to tolerate.
Most Moh's surgeons work with a plastic surgeon if the excision ends up needing any formal reconstruction. Most reconstructions in time are almost (but not completely) invisible.




