Basal Cell Nose

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Basal Cell Nose

by macyblue on Sun Apr 15, 2012 06:58 PM

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2 years ago I had basal cell removed from the end of my nose. The Dr. was not very specific about anything except as he showed me several times how large a piece of my nose he had to cut out. Meaning I should be happy with the way it looked. He was insulted when I asked how long I had to wait before seeing a plastic surgeon, he said what do you think you just had done.

It was the most painful experience I have had in my life.  I have had surgeries before and several broken bones, I am not a wimp. During the injections several times I could not control the screams coming from my mouth. The pain was unbearable. I have heard people say that the tip of your nose has a lot of nerve endings. Ten days later after having my stitches removed, when  looking in the magnifing mirror at my nose I noticed a few more stitches that were still there I 

felt panic.  Maybe the skin is growing over the stitches and they had to be cut out.I called the Dr. office and told them. They ofcourse said you will have to come back in . I wanted to know if I was going to have another injection in my nose because if that was the case I needed some type of sedative or something for the pain, before I could even bring myself to the office. They said no we don't prescribe anything for pain or nerves. Oh and by the way the Dr. can not fit you in today or tomorrow and he is then going out of town and will not be back until Wednesday next week. I asked if I could see another Dr. they said hold on let me check with the Dr.When the nurse came back on the line she said no the Dr. wants you to see him because he performed your surgery. I hung up the phone and had the first panic attack of my life.

So here I am 2 years later with basal cell on my nose again this time closer to my eye. I kept telling myself that it was bleeding from my glasses but the biopsiy came back basal cell. 

I began by calling MOHS surgeons and asking if I could be put under general anthesia or if pain medicaton could be prescribed. NO and no were the answers. I had one nurse tell me she had MOHS performed and it doesn't hurt. Well I had it performed too doesn't that matter. My blood pressure is elevated and I have had a migraine for a week, use to get them but haven't in years. Just talking about it or writing this brings it on. 

Can anyone tell me if they have experienced anything like this. Why if needed can 't general anethsia be used or pain medication. I just don't understand.

RE: Basal Cell Nose

by MollyMcGuire on Thu Apr 19, 2012 08:53 PM

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Hi,

I just had my Moh's nose surgery done yesterday for Basal cell. The dr. gave me many Lidocaine numbing injections, but they were not very painful. It was on the side of my nose about where my glasses' pad rests. The surgery was not painful but a bit uncomfortable from the smell of the cauterization. The dr. had to do 3 separate passes to get all the cancer out and the area removed is about the size of a nickel & quite deep. The pain today is not bad at all, but last night I did take a pain pill just to help me sleep.

A short time ago I had the huge pressure dressing removed & the wound cleaned & re-bandaged by a nurse friend, and she told me not to look at the wound as it is very ugly & deep. That's not good, as I was hoping not to have to a skin-graft done, but I might change my mind. My face is swollen, but no black eyes or bruising.

I know several people who have had the same thing done. They never mentioned this as a painful procedure, so I think you had a very bad experience.... in many ways! If I were you, I would never go back to your first dr. What you went through is terrible & not acceptable and a good physician would never want to put you through such pain & anxiety. You need to find someone who will prescribe something for your anxiety. Perhaps your regular dr. could recommend & prescribe a new & gentle Moh's surgeon & medication for you.

I wish you could go to my Moh's dr., he was the greatest.

Good luck.

RE: Basal Cell Nose

by MollyMcGuire on Fri May 04, 2012 08:21 PM

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HELLO

Any reply from you?

RE: Basal Cell Nose

by alisoncita on Sun May 20, 2012 08:08 PM

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I can totally sympathise with you, as I have had basal cell surgery 4 times located right at the end of my nose, and numerous biopsies and it has been the most painful experience of my life. The last biopsy was last week, and I just got myself into a terrible state as I know how tense it makes me. The injection was given right in the potential tumour at the end of the nose and I too screamed in pain and started weeping terribly. The tension and anguish was too much... I too would prefer to be put under general anaesthetic as it makes the situation much more bearable. but I guess they would never be willing to do that. I am so sorry you have had such a terrible time..

I

 

RE: Basal Cell Nose

by alicebeatrice on Tue Dec 11, 2012 01:58 AM

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Hi all

had a basal cell taken off top of nose and tip I can tell you that its the worst pain I have ever felt when the needle for the biopsy went into the tip off my nose to numb it .I have been through many operations and never felt the pain that shot to my brain.I wanted to scream but the shock just froze me.

The op wasnt as bad (pain i mean) but it was a shock to be awake and have someone cut away at your nose and you dont know how much nose you will have left .I went back 3 times.No compassion from the doctor.I am a woman and to have have that done without anyone giving you any compassion was hard.I had the same said to me when I asked about plastic surgery well he was no plastic surgeon as I have a big dip on top of my nose.I should be grateful as I hope the cancer is gone just a hard way to have it done especially when i live in the country and so far away from where it was done and the skin graft came off and was hanging and I tried to get in touch but they all pass the buck

doctor was in surgery referring doctor was too busy

anyway my only option was to cut the skin off.Now I have another scar.Moh is fine I surpose they cant work miracles.

but after op care was not given

alice

 

RE: Basal Cell Nose

by MOhsDoc on Thu Jan 31, 2013 11:16 PM

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different parts of the nose hurt to different degrees when numbing it up, also red heads will feel it more than others, its just the way it is. 

injections directly into the tip of the nose can hurt but they dont have to, there are ways of numbing further back on the lose skin of the nose, then wait while it travels forward. 

