What Can Be Done for Mohs Surgery Lumps?

What you have is either a hypertrophic scar as a reaction to buried sutures or the so-called 'dog ear' or standing-cone deformity after reconstructive repair after Mohs micrographic surgery. The easiest solution would be to inject very dilute amount of cortisone to the affected area. Scar massage using your pinky finger should be done 10x every 8 hours and the affected area should flatten in the next several weeks. Simple surgical scar revision can be performed as a last resort.

First of all, it really depends on what is the etiology of the "lumps." Frequently dog ears can resolve within months of surgery in some areas, such as the scalp, forehead, and trunk. Second, I would get a second opinion from another surgeon as the cause of these lumps and what can be done. Depending on the cause, the problem can likely be treated with injections at the surgery site or possibly another surgical procedure. I would recommend that you see a fellowship trained (through the American College of Mohs Surgery or ACMS) Mohs surgeon or a plastic surgeon/facial plastic surgeon who does a lot of reconstructive surgery in their practice.

The lumps after Mohs surgery have several treatment options

1. massage to soften them - this will take some time - 6 months to a year 

2. Steroid injection to soften them - this may or may not work well

3. Scar revision - a procedure to minimize the lumps

Remember that you had cancer on your nose and this was being done to rid your face of it. The most important thing is that the cancer is gone. Mohs is done to maximize the cosmetic outcome but it is not guarantee that you will "look like nothing was done". It may take additional procedures to get you cosmetically back to normal. It is important to realize that these are cosmetic concerns which your insurance company may not cover.