What can be done for Mohs surgery lumps?

Nine months ago, I had Mohs surgery on my cheek (near my nose) for a very small Basal Cell Carcinoma (BCC). I developed two lumps from the surgery: one is a dog ear, and the other is a large lump that was caused from tissue being pushed by the surgeon. I was just told that this large lump will "never go away." Is there anything that a plastic surgeon can do to remove or lessen the appearance of this lump? I was never told that this could be a result of this surgery.

5 answers to “What can be done for Mohs surgery lumps?”

A: Seek a Fellowship-trained Mohs surgeon

Shawn Allen, MD

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.... more

A: Ask a skin cancer reconstruction surgeon for options

John P. Di Saia, MD

Hello, Get a consultation with a plastic surgeon who does skin cancer reconstruction and see what might be done. There may be limitations but there is no reason not to check it out.

A: Yes - you can do a scar revision for the dog ear portion.

Don Mehrabi, MD

Thank you for your question. In regards to the dog ear pouching, most dog ears can be removed by doing a minor scar revision at that end. Most of these mini-surgeries are quick and have excellent results. Keep in mind that, when doing a dog ear revision, the scar will be slightly longer than before. For most... more

A: These can probably be improved

Stella Desyatnikova, MD

Hard to tell without taking a look at you, but sounds like you developed a couple of lumps from the reconstructive portions of the procedure. "Mohs surgery" refers to the excision of tumor by a special method, and then we usually perform some kind of reconstruction to close the defect. Occasionally,... more

A: Scars can be flattened and dog-ears can be repaired.

Bryan K. Chen, MD

At 9 months out from your surgery, any "settling" down of the dog-ear probably would have occurred by this time.  Dog-ears can be repaired, but this would require an additional surgical procedure.  The "lump" of scar that you describe probably would benefit from a series... more

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