Dealing With the Scar after BCC removal

FormerMember
FormerMember
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Hi Everyone,

Im quiet new to this group and only been diagnosed for a few weeks with BCC, I had my surgery on Thursday for removal of BCC under my right eye, I was told by my plastic surgeon that a skin graft would have failed due to me being a ex smoker (gave up 13 days ago after diagnoses) so I had the option of having a direct closure or a local flap , I took the direct closure option as scaring would be less , however Dr did advise this could cause my eyelid to drop, if it does then I would need a further surgery.  I have seen my scar today 14 stitches :(  shocked and upset at the moment , has anyone got any advise how you deal with the emotional side, I also had to have a punch biopsy on my nose , which I have 2 stitches in too, been told 4 - 6 weeks now for my results of the biopsy and margins of the removal. Can anyone help with any advise on how to cope with my fears and feelings, I have spoken to Kristin on here who has been amazing with her support with regards to my lead up to surgery, now im post surgery I have all these new feelings !!! ???

I have a cluster of broken blood capillaries under my left eye in the corner also with a tiny white bump (itchy and burning) I fear this is the starting of another BCC, has anyone else had this ?

Also any advise on a daily face cream with a high SPF in it that I can buy.

Thanks again for all your support.

Take Care

Nikki R xxx

  • FormerMember
    FormerMember
    Hi Nikki, It's a massive shock to the system being diagnosed, I know I spoke to you on chat but it was on my phone so slightly hard to follow. The surgery is one thing, I didn't find that part too bad, but people do stare and ask questions, I work in a job with a lot of people and general public. Some I told all the truth to others I just told them I had a mole removed and left it at that. At first I was just glad it had been cut away... But was yet to learn about melanoma and that that's not the end of the line! But as it went on I found myself a bit nervous, upset or angry and I wasn't/still not sure why! I would cry or get mad at the drop of a hat. I think the hardest part was telling people and having them look after the surgery, but you (and they) get more used to it. My scar is hypertrophic (it's red and raised) do I'm now under a scar nurse. She's ace and there are loads of this to try and reduce their appearance. My be work asking whoever your under to refer you.. They can also refer you to make up people that do camouflage makeup which I've heard is good, however I've not tried. Regarding sun cream and other stuff, I bought bio oil but the nurse said anything to keep it soft is fine, moisturiser etc, and use a high SPF factor on it in the sun (check the UVA star rating) I've just found boots range so am trying theirs. Hope this helps, feel free to ask anything All the best Amy xx
  • FormerMember
    FormerMember

    Hi Nikki

    Bit late and tired so may not give all info but briefly want to agree with Amy and say it is a shock to your system and it all catches up with you It did for me post op too. it is i  ok to feel angry etc as seems part of course I did and was taking it out on myself " if ONLY I had gone to GP sooner etc etc" Once stitches out I was on my own and didn't know what to do as nobody gave any advice other than rub E45 on scar and last thing I wanted to do was THAT as it was still 'raw' tho officially healed ie stitches out, so I didn't start scar treatment til week four and then gently.

    re FEEELINGS my GP suggested I contact NHS 24 for CBT as  can get it straight away whereas 14-16/52 wait for face to face con. You could try that You don't need a GP referral.

    I also went to local Mac place and got ex makeup girls experienced in skin cancer too who helped me twice  to apply line filler  and camouflage then make up etc which does help and others tell me it is not as bad as I feel [ tho I still feel it IS bad!] as its right on end of my nose [ pale skin of graft from inner upper arm so quite diff to rest of nose and face which makes it worse ]. I am practising putting it on and it's getting better..

    I am going to get proper camouflage make up base which can get on ebay Amazon etc to try Just google it But I think you need to be a bit furtherhr on scar recovery -wise before you use it. I anyway even now at 11/52 remove make up form nose area as soon as I get in house [ use gentle facial wipes] and apply moisturising cream.

    SunSense factor 50 is main sun cream rec [ or similar] as has UVA & UVB protection You can get it in John Lewis £15 or so a tube though some folk on here get it prescribed so ask GP. Need apply 1teasoonful to head and neck.

    I tell people I have a skin graft repair due to skin cancer and feel it helps me come to terms with it and mebbe educates others to take sun protective measures!

