I have this mark on my nose for 4 years maybe more. It started as a tiny little red spot that would go away and come back a little bigger then it would sometimes bleed. None of my derms or GP questioned I think because of how young I was when it started (19). This last year it started turning into a whole/dent and had blood vessels running through it. After I found out it was skin cancer I freaked out. First thing I did was go on the internet which was the stupidest mistake. This very graphic and huge skin cancers on the internet are the worst cases people that have had these for a VERY LONG TIME. Even mine being an aggressive form of BCC and having it 4+ years it didn't do that much damage. But after looking on the internet I thought I was going to lose my enter left side of my nose. My experience through out all of this was stressful because of not knowing how much skin was going to be removed and internet making it seem so much worse. It took 2 stages to removed the entire tumors using Mohs and then I had a Nasal Rotation Flap and a little skin graft to fix it. DONT LOOK ON THE INTERNET IT WILL SCARE YOU SO MUCH MORE. For everyone else that has to deal with this good luck and be positive! Updated on 4 Nov 2015: My nose is healing pretty good but still a long way to go. Updated on 9 Nov 2015: Updated on 24 Nov 2015: Updated on 13 Jan 2016: 14 Weeks after surgery Updated on 23 Sep 2016: It's been 1 year since I had MOH's surgery and I couldn't be happier with the results. I haven't had any scar treatment done at all, I've just been putting lotion and sunscreen on everyday.
First of all, I saw Dr. Chipps to have a cyst removed because of the pain. She dissuaded me and said that it would leave a big scar. I basically scared me into keeping the cyst and the pain. I didn't ask her if I should get it removed. I told her I wanted it removed. She also called Dr. Fincher in for a 2nd opinion and Dr. Fincher said it should be removed but Dr. Chipps didn't adhere to the idea. I also have a skin tag on my back that itches me and she wouldn't touch it either. I felt like she didn't want to touch me because I have HIV. I was basically seen but no procedures were done and they charged my insurance company $160 for the visit. I had to call my insurance company and ask them to give me a referral to another dermatologist. After months I am still waiting to see another dermatologist to have these issues removed. Second, the billing department sucks. Vanessa kept sending me bills every month since November even though she had my insurance information. I called and tried to speak with her but she was either busy or not in the office. I never got any calls back. I even asked for her supervisor at one time and I was told that she didn't have one. I finally called in January and told the woman that answered the phone that I would wait on the line as long as it takes so I could talk to Vanessa and have this taken care of. Finally after 1/2 hour of waiting Vanessa came on the line and asked me if I had an authorization. I said yes otherwise I wouldn't have been able to see the doctor. She then asked if I gave the front office my insurance card and again I said yes, otherwise I wouldn't have been allowed to see the doctor. She finally looked in the computer and told me that nobody put the insurance information in the computer. DUH!!! She is THE billing department. She is the ONLY one in the billing department. She dropped the ball and then kept sending me bills AND finance charges on top of it, and stressing me out needlessly. I got so frustrated that I decided to post this review to let others know. Its a shame that Dr. Moy has such incompetence in his employ. I heard he is a good doctor but with others in his office like that I think it tends to mar his reputation to some degree. If they don't look good, he doesn't look good. I hope this review helps others decide whether this doctor's office is right for them. This review is my experience with this doctor's office. If other people have had great experience there, that's great for them. I just wonder if those 5 star reviews are actually legitimate. Go there yourself and find out and when you have similar issues you'll know what I'm talking about. Maybe you'll be lucky and not have any issues
A fellowship-trained Mohs surgeon's expertise is in the complete removal of skin cancer and the best possible cosmetic surgical repair of the wound. We treat these defects on the face, and in other delicate and sensitive areas, every day. We use local anesthesia and have this procedure down to a science. The Mohs technique has the highest cure rate for skin cancers, so the risk of recurrence is minimal.Plastic surgeons do have different training. They spend some time on these small wounds, but much of their training is in very large reconstructions of body parts off of the face, or in reconstructing bony and soft tissue problems under the skin. They do not have the same laboratory process to ensure removal of skin cancer that is used for Mohs, so they have to take larger margins and leave a larger wound and scar.
For dark skin like yours, CO2 laser resurfacing may cause disfiguring pigment changes. I do not recommend this treatment options.Consult a board-certified dermatologist in your area to discuss other, nonablative laser resurfacing options that may be safer for your skin type. Prices will vary based on your geographical region, the laser used, and the time involved.
Many patients who undergo Mohs surgery do end up with linear scars. Mohs surgery, by definition, is the removal of skin cancer with microscopic examination of frozen tissue sections. This technique allows the surgeon to remove all of the skin cancer cells without removing any unnecessary tissue. Often, the resultant wound is an irregular round or oval shape. The wound left after cancer removal is often closed using plastic reconstructive surgery techniques, which will leave the least noticeable scar. Sometimes, this is a straight line. Straight line scars may also result from traditional excisional skin cancer surgeries.
Your physician, like you, wants your outcome to be perfect. I advise you to return to him to discuss corrective options, such as injection of a small amount of hyaluronidase to dissolve the bump.
A small amount of Botox in the under eye area can reduce bunching. i agree with you plastic surgeon. The lower eyelid skin in your young fiancée is tight. Some filler may help with her natural hollows. Based on these photos, I would not recommend lower blepharoplasty nor laser tightening. Embrace her for the beautiful woman that she is, and enjoy your wedding!
