Developed a lump on forehead after having Mohs surgery for a basal cells? 5 months post-op. (photos)

Question

Basel cell surgery 11/16/17. Noticed a lump forming between my eyebrows. I went to my surgeon on 1/23/18 & he said it was scar tissue (massaged it everyday). He injected the site with Kenalog..said it would flatten it out. On 2/6 the lump was even bigger. Went back to my dr & he said it was swelling from fluid. It would go down in 2 wks. On 2/18 the lump is even more pronounced. I went to the doctor & he said he would probably need to cut it out! PLEASE HELP I'M SCARED..... NEED EXPERT ADVICE

Mark L. Mazow, MD, FACS · Answer

If you still have questions after you have consulted with your surgeon, then I would suggest a second opinion forma Plastic surgeon, Facial Plastic surgeon or Oculoplastic surgeon for an in-person exam. That would be better to examine the tissue than photos alone.

John Louis Ratz, MD · Answer

Since the bump was present from the beginning, it is likely that it could represent either a hematoma or seroma.  While evacuation  of these is the standard treatment, continuous warm moist compresses  can help speed up  resolution of  such an entity without surgery. If a hematoma or seroma was present and has resolved, the remaining bumps could represent recurrent or residual basal cell carcinoma or simply scar tissue. A biopsy would then be necessary to determine the next step.

Developed a lump on forehead after having Mohs surgery for a basal cells? 5 months post-op. (photos)

Answers (2)