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POSTED UNDER Mohs Surgery REVIEWS

38y/o Wife, Mom & Full-Time College Student w/BCC - Mohs Tyler, TX

ORIGINAL POST

Went to the dermatologist June 27 for a first-time...

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Landalane
WORTH IT$2,500
Went to the dermatologist June 27 for a first-time evaluation. I realized that being a mom and getting older required me to take time out for my own well being and health. In my younger years, I admit that I used the tanning beds and laid out every summer to achieve that golden tan. Always burned the first few times with my freckled, light skin complexion and blue eyes.
About a year ago I noticed a "bump" like a clear cyst or whitehead pop up on the left side of my nose between the bridge of my nose and the corner of my eye. Managed to pop it, then it scabbed up and left a slightly raised circle with an indented center. I really thought nothing of it. Along with the sun spot damage on my chest I then mentioned the spot in question to the dermatologist because it really annoyed me when applying makeup, like I had to patch it. Thought that when I popped it, it just left a scar due to the thin tissue area. Needless to say I was in shock when she said she was doing a biopsy right then and there. Hearing the words "basal" and "2mm" quickly drew my attention. Going to college for nursing and have already taken medical terminology and A&P I and II, I knew what she was referring to. After she was done she handed me a pamphlet on Basal Cell Carcinoma and that it would be a week before I would hear back on the results. Sure enough it came back BCC and told me that they were referring me to Tyler, TX to have the MOHs micrographic surgery done. No other options were suggested due to the location of the BCC. The healing of the biopsy was amazing, looked like there was never anything there, but after a few weeks a brownish undertone color started to appear in the same spot. I then requested a copy of the lab report which stated it was both nodular and micronodular (showed specks of roots) and began my online research.
So in 2 days I'll be heading to Tyler and my nerves are beginning to kick in. I even thought of the possibly of postponing till Dec, but I'm sticking to the 31st. I'm not scared about having the procedure done or even the fact of it being cancer (which I am so thankful to God that it's not melanoma); my fear is about the amount of stitches that will be needed and worrying about whether a graft will be needed or not. So much uncertainty, going in not knowing the facts until after the fact. ????
I have 3 weeks before starting fall semester of college and I am so glad I found this site. To hear and see the photos of others that have had the same procedure has calmed some worrying. After looking at the before and after pictures on the internet...that really freaked me out! The area after removal look so deep and then going from a small spot to a huge (to me) line of stitches. I'm not one to be vain about my looks, had it been anywhere else on my body besides my face, I would not worry at all. After almost 18 years of marriage, I do try to hold on to my youth as long as possible!
Thank you all for sharing your experience and pictures. I will update often during this journey of the known and unknown.

Landalane's provider

Shanna Meads, MD

Board Certified Dermatologist

Landalane

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Replies (4)

January 2, 2015
Looks great
January 2, 2015
Mine is is the same spot and hope i can get stitches and not a flap.
May 6, 2015
I fully understand, I'm also having that surgery on the 12th, And im more worried about how I will look. Mine is BCC also on the right sude in the crease area by my nos .
October 2, 2015
I had the same thing done in the same spot 8 weeks ago and now the eye does not close all of the way. Anyone have the same problem?
UPDATED FROM Landalane
1 day pre

Night before

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Landalane
Thought I'd post a pre-op photo.

Replies (3)

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July 31, 2014
How did your surgery go, Landa? I hope you're doing well. *hugs*

Thank you for sharing your experience and helping others who are dealing with BCC.
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July 31, 2014
Hi Sharon, I will be having the procedure this afternoon. I will post updates as soon as possible.
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July 31, 2014
Ohh, I thought it was yesterday for some reason. Good luck! I'll think happy thoughts for you.
UPDATED FROM Landalane
Day of treatment

Surgery over and Cancer Free!!!

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Landalane
Relieved that it is over! So thankful that it was only stage 1 and less stitches than I imagined. Dr. Meads and her assistant Alysia were amazing, I couldn't have received or asked for any better care. They were very attentive to my concerns and took time to answer every question I had. The numbing part of course is the only painful part of the whole procedure. That's where the most of swelling came from. Only took her about 5 minutes to circle the darkened area of BCC and to cut it out. More longer lasting numbing injections were given (didn't feel those) and waited about 40 minutes for the tissue to be examined, which came back that all of the BCC was removed :) Now for the reconstruction...she had me smile, crinkle my nose, and open my eyes wide to see how the skin moved to cut small dog ear cut on each side of the circle. Said that it followed my "bunny" line, which was complete opposite of the way I thought it would be. Dissolvable stitches were used inside and regular stitches on outer surface, which will be removed in one week (Aug. 7th). A small bandage was applied that has to be left on for 24 hours. Then 2x a day I have to clean with peroxide, apply Vaseline, and cover with bandaid. Also, apply ice pack for 15 minutes each hour I'm awake this evening and tomorrow till I remove bandage. I am also to sleep elevated tonight to help reduced the swelling. The whole process took about 2 hours.

Replies (5)

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August 1, 2014
I know it hasn't been a full 24 hours yet, but just a quick update. The swelling has seemed to have gone down some and I haven't noticed any bruising (from what I can see with the original bandage still on) on the eyelid or below the eye. Managed to sleep propped up on a contour cushion. The only sensation of discomfort this morning, is when I yawned several times upon waking up. Hoping it was just from the tape pulling. In 6 hours I'll be taking this bandage off, cleaning, and applying a regular bandaid. Woohoo!!!
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August 5, 2014
Thanks for updating. Sounds like things are going well!
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August 5, 2014
Thank you, Sharon! I was planning to do an update in 2 days when I have the stitches removed, however I will probably post an update this evening over my concerns.
August 20, 2014
May 29, 2016
Wow!! They did a wonderful job!! Looks great!