I've had a first consultation with my plastic surgeon who confirmed a nodular BCC on my nose (although I still haven't had a biopsy). After reading many posts on this website I was expecting Mohs to be offered as the ulcer is 1cm and approx 3mm thickness but the surgeon has said excision with a skin graft from infront of my ear. He said that as it was "mushrooming" over itself, it shouldn't have spread outside it's boundaries and so Mohs wouldn't be needed. He also said there will be a mismatch of colour after the op and I will need reconstruction of my nostril.
Hi and a very warm welcome to the online community
I'm sorry to hear that you need to have surgery to remove a BCC from your nose. I know how stressful this can be and it's natural to wonder if you've been offered the best treatment.
Most BCCs are removed by simple surgery, like you're being offered, and Mohs is generally only offered for complex BCCs. Your surgeon will remove an area of healthy tissue around the BCC as well as the BCC and this will be sent to the pathology lab to check that all of the BCC has been removed. On the rare occasion that it hasn't then a second procedure may be needed. If you click on this link it'll take you to BAD's (British Association of Dermatologist) information on BCCs and how they're treated.
There are lots of people in the group who have had the type of surgery that you're having and you could use the search facility at the top of the page to narrow down your search to look for older posts which mention it.
It's very common to fear the worst when you've been diagnosed with cancer and to think that every little ache and pain means that it's spread. We've all been there! Your body has let you down and you need to learn to trust it again. Hopefully, the antibiotics will do the trick but if your symptoms persist, or get worse, then I'm sure your GP will have told you to go back.
Do you have a date yet for your surgery?
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"Never regret a day in your life, good days give you happiness, bad days give you experience"
Well from my experience of having excisions you will probably be told by your team to have a supply of paracetamol and ibuprofen ready. Depending on your pain threshold you might find that you don't need to take anything. When I've had simple excisions I haven't needed anything but when I had a wide local excision and sentinel lymph node biopsy after being diagnosed with melanoma I found I needed to take both types of painkillers together for a couple of days.
Let us know how you get on and, if you think of any more questions, just fire away.
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"Never regret a day in your life, good days give you happiness, bad days give you experience"
I'm glad to hear how well things went . Hopefully others who come here worried about upcoming surgery will read about your experience and feel less anxious. 
Keep us up to date with how thing's progress.
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"Never regret a day in your life, good days give you happiness, bad days give you experience"
