I Am 49 Years Old. Diagnosed with BCC on Bridge of Nose, What's Best for Least Scarring?

There are a number of elements that need to be considered in deciding the best technique for reconstruction of the nose.  Photos of the defect are the most helpful.

The best treatment for a BCC on the nose is Mohs surgery.  Mohs surgery controls the skin cancer by using a microscope to check the margins during the day of the procedure.  It gets rid of the skin cancer and  leaves behind as much normal skin as possible leaving a much smaller defect. A smaller defect after taking the skin cancer out leads to a smaller reconstruction with a better scar.  Dr. Halem

Mohs surgery is the best choice for skin cancer on the nose - it has the highest cure rate for the treatment of skin cancer -- up to a 95 -99 % cure rate.

In addition Mohs conserves as much normal tissue as possible as the Mohs technique examines 100% of the tissue margins -- all the lateral (wide) margins and the deep margin (the base) are examined. 

 

I recommend a fellowship trained Mohs surgeon with (American College of Mohs Surgery).  Also the Mohs surgeon not only performs your surgery, but also examines your tissue under the microscope.  The type of repair and the size of the scar will depend on how much tissue was taken.  I wish you the best of luck.