2 weeks since Mohs repair using flap. Numbness and hard mass normal? (Photo)

Numbness and swelling can be normal after facial reconstruction. If you are numb from the tip of your nose to your nasal bridge and you have a firm mass, I would consult with the surgeon who did the reconstruction to see if they believe this is a hematoma. Numbness in the area of the flap can be normal from interruption of small peripheral nerves from the disection, but I would consult with the surgeon

A firm mass such as you describe is most likely a hematoma or seroma, and this can happen. While it might need to be evacuated, which would involve lifting the flap, warm moist compresses as much and as long as possible can resolve this more quickly. As far as the numbness is concerned, this may be caused or partially caused by compression from the mass. Once the mass is resolved, you might get back normal sensation. On the other hand, if the sensory nerve was sacrificed when the tumor was removed, you are unlikely to ever restore normal sensation completely. Be patient and utilize the warm moist compresses. You should also contact the Mohs Surgeon who did the surgery and request to be seen for this. Other factors may be involved that only he/she would be aware of.