    Hope this helps. Be kind to yourself . It is getting  a bit easier for me now but I ma not there yet at all.I symapthise!

    x femdo

  • FormerMember
    FormerMember in reply to FormerMember

    Hi Amy & Femdo,

    Thank you for all your advise, im dreading going back to work, I work in a busy office, many of my close friends at work know about my skin cancer , but its now letting them see the scar!!  my husband has said its not that bad at all, but of course he will say this as his my hubby and he loves me :)  my boys haven't really said that much after we sat them down and just said mummy has to have a mole removed from her face and will have to have an operation and will have black eyes and stitches for a little while, when I came home from hospital they looked at me and said " oh mummy, are you ok " lol , bless them. xx

    Did you find that you got pangs of panic, " OH NO I HAVE ANOTHER ONE" Im going through this atm, the one under my left eye is starting to drive me mental ! I also await the biopsy results from the punch biopsy on my nose, if that's positive that's another surgery ill have to have .

    Femdo, what's  NHS 24 - CBT ? not sure what this is ?

    Would yous know if I can have any other treatments instead of surgery all the time , I've heard of radiotherapy or a cream?

    Stitches are due out on Thursday, then shall I start my scar treatment ?  I hope it heals nicely as its right on my face under my eye, on my cheek bone area.

    Thank you again for all your help & support .

    Nikki R  xxx

  • FormerMember
    FormerMember in reply to FormerMember

    Hi Nikki

    Sorry thought should have spelt out CBT but I was tired as had folks around for drinks [ one of my coping strategies after about week 3-4 is to try to do normal pre-op things]CBT is a form of talking /behavioural therapy which  helps you to talk to a professional and feel free to  express your feelings which family and friends you [ or I anyway] don't want to hear or  /and cant cope with themselves. I found that anyway. Reassurances company and so on from them is great but CBT can help you professionally. I filled in an on line form on NHS 24 website The cbt  is by phone. See how you feel about it as it's not for everyone.  Ask your GP for any other help available.

    I felt and still do that I didn't want to face [ literally!] anyone either. In first four weeks I opted out of any social things I could. AT early stage of post stitches nurse gave me nice gel based sterile dressings I used to  cut to size [ mine is a round 10 p piece size so tricky] and stick lightly with flesh coloured micropore and this helped me when I was out as I had a dressing rather than a scar on view.  You aren't supposed to have a dressing on after sutures out so I took the dressing off once home,phew what a relief and then went to the Mac make up folk for help as mentioned earlier.

    I also found this site helpful as i t made me feel less alone and that what I was going through was normal even though I felt it was really not a major  op. It was /is much more than I bargained for as everyone here also seems to experience.

    I DID try to go to things after 4 weeks but felt very self conscious  so I do empathise with you. All I can say is as always time heals and so be patient with yourself and just do what you feel up to etc

    Sorry I can't say anything about possible other BCC sites as at mo anyway I am not aware of any thankfully however can well understand your distress at your possible lesions so again see GP

    I know other treatments are creams and radiotherapy and for small early lesions creams or a kind of photo light treatment may be used, but you will need to see what your GP/Dermatologist /others treating you rec.

    always happy to say more if it helps but have to get on now Enjoy your day!

    x femdor

  • FormerMember
    FormerMember
    Hi Nikki

    I have been reading your story with great interest as it sounds like we have a v similar experience... I was diagnosed 2 weeks ago with a Bcc on my bottom eyelid, on bottom curve of eyelid nearly on cheek. I am waiting for a date for surgery with great anticipation.. You sound like you are feeling exactly the same as me, emotions up and down, nervous etc and I must say although it's one thing coming to terms with it myself it is indeed other peoples reactions.

    I have been going to meetings at work with bruising from the tiny biopsy so goodness knows what the next stage will look like!! However it always seems bigger to oneself than it does to someone else.I have found this group and the emails from everyone a great comfort.. Before this I was in an isolated bubble..

    My partner has had bladder cancer and survived it by 10 years so although understanding he sees this as fairly small. I get it, but it's still a very sad and odd personal experience to go through.
    So I can't help much more at this stage as I haven't yet got a scar but you are not alone, the ' mole removal ' story I will be going with too so it's the kindest thing to tell your children.
    I will continue to read your updates and no doubt we will be comparing notes in the near future on scar recovery...
    I'm sure it looks a lot less than you think it does.... ;)

    Estée Lauder do a v good camouflage makeup used by professionals... Not cheap but not too bad btw...

    Take care

    Lucy xx
  • FormerMember
    FormerMember in reply to FormerMember

    Hi Lucy,

    I hope you get your op date soon Sorry to hear your going through this too :(  its crap isn't it !  

