First of all, be sure that you are dealing with a Fellowship-trained Mohs surgeon as the Fellowship emphasizes and requires expertise in cosmetic reconstruction. If they are Fellowship-trained, you can go to www.Mohscollege.org and look up your state and find your physician will be there.
Aside from that, lumps after surgery such as dog ears are easily repaired with a small surgical excision. For deeper scar tissue lumps, an injection of Kenalog can often hasten the resolution of these lumps. Your first step is to report your concerns to your surgeon and they should be able to handle this problem (if they cannot, check the credentials of your Mohs surgeon at the website above). The next step would be to seek out a facial plastic surgeon or a general plastic surgeon, or another Fellowship trained Mohs surgeon.
