Mohs surgery before & after photos
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9 reviews
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Mohs Surgery Cost $2,200 average cost

No Scar Answer to my Skin Cancer

15 posts
Comments (29)
Updated 17 Jan 2008
Posted 28 Dec 2007
Worth It
Spent: $1,000 in Arizona
during my visit to the dermatologist I pointed out a red spot on my nose that seemed to scab over easily, but never quite heal. The derm told me it was a squamous cell carcinoma, the kind caused by sun damage. While squamous cell cancer won't usually kill you, if left untreated it does spread, and it can create big ugly areas. It could have eaten away my entire nose. I saw some photos of that. I decided it was best to have it removed when it was new and small. I went to a skin cancer specialist in Moh's surgery. Moh's surgery is a subspecialty of dermatology, and not everyone does it. But I wanted it, because the alternative was to be disfigured. My skin lesion was on my nose, so I didn't want somebody cutting a big piece off it. Mohs sounded like the perfect solution, because it's done with local anaesthesia, and the surgeon removes the skin layer by layer, or slice by slice, sending each slice to be biopsied while you are still in the office and numbed. You stay until a layer comes back clean. So they only take off exactly what's necessary to "get' the cancer. It's a cure about 98% of the time. And then you are sent to a cosmetic surgeon. In my case, because this was on the bridge of my nose, they had to do a skin graft (they can't just sew up that area, because there's hardly any extra skin.). So they took some skin from my shoulder and grafted it on to my nose. They held it in place with a cotton ball that they sewed into the nose as well. Several days later, they removed the graft. You can hardly tell it is there. There's no hole in my nose, and no real scar. This surgery is WORTH IT. I will look for some photos I took during the procedure, and if I find them, I'll post them.

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

Vote: 34 members found this review helpful

Comments (29)

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Bob Neese (1 post) 10 May 2008
Recently diagnosed with a couple of basal cell issues on my face of which one is fairly large. I am seeking a practicioner of MOHS and Cosmetic surgery. Can you help or recommend? My thanks in advance. Bob Neese
blondvoyage (2 posts) 24 Oct 2008
I had Mohs surgery three years ago for a tiny spot on my cheek. I had no idea the dermatologist was going to cut into the length of my face or I would have asked for a plastic surgeon to be involved. I have had two scar revision surgeries because my face was so badly sewn. Beware if you have ANY size of cancer spot on your face, the Mohs procedure tends to result in overexcising (cutting)so the Dr. is sure he got it all, so INSIST a plastic surgeon is involved from the beginning. Don't ever let anyone cut on your face who is not a board certified physician. Symmetry and sewing skills are critical.
82brit (1 post) 23 Feb 2011
I had two mohs procedures performed. One on the side of my nostril and one beneath. I don't agree a plastic surgeon is necessary, just a competant doctor! Results of both my procedures left little evidence of scarring. Get referals and check out the doctor.
New City (3 posts) 3 Sep 2011

I agree. My Moh's surgeon was highly recommended by my dermatologist. They both said I wouldn't need a plastic surgeon. The nasty scar I have says they were wrong. Always get a plastic surgeon.

