Had a BCC on the tip of my nose that had been frozen, scrape biopsied (inconclusive) and then punch biopsy showing the BCC by the dermatologist. She recommended the Mohs performed by an associated ENT with Mohs training. Prior to the scheduled surgery, I faxed him a half page of specific questions. Rather than answering, he required a second meeting with my hubby and me which did not go well when I challenged his "repair" skills. I asked my friend with our state medical association what was the difference in training of a plastic surgeon vs an ENT with maxofacial & Mohs training. She said a plastic has 5 years of surgical residency plus 3 years of plastic fellowship vs a couple of years (perhaps) during ENT residency. I went with the plastic surgeon who cut two facing elipses and gently pulled it together. Though the initial path report during the procedure said the margins were clear, the core was not. He clipped a few stitches and cut more, down to the cartiledge (not to worry as I have a generous nose) and stitched it back. Unfortunately, the final lab shows there is still BCC tissue and he recommended radiation. Have an appt. with a radiation oncologist next week but have MANY reservations considering the proximity to my brain! He said I couldn't have had BCC in a worse place, leaving few options other than "wait and watch" or a major excision and bi-lobed flap. Any advice??
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.
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