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POSTED UNDER Mohs Surgery REVIEWS

37 Y.o. BCC on Side of Nose/inner Corner of Eye - Westfield, NJ

ORIGINAL POST

I had my BCC biopsied 4 years ago. The story...

astrozombie6678
WORTH IT
I had my BCC biopsied 4 years ago. The story behind my initial Moh's appointment is too long to get in to. I foolishly procrastinated out of fear of the surgery & because it's a benign skin cancer. I have psoriatic arthritis & in order to begin the more aggressive drugs, I was told the BCC had to go. My surgeon was fantastic, he got it all in 2 passes & took the skin for the graft from in front of my ear because I get psoriasis behind my ear. I was very anxious & had an anxiety attack when he was prepping to graft & close up, and he was very comforting & understanding. I'm a week post-op & am packing it with neosporin daily & keeping it covered. It looked very small on the surface but what it had grown to underneath while I procrastinated was very eye-opening to me. The size of the wound is a little smaller than the diameter of a nickel. I understand now why this had to go. It looks gross right now but it's healing. It's a little itchy, I've gotten sudden tiny stinging sensations a few times & am pleased because that tells me everything is healing & the nerves are in good shape. In terms of fear & anxiety, this was a pretty bad experience for me, but if throughout my life it's the worst, then I'm very fortunate.

astrozombie6678's provider

Sabatino Ciatti, MD

Sabatino Ciatti, MD

Board Certified Dermatologist

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Replies (6)

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August 30, 2015

Thank you for posting! I'm curious, what effect would the more aggressive meds have had on the BCC if you hadn't had it removed? Would it have gotten bigger?

August 30, 2015
Yes, it could, and also could very well have been growing at a faster rate already. Psoriatic arthritis is an autoimmune arthritis like RA. My immune system is out of whack because it attacks its own joint tissue & overproduces skin cells, causing psoriasis. So it's on the overactive side in some respects. The drugs used to treat it are immunosuppressants & slow down the attack on the joints & the psoriasis. I'd be going from one extreme to the other as far as how my immune system works, both of which could have an effect on how it grows. I thought this BCC was a zit at first & was there 15 years. Some of my PsA symptoms date back to adolescence, but the arthritis & psoriasis have been very active the past 2 years. If I had known what was going on 4 years ago, I most certainly wouldn't have procrastinated so long! I mistook "non-metasticizing" as not being a big deal, which was not smart of me.
September 17, 2015
HI , I go today for what I hope will be a biopsy on a place that started as a red spot and is now raised and has circular worm like appearance with indented center on the same spot as you. I have procrastinated for years( more than 5 for sure) and and when I looked up BCC and saw exactly what I have I've began to freak out just thinking of whats ahead. Your pics have helped me realize I can do this and thank you.
September 17, 2015
It will be ok!! I'm not gonna lie, it sucked, but the day of is the ONLY day that will be rough! The rest will be taking care of it. I had next to no pain afterwards! My number 1 piece of advice afterwards is to ICE RELIGIOUSLY for the first 3 days! Best of luck to you! You can do it!!
September 2, 2015
Yes, the itching and the strange sensations are a good thing! So glad this is going well for you. Take care.
June 9, 2017
I'm glad to read your story - I have BCC also, in almost the exact same spot. Had it for about six years, thought it was nothing until a routine check turned up otherwise. I'm having Moh's surgery in about a week. Am confident that, no matter what the Dr. finds and what is required in terms of skin grafts, etc. I will be fine! It's encouraging to see the final results. And, as you said, if this is the worst thing I ever have to go through then I'm going to keep counting my many blessings!
UPDATED FROM astrozombie6678
12 days post

37 y.o. BCC on side of nose/inner corner of eye

astrozombie6678

Replies (3)

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September 2, 2015

It looks much better! How does it feel?

September 2, 2015
It feels alright. When the surgeon was removing the stitches, the pinching & pulling was pretty awful. It felt irritated for a bit afterwards, but overall it's not bad.
June 29, 2016
I'm 54 and had MOHS in same area inside corner. Dr used a zig zag or Z shape , no skin graph; now I have a lump there . It's scar tissue build up I guess. Hope it can be dealt with.? Did you have that afterward?
UPDATED FROM astrozombie6678
21 days post

So far, so good!

astrozombie6678
Today is 3 weeks post-op & things are looking good! Still keeping the wound wet. I had a small outbreak of psoriasis around my nose, which sometimes happens with skin trauma when you have PsA. My left eye was super itchy (think conjunctivitis-itchy) for a few days as well. Can barely see where the graft was taken from in front of my ear at this point. I can get it wet in the shower now, I can't let soaps get in it, but I gently blot it with wet gauze after showering & applying new goop. I'm using Aquaphor now & can leave it uncovered. Still don't have a lot of feeling when applying ointment with a q-tip, but that will probably take a few more months.

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