motherof5greatkids (unregistered guest) 7 Feb 2009
I agree to make sure you have a plastic surgeon on hand. I too had a red dot on my nose and stressed I am pretty vain already getting botox injections and laser to remove dark pigment. My nose is horribly scarred from the scalpal slicing he did AFTER THE SURGERY to yank skin this way and that to cover the hole. I never should have trusted my "expert" and should have demanded a plastic surgeon be there to close me up. Now, I have to try and find someone who thinks they can correct what this guy did.
chauchat (2 posts) 6 Mar 2009
I agree. I am so grateful to have had a plastic surgeon do reconstruction on my Mohs site. After two weeks the scar was noticeable, but fairly normal looking. My surgeon was shocked at what the Mohs surgeon was planning to do to close the wound--it would have caused serious disfiguring on my nose. Find a good plastic surgeon and get in and do the Mohs before the cancer gets bigger! (I waited almost a year--NOT a good idea)
mamabeast (2 posts) 15 Apr 2009
I have to agree: get a Plastic Surgeon involved. I had 2 procedures done each closed by a Plastic Surgeon. One required a skin graph from behind my ear. It had the same effect as a "mini-face lift".
baxter1 (7 posts) 13 Jun 2010
I have had 9 MOHS surgeries done by a dermatologist/plastic surgeon. The object of MOHS in the first place is to minimize scarring. My experience has been that they surgeon will numb the spot, take a small layer and have it biopsied.If the margins are all clean, you will be stitched up and you may leave. If the margins are not clear they will numb you again and take another thin layer. Sometimes you can sit in the office 3 or 4 hours until they get all the cancer. I have had to go back into the surgical suite three times but I am thankful that the doctor does not just cut a chunk out. He takes the time and excises as little tissue as possible and still gets all the cancer. His stitching technique is superb.
New City (3 posts) 31 Dec 2011
The problem is you don't know how good or not a Moh's surgeon is until after he scars your face. My Moh's surgeon was highly recommended by my regular dermatologist.
If you have anything done on your face get a plastic surgeon.
A.I. (1 post) 13 Aug 2010
I had Mohs surgery roughly a year and a half ago. After allowing the site (ie. the very tip of my nose) to heal for a year, I was far from satisfied with the results as I had a deep circular indentation to one side. When I voiced by discontent to the individual who performed such surgery, she voiced that "at least I was cancer-free". Such logic cannot be denied; however, I found her attitude condescending and patronizing. I looked for a plastic surgeon to correct the scar and, six months after the corrective surgery, I'm even more dissatisfied than previously. The scar is actually larger than before. I don't know if it's time to give up and accept this scar as part of who I am or seek further treatment. I don't think of myself as vain and my appearance has always been average but this scar, on the very tip of my nose, truly bothers me. What is a reasonable person to do?
L.S. (14 posts) 23 Aug 2010
I to have post-op grief & seen Dr's over time to correct flaws. We both know 'just accept it' when you look in mirror may take yrs. My prob. is still unresolved. If it's dented in maybe see Derm. for filler? Level, white/well healed? A gd. licensed Cosmetic tattoo artist can match. I went to a Theatre make-up artist & was sold a heavy stage foundation on my white scar but I have a lump no one will touch. Some co2 lasers may help but didn't on me. Time/$ is always an added problem along w/ anxiety. Atleast our cancer is gone. I completely understand.
Sue 6560 (1 post) 24 Aug 2010
I had the Mohs done on my nose on the 16th. of August. Dermatologist did a nose flap. It is still awfully red. Get stitches off this Friday. I just really expected it not to be so red and sore. Wish i had found this forum before I had it done.
9219anon (5 posts) 7 Sep 2010
I had MOHs surgery on my nose and just below my eyebrow. This was done in November 2009. When I first took the dressings off after surgery I looked like someone had smashed a broken bottle into my face. I was horrified. Today you can hardly see any scarring. I had the surgery done by a plastic surgeon and am happy with the results. I go in next month for more, this time on my top lip. I feel confident this time after such great results last time.
221641anon (10 posts) 23 Oct 2010
Me, too! I would have sought a plastic surgeon. The dermatologist/Mohs surgeon did the surgery, harvested the graft, and left his PA to do the rest. I know that many PA's may be good at stitching. However, I have a hard time comparing a PA to a plastic surgeon! There's something wrong with this picture. No wonder I have a nasty scar.
New City (3 posts) 5 Dec 2010
Don't get this surgery without a plastic surgeon! I just had a small basel cell removed from my forehead. It was not deep. The Mohs surgeon closed the wound unevenly and I now have a one and 1/2 inch scar that is raised and uneven. I am currently researching a plastic surgeon to see if this can be corrected.
Newburgh NY4823 (2 posts) 2 Jan 2011
I had moh's surgery several times with no ill effects. In and out, no scarring. This last time, it took 2 days and 8 procedures to remove the cancer from my nose. She took off a layer of skin from nose. I then had plastic surgery (cheek flap) to cover the "defect." My face is a mess. It's getting better everyday, but still...I had no idea what i was getting into.
If you have to return several times to the mohs surgeon, make sure you understand how much is being done and what you are going to look like
9219anon (5 posts) 4 Jan 2011
If you have a good plastic surgeon scarring shouldn't be a problem. The face heals extremely fast. Happy to share before and after photos of my surgery. A couple of months after surgery and you can hardly see any sign of the scars.
Fido44 (5 posts) 6 Nov 2011
Just diagnosed with BCC on my nose. Extremely scared of the mohs surgery and the scarring after. Will be having a plastic surgeon, experienced in reconstruction after mohs, fix the "hole" that will be practically on the tip of my nose. But I am very concerned about the scar. How long before you did not feel like a "monster"? What kind of recon did you have? Bilobed or forehead? I AM EXTREMELY ANXIOUS AND SCARED ABOUT THE SCARRING!!!
Fido44 (5 posts) 7 Nov 2011
Where was your surgery, nose, forehead ?? How long did it take to heal after surgery...pics would be wonderful. Having my surgery January next year and I am very scared
9219anon (5 posts) 21 Nov 2011
Sorry for being slow to reply, just had more mohs done in October 2011. Above right eye. All is healing nicely. When I show people before and after pictures they can't believe it. Where shall I email pics for you?
Fido44 (5 posts) 21 Nov 2011
hi 9219anon,
thank you for your reply You can email pictures to: mmark5@mchsicom. I am still terrified about this surgery. Scheduled for Jan.2012
umrebel (1 post) 17 Jan 2012
How did your surgery go and are you satisfied with the results? My BCC is on the very tip of my nose and my Mohr surgery is scheduled for Feb. 6. I, too, am terrified. Have a plastic surgeon doing the work. Please send pictures.
9219anon (5 posts) 21 Jan 2012
I have tried to email pics to the email you provided but it has not been recognised. Can you resent please.
Kathy K (1 post) 31 Jan 2011
I was just diagnosed with a squamous cell carcinoma on the bridge of my nose. It's an extremely small spot - in fact I pointed it out to my dermatologist. Occasionally it would erupt and then heal. I am scheduled for MOHS surgery on 2/15. Needless to say I'm a bit frightened about the procedure. I hate/fear needles. Yes - I'm a big baby. And I really like my nose. Any words regarding the procedure. Thanks!

Kathy
Carla64 (1 post) 11 Jun 2011
I am right there with you! I am scared to death of all the MOHs photos and talk of skin grafts. My nose is my best feature and poof! It's going to be ruined.

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