Lump above incision postoperative day 1 Mohs? (Photos)

I had Mohs surgery two days ago to remove a small nodular BCC. I think I overheard the surgeon say the final defect was 7 mm x 5 mm. It took one stage to remove the cancer. When I removed my pressure bandage 24 hours later I noticed a lump above where the suture line ends. It is quite noticeable when when I tilt my chin down. It is still present today. Should I be concerned at this stage? As you can see I still have a fair bit of lip swelling

Doctor Answers 2

Lump at top of incision line

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
One day is a little early to worry about a bump. Most surgical defects are circular or oval. You can't close a circle or oval upon itself without creating lumps or protrusion of tissue. As a result, most of these surgical defects must be converted into an ellipse  so they can be closed without the tissue protrusion. Best option is to talk to your doctor when the sutures are removed to see if it is healing like he/she thinks it should. 

Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 16 reviews

Moh's Surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is perfectly normal to still have swelling at this point, especially in the upper lip area. It is too soon to tell if the small bump just above your incision will settle down, but it should. Be patient, it can take up to a year to achieve your final result from surgery. You should be able to tell a big difference about a week after your suture removal though. Best of luck!

Felix Bopp, MD
New Orleans Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.