    The operation wasn't that bad tbh, I had a great team of surgeons working with me, I had a local , so was awake the whole time , eeekkk , but honestly I thought it would have been a lot worse than it was. Just kept focused and kept saying to my self , " it will be cut out soon " and that got me through the op.

    I do think the word " Cancer " is sooo scary, and I just go into melt down when I think about it !!

    Have you had yours long ? I had mine about a yr, so im hoping they have taken a good margin around it so they have got it all, as I have heard, sometimes they have to go in again :( if margins are not clear.

    Its hard with the children isn't it, my boys are 12 & 6 , they are very clever boys too !! ( im praying the 12 yrs old hasn't clocked on ) .

    I was lucky in 1 respect as my Dermatologist took one look under the dermoscope and told me straight away its a BCC, I also have on my nose possible SCC, this has had punch biopsy on , if so more surgery. 

    I be honest I think id cope better if it wasn't on my face !

    Anyway, thank you for your reply, its great to talk to people who are going through this too,

    im here for you too xxx

    god bless,

    Take Care

    Nikki R xxx

     

  • FormerMember
    FormerMember
    Hi Nikki

    Thanks for your speedy reply... Mine has been with me for around 5 years (yes... I know..) as it was misdiagnosed by docs a couple of times... And a facialist with a high reputation. It was teeny tiny in 2010 but changed shape and colour (from white to skin colour) last year and in Nov I started to investigate dermatologists... It was 5mm x 3mm but now 4 x 2 as biopsy took a mm.. On the outside :-/

    I must say I already knew what it was before the verbal diagnosis with a sinking feeling.... I 'hit the wall' emotionally and was v numb and crying for no reason in the first few weeks but have finally come to terms with the fact that there is ' no way out' of this situation.
    The C word is very scary and having red/ blonde hair I always stayed out of over sitting in the sun.. The dermatologist said that I must have sunbathed as a teenager... Er no! Do I look like I did?? So ironic, I always wore factor 30/50 on holiday... Anyway it is what it is...
    I totally agree with the ' I could cope better only it wasn't on my face' I have even said that line!! The psychological thoughts of how far it's spread is much darker than I had ever imagined....

    You might find this amusing but as an artist, I have even drawn a scar type line in red lip liner in my face in a slightly mad attempt to get used to the idea....
    Honestly, I think I'm more concerned about not looking ' symmetrical' anymore.... Pulled skin etc.... But scars fade eventually....

    Did you have Mohs?

    Anyway, thanks for being there... Really sorry to hear about the other one on the nose but it may not be the same or such a deal... Fingers crossed for you..

    I have read so much on this subject now that I have seen plastic surgeons in the states are really working hard on a more cosmetically sympathetic cure other than surgery going forward as it can be so brutal for want of a better word...

    Anyway how you feel after this experience really has to be taken into account so if you are not feeling super brave about anything, do keep writing.... :)

    I got quite arrogant with the 'fish finger' dressing strapped against my face with the biopsy - going out in public I mean.. Got everyone wondering I'm sure.... but dealing with a scar is a process of acceptance that has been thrown on all of us no matter the size or shape.

    Thanks again :)

    Lucy xx
  • FormerMember
    FormerMember

    Hi

    I know its not nice to have a scar anywhere but especially on your face. I have a big one and lost alot of my top lip due to emergency removal off scc on xmas eve. 7 months on scar looking better even though its very tight still on and above my lip, surgeon stretched it last week which was uncomfotrable and has to be stretched each time on my 3 month check ups. But hey !! We are all fortunate to be here. I look at my scar even though its not what I like but I hold my shoulders high and say to myself " it's a scar of survival" chin up and be posative xx love and strength to all.

  • FormerMember
    FormerMember in reply to FormerMember

    Hi Kerry,

                   You have come a long way since last Christmas. It hasn't been a picnic, I'm sure - but you're still here, and still got plenty of attitude, and that's great to hear!

    As you say, a scar isn't what you want to see, but you are still here to see it.

    You should be proud of the way you've faced (and beaten) your cancer. Good on yer!

    With Very Best Wishes,

    LuckyBoy.

  • FormerMember
    FormerMember

    I have been using dermalmd scar serum on my three year old daughter's forehead scar for about a month and a half. The scar hasn't completely disappears as yet but as the days progress, it is becoming less and less visible. I am still using my first tube..but I needed share my story. I thought that there may not have been an option for making the scar go away without surgery.