They can give you a valium to help relax you (but you need a driver), the way Mohs works you cant be knocked out with general anesthetic. The beauty of doing mohs is that is it safe, a decent doctor should be able to be reassuring during the procedure and help to dispel anxiety not increase it. Sorry you had a bad experience. 

RE: Basal Cell Nose

by June05 on Mon Oct 06, 2014 01:14 PM

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macyblue, how are you doing now.  I just had mohs surgery 10/3/14 on the side of my nose & I agree with you it was the most painful surgery I have ever had.  My Dr said the same thing about sedetives or pain meds...not necessary.  I happened to have my own xanax which I took prior to going there.  The first needle was very painful but i expected that from having the biopsy. I had to wait almost 1-1/2hrs when they told me he didn't get it all so back i went & by this time most of the anesthesia had worn off so more needles & I mean many more & very painful.  i don't think he waited long enough for them to take effect.  It hurt so much I pushed his hand away, almost as a reflex, and he said don't do that because I almost hit your eye.  So I had to endure the pain.  Then it was back to the waiting room for another hour and a half.  Then they came out & said they got it all & it was time to sew me up.  So more needles, more pain, pain, pain.  I had inside stitches which I just felt some pulling.  I had seven outside stitches of which I felt every one of them.  I kept saying ouch, ouch etc.  No music, no conversation, not good.  Now i have to go back to have the stitches removed & I'm scared sh....  I have had stitches before in my hand & taking them out was nothing but I'm afraid the maciscist doctor might be different.  I guess I should be thankful that he got it all.  Thank you God!  Oh and buy the way the only pain med recommended was Tylenol!!

RE: Basal Cell Nose

by Grannysbiz on Mon Oct 20, 2014 01:31 AM

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Five years ago this month I went to my doctor and told him I had a slight sinking spot on my nose, he sent me to a dermatologist, who is wonderful and he told me I did have cancer and he did a biopsy that day. It just stung alittle. He called me when it came back and told me I had aggressive basal cell carcinoma, in my chin and the side of my nose. He then referred me to a surgeon, I went for the appointment and met her and she is also wonderful. She then sent me to meet the plastic surgeon that she works with and I can honestly say, he has to be the best plastic surgeon in Oklahoma City. I told them I wanted to get through the holidays, could we wait until January and they both agreed. So on January 11th, I went in to the surgeon and had Mohs surgery on my nose and my chin. my medical doctor told me to take one or two Xanax on my way there. I took two of them. I didn't want to have a panic attack and I don't remember anything that happened there, no shots, no pain, no waiting. When I got done I saw in the mirror that half of my face was bandaged up, but I wasn't in any pain so she then sent me to the plastic surgeons office,so he could see how much she removed and then I had to go to the hospital and check in the next morning for surgery to repair my face. That morning he did a four head, flap surgery and removed the tumor from my chin and when I woke up, I was bandaged up again but they kept me on a morphine drip. I had to spend the next night there and got to go home that following day. So for the next month I had live flesh, hanging from my eyebrow, that came from the top of my head down into my nose and that was the most painful thing I've ever gone through in my life. He gave me good pain medication but after a couple of weeks,I started feeling not right so I refused to take anymore. I just sat for hours on the side of the bed and rocked back-and-forth. At the end of the month I went back to the hospital and had the flap removed and I was stitched up from the top of my head, down my face, through my nose, from my bottom lip to the bottom of my chin and I knew I was going to be a monster. I thought would never look normal again and it just made me sick to think about it, but my doctor kept telling me it's going to heal, you'll be alright, it's going to take about six months for you to look normal again. During those six months I went in for regular checkups, he did some injections in some spots that were a little higher than others and he was right, at the end of six months, I looked just like I did before surgery. You can't hardly see any incision scarring and the pain finally left. One funny little note, because my flap came from the top of my head,and it is now my nose, it grows hair like hair on my head. I could've gone and had laser treatments on it, but I didn't want to look burned for weeks at a time, so I just started shaving it every day and my kids tease me that when I get older, they're going to let it grow and braid it, LOL. Without my family I don't know how I would've ever made it through that surgery. I told them I'd rather have natural birth than go through that again. Well it's October 2014 and I was just diagnosed with basal cell carcinoma on the other side of my nose, but this one came out and gave me a little red sore, so I knew something was wrong. i had my biopsy done by my same doctor and now I've seen the surgeon and she told me they're going to have to do flap surgery again. Because this cancer has gone into the tip of my nose, they're going to have to remove cartledge from my ear, to put in my nose, to hold the flap up, so this one will be a little more involved then the last one. Again I'm going to wait until January to have the surgery, if the plastic surgeon agrees. If anyone out there has had this done twice on their nose, please let me know how the second one went, if it was better or worse. I'll let everyone know how I am doing with my plastic surgeon ( Dr. Ivan Wayne) and then the surgery. I'm so glad I found this site, I've never talk to anyone else that's had the surgery. My name is Lynn, I'll be 66 years old in November, I'm in good health, I go to the gym, but years ago I managed to tanning salon and I'm sure that's what caused this damage. No matter how much I talk to these young girls about tanning booths