MOHs or excision for BCC on scalp?

• I had 2 bcc's removed from my face by plastic surgery  My Consultant did disucss MOHs with me but I didnt go down that path,  He informed me that normal excision is 96% satisfactory and he assured me he would take a wide enough margin out and he did.  I dont have experience of bcc on the scalp but I did have a pillar cyst removed from my scalp about a year ago,  The scar is ok but not as neat as the facial ones as the scalp is a difficult area.  I do have a tiny bald patch about the size of a 1p coin  How big is the area involved.  Personally I wouldnt wait for Mohs as 9 monthls is a long time and I am sure he will be as careful as possible  Maybe someone else on the site who has experienced Mohs may reply to you.  Good Luck in your decision xx

Hello to OP! I am going through the same dilemma currently, have mohs booked for March 2026 fir a bcc on  my scalp, but have been told if I do surgical option could be removed within the next month. J sure what to do. What did u decide? How was your outcome?

Hello, so I’ve learned that I think it all depends on the skills of your surgeon. I went ahead with normal excision on my scalp, performed by maxilofacial surgeon. He was amazing. I now have a very small, very neat bald patch that no one notices. 2 days after that procedure I had a bcc the same size on my back removed by a dermatologist. I now have a large, wobbly messy red scar from that procedure. I was advised (by a dermatologist friend) that maxillofacial surgeons are skilled like plastic surgeons so if you’re being seen by one of those you would I think be fine.