Skin Cancer :: Basal Cell Carcinoma On Face


Jul 13, 2014

Definitely have the Mohs procedure done and not radiation on the face. I had it just done, they had to cut the size of a nickel out, and did a skin graft over. But it's gone, and over. I am healing now.

New to the forum..and quite frankly this is all still a bit surreal to me. I was diagnosed with basal cell carcinoma on my face above my lip. I never knew it was cancer and initially, when it first appeared on my face (when I was 18!), I thought it was a huge pimple. Eventually it healed into a flesh toned bump and it looked like a raised flesh colored mole, about 0.3 cm in its largest surface dimension.

This whole time I thought it was a poorly healed acne spot and now that I am 24, I decided to go see a dermatologist to have this removed (for cosmetic reasons). He ended up sending it to get biopsied to be safe and it ended up being cancer!

Now, I'm torn between doing Mohs or proceeding with radiation. Since it was in my face for 6 years, I'm afraid maybe the root grew deeper into my skin and they would have to cut out more tissue. All the Google images of post Mohs surgeries look so scary and I'm beginning to feel a bit traumatized that I'll have to go through this on my face.

Can anyone weigh in on how their Mohs surgery/scar healed? If they were to cut out a dime-sized area on your face, would they stitch you up after or would they leave it as an open wound and let it heal that way? What are the implications of how they close the surgery on the scar you are left with afterward? How many days/weeks do you have to wait for the open wound to start looking like a healing scar?

Because of this, I almost want to proceed with radiation so that I don't have to deal with waiting weeks for the scar to heal (I work full time in an office and enjoy going out to hang out in my leisure time, I would not want to be out if I had an open wound healing on my face). I like that it's less invasive and I know that they won't be cutting out a huge part of my face. What worries me about Mohs is that I won't know how big of a chunk they'll be taking off my face. I know Mohs is the gold standard for removing all of the cancer, but radiation treatments can have up to 95%-98% cure rate. IF my basal cell were to recur after proceeding with radiation treatments, would it recur in the same place or would it pop up somewhere else on my face? How does recurrence usually work with basal cell carcinoma?

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