Just Diagnosed with BCC with Morpheaform Features, on Nose, HELP

After having a biopsy was diagnosed with BCC with morpheaform features on the side almost tip of my nose. Please help....one plastic surgeon traumatized me with his rendition of cartilage from the ear and/or nose to fix. Another said 75% time a bilobed flap would fix, extremely anxious over possibility of forehead flap and scarring...any scarring scares me drastically. Surgeons I am scheduled to see in 4 weeks is a mohs surgeon from John Hopkins, and the plastics is also from Hopkins.

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4 Doctor Answers | Asked by Fido44

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Mohs for tip of nose BCC

You are in good hands and have chosen a fine institution for your surgery. With a Mohs surgeon, you will know at the end of your surgery day that the tumor has been completely and thoroughly removed which is of utmost importance. It is too soon to know what type of reconstruction is best suited to you since we don't know what the size or shape of the defect will be until after your cancer removal is complete. Potential reconstruction options for the tip of the nose... more

Basal cell skin cancer on the nose

It sounds like you are doing everything right and seeing the correct people to help you with your cancer. Moh's surgery is by far the best way to give you the highest cure rate, it will remove the least amount of tissue to give clear margins. It really depends on the amount of tissue removed that will determine the most appropriate reconstruction. Bilobed flaps have excellent cosmetic results , and forehead flaps are rarely needed. Skin grafts to... more

Mohs Surgery for the Nose

Mohs surgery is going to give you the highest cure rate for a basal cell carcinoma. According to the scientific literature, the cure rate for Mohs surgery is 98.5-99% for a basal cell carcinoma not previously treated. If the skin cancer has been previously treated, the cure rate for Mohs surgery is 95%... both of these scenarios is much better than other forms of treatment. In addition, Mohs surgery preserves the greatest amount of healthy tissue because the surgical margins... more

Mohs

The first priority for you is to cure the cancer - and Mohs surgery is the way to go without a doubt. Guessing what reconstruction you need is premature until your surgeon knows exactly what is missing. You are in a tough situation, but you are in good hands. Trust your surgeon to give you your options. Depending on the size of the defect, both bilobe flap and forehead flap can give excellent results. Realize that reconstruction is a process that may take a few steps for the best final... more