Re-excision seems to be the simplest solution

Shawn Allen, MD answers: What should I do if I have a large lump after Mohs surgery?

I had Mohs done on small basal @ center forhead. I was left w/ a concave wide white scar, deep brow furrows, and a 10mm lump where final sutures were done 2yrs ago. One steroid injection helped flatten the lump some, but refused anymore. Taping flattens it but puffs up again after 1 hr.

Three derms & three surgeons won't help - they all said nothing will work on furrows & only offered more cuts to fix lump. The Internet says small injections will flatten lump w/ a spread out treatment.

Why can't I find someone to do this? Why no fillers for furrows? I even asked about fat filling, but I'd rather try a filler if the lump sinks in.

The lump looks like a big obvious zit! My hair is too fine to cover over.

Anyone have idea or referral? People suggest I should have it checked. Each Dr. gave different reason for why it's there. I have a small spot now on my cheek & I'm afraid to have procedure again.


Shawn Allen, MD
9 months ago

The most simple solution sounds like the one that has been recommended, which is re-excision of the area. This should be done to achieve 2 results: 

1. To remove the lump in the area

2. To better evert the edges of the skin so that the final surgical line is no longer indented and blends in well with the skin in the area.

Please be sure that you seek out a Fellowship-trained Mohs surgeon or a plastic surgeon or a facial plastic surgeon to do this repair.

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