Saturday, May, 17, 2008

Mohs Surgery: What Will the Scars Look Like?

by  Kevin Berman, MD, PhD
Monday, March 26, 2007

Hi everyone.  Because so many Mohs surgery procedures are performed each year, I want to talk a little bit about Mohs surgery so you should know what to expect from the experience and how it can alter your appearance.  Moh...

  1. Successful Mohs surgery
    Anonymous
    Wednesday, April 18, 2007 at 12:39 PM
    Just a word of encouragement ....

    I had a basal cell carcinoma removed from my hairline on March 22.  The incision was fairly large, but my surgeon is a genius !!  It's not even a month, and the scar is almost invisible ....



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  2. My scar is pretty much invisible now
    Terri in California
    Wednesday, August 29, 2007 at 03:41 AM
    I had Mohs surgery on a basal cell carcinoma just under my right eye way back in 1985.  Luckily, it only required one 'layer' to get it all.  The hole was about the size of my thumb nail and about as deep as the thickness of a nickel.  My surgeon wanted to do a skin graft to close the wound, but I opted to allow it to heal from the inside out.  When I saw my dermatologist several weeks later, she was amazed at how good it looked, and said I made the right choice about closing the wound.  Now, 22 years later, I have a hard time finding the scar.  I have just been diagnosed with two more basal cell cancers, and will be able to have the same surgeon do the procedures for me.
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    re: My scar is pretty much invisible now
    Rebecca
    Sunday, February 10, 2008 at 11:28 AM
    I am going to have to choose between Mohs or Aldara for a 6mm bcc on the tip/side of my nose.  I'm afraid that the scar will be huge and be easily visible for the rest of my life.  At the same time, I'm afraid that using Aldara for 8 weeks will be unbearable.  Any advise from people that have been faced with this same decision?

    Rebecca

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    re: re: My scar is pretty much invisible now
    kb
    Friday, February 15, 2008 at 07:57 PM
    I have just returned home from having my stitches removed from bcc surgery.  The area in question is close to my hairline on my forehead.  Anyway, the lab results said we didn't get it all.  This surprised me since the bcc was pencil-eraser size and the incision is almost 2 inches long! Doctor prescribed Aldara for the area. I don't understand why I didn't try the Aldara before surgery if Dr. thinks it will work now.  Maybe the spot that showed up in the lab was superficial bcc?  Also, Dr. wants me to apply Aldara now but the Aldara website says wait until surgery sight heels up.  Does anyone have any advice or similar experience?  When Dr. said "We didn't get it all" I assumed that meant Mohs surgery would be next step.  I don't want to damage my skin on my forehead for 2 months and then have another surgery anyway!
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    re: re: My scar is pretty much invisible now
    stephanie wheeler
    Sunday, April 27, 2008 at 10:55 AM

     

    oh boy, been where you are!   I am 35 year old female who lives near the beach in Alabama.   I had one little spot (bump, never bled, and was flesh colored) under my eye.  Biopsy came back as basal cell and my dermatologist wanted me to try Aldara rather than mohs.  Anyway, Aldara was terrible!!!  Not only did it feel uncomfortable - it looked horrible!!!  Anyway Dr. thought that it was cured it- turned out not (2 years later) went to surgeon for mohs surgery and through that biopsy found out I had mirco-nodular basal cell for which Aldara would not have "fixed" anyway.  I had the Moh's surgery done on March 24, 2008, (they had to go in twice to remove tissue).  I flipped once I saw incision, it was about two inches long and it looked bad for maybe first month.  Now it is still pink, (it will fade) and once it fades it will really be hard to see.    I guess my advice is have the surgery, aldara is not always successful, surgeons see a lot of aldara "failure" and in the time it would have taken to complete the aldara treatment your incision from mohs surgery will be well on its way to being healed and all cancer will have been removed.

     

    Whatever you decide, good luck!

     

    Steph


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