Is Moh's Surgery Appropriate Following Plastic Surgery Doing an Excision of a Keratoacanthoma with Skin Grafts and Cartilage Removal of the lower right side of nose; now with path. report showing 'squamous cell ca' at the deeper and most lateral margins. The surgeon had me see a ENT plastic surgeon and they both want to do a 'crane procedure' involving excising tissue from the area until all margins are clear and taking a 'flap' from the forehead and attaching to end of . They told me Moh's in not a good choice for this spot. But told me I'm facing 3-4 surgeries and reconstruction and may lose my nose and possibly AN EYE! I asked the ENT plastic surgeon if the squamous cell ca had invaded an eye(like he said it MAY); would radiation or chemo or some other non-removal of eye work. He said skin ca (squamous cell) doesn't respond well to radiation or chemo; but rather surgical removal. They want to do the 'crane procedure' excising all ca margins until clear and then bringing a 'flap' down from my forehead to attach to end of excised area on nose for blood supply. Is is too late for Moh's if the ca has already