BCC on Side of Nose - Mohs or Laser Removal?

Firstly, all basal cell carcinomas are not the same. There are different types, which would change the options available for treatment. For example a morpheaform or sclerosing basal cell carcinoma warrants Mohs' Surgery, while a superficial basal cell carcinoma "could" be treated with Aldara.  I recommend getting a consultation to discuss your treatment options that are precise to you and your cancer. If you ask a surgeon for his/her advise, most likely surgery will be recommended. If you ask an opinion from a non-surgeon , a minor procedure may be recommended. That being said, it is important to get your advise from a trustworthy source.

First off, performing Mohs surgery or a biopsy or any type of surgery to your skin cancer is not going to spread it through your body. So don't be concerned about that...

Second, Mohs surgery provides the highest cure rate and preserves the greatest amount of normal or healthy tissue. Both of these are very good considerations when you're thinking about treating a skin cancer on the nose. Laser ablation of superficial skin cancers may be fairly good, but you won't be able to examine the tissue to assure that all of the tumor is gone.

Third, in my opinion I would pick a Mohs surgeon who has completed a fellowship in Mohs surgery after their dermatology residency. So ask your dermatologist who would be the best mohs surgeon in your area to treat and repair the skin cancer on your nose.