Hi PLMI, I'm sorry to hear you were diagnosed with a basal cell skin cancer on your nose. For this area, which is a very cosmetically important area of your face called the nasal ala/apical triangle, Mohs surgery is considered the gold standard treatment. The reason why this is preferred to SRT is that with Mohs surgery 100% of the margins are evaluated allowing you with the smallest recurrence rate. SRT is considered a "blind" treatment modality and it's impossible to say if all the skin cancer was treated. Mohs will leave a scar, but in the right hands, this area can be repaired and healed so that someone sitting across the dinner table from you a year from now shouldn't be able to notice the scar. Mohs also is done in one day, whereas SRT would require several visits over several weeks and likely costs more. Hope everything works out! Dr. Fathi
Hi Kashaia222, these bumps are called Fordyce spots. They are normal, superficial oil glands seen in approximately 80% of the population. They can appear at any point in life but the incidence of appearance increases with age. These are typically not treated, however, in the motivated patient, a good place to start is a topical retinoid.
