MOHs surgery on nose

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I had MOHs surgery on my nose at Guys last week. I had a nose flap. Yesterday I went back to have the pressure dressing and stitches removed. It had been a difficult and painful week 
as usual they were so busy and a new nurse did it. They took pics and said it was a good job and well done and sent me away with no follow up and just put Vaseline on twice a day.

Ny face and nose are a complete mess and I am in shock. I don’t look like me anymore, even allowing for the bruising and swelling which could take months to go away.

i think my husband and other friends think I am just lucky to have a curable cancer and think of others worse off etc, so I feel even more guilty for feeling so upset and abandoned. 

  • Sorry to read your story.  I know exactly how you feel going through two bcc skin cancers two years ago on my face.  Please be reassured it is very early days yet.  Mine we both nasty ones, but I did have follow up appointments with my Consultant, 2 on the rather nasty one to make sure I was happy with the result.  They are hardly visible now, although I can still see them, but with make up people say they cant see them at all.  I massaged loads of times every day with bio oil once the scabs etc had healed and I am sure this helped.  I am very cautious now in the sun and use Factor 50 all the time.  Here anytime you want reassurance as people really dont understand what we go through with these cancers.  Yes they are curable, but the journey is still not nice.  Good Luck and a Happy Christmas to you xx

  • Thanks so much for your helpful advice and reassurance. I also responded on your post on another thread. Still learning to navigate this very supportive forum.

    Acceptance of the change and acknowledging feelings is part of the journey. I have now contacted the team at Guys and told them how I feel, and they have put some advice and a follow up for me. 


    Factor 50 will be a big part of my daily routine as will make up once I feel ready to go out socially. In the meantime some rest and TLC until the bruising goes and the wound heals a bit better. 

    I have to learn to love my wonky unsymmetrical nose. 
    xx

  • Hi, I know this post is old but I’ve just seen it. I hope you are fully healed now.

    I’m having MOHs surgery with a cheek flap in a few weeks time at Guys and am feeling anxious about what to expect, pain wise, what to expect visually and how long it will be before I’m ready to leave the house.

    How did you feel afterwards and did you think they looked after you well at Guys? 

    Lots of people on here talk about “their” dermatologist or “their” plastic surgeon yet I have no idea who I will see or what will happen. Just turn up at a certain time and bring a book and expect to be there all day as it will take hours in and out of the operating theatre.

  • Hi In reply to your post i have recently had mohs surgery to remove basal cell carcinoma on my cheek. You will not feel any pain, I was there quite a few hours, they went in twice to remove it.

    Its healing very well, feel free to ask any questions 

  • Hi. Thank you for replying to my post. I guess I am expecting the worst as have seen some awful images online (I know, I shouldn’t have looked). It’s the flap part that’s freaking me out.

  • Hi. I was feeling really anxious too and also had looked at images. What the consultant said to me was its like a tip of an iceberg until they go in they cant see . 

    Its very reasurring to know the bcc is all out and no more histology like you would with excision rather than mohs.

    How long have you been waiting, i ended up going private.

    If you wish to add me as a friend i dont mind sending images. The scar is healing but just all takes time, im 7 weeks post op.

    Your consultant will advise but i was going out for short 10 min walks twice a day spf50 around my wound and a gel with protection on the wound from week 2.

  • Hello Harlyn,  I notice that you have commented on this post as well as more recently on the same subject.  Really hope that all is well with you.  My husband has had a MOHS on his nose/right nostril [7 July] and was also advised to massage the 'wound' once it was healed.  I note that you've used baby oil rather than vaseline.  I would really appreciate if you could give me some indication as to how you actually massaged the area.  Did you just do outside or did you also massage from inside?  His only problem seems to be that he feels the nostril is 90% obstructed.  Kind Regards.

  • Hi, sorry for the delay in responding to your message, I have been away.

    By the time I have my surgery in a few weeks, it will have been a year since my first consultation. All of my appointments and biopsy were done privately but the surgery will be done on the NHS.

    I’m not sure how to add you as a friend so maybe just as well I can’t see any images.

    It’s good to know that this forum is here to give advice and reassurance.

  • Hi...its such a long wait isnt it.I couldnt wait so ended up paying privately.

    Please keep me posted how your surgery goes..you will ve fine .

    Where is your bcc located.

    Best wishes

  • Hi Zebra It was BIO oil I used which you can buy at Boots etc. it is an oil especially for reducing scars.  I used to put a small amount on my finger and just massage the scar area which was on the outside quite hard.  I did it lots of times a day whilst watching tv at night.  My bottle of bio oil was always with me.  It is probably the healing which makes his nose feel obstructed. Mine was at the side of my nose and on my cheek, the scar was mainly my smile line and just where the fatty part of the nostril is on your face. The other was at the top of my nose right under my eye which was difficult as I kept getting the oil in my eye.  Hope your husband heals well in the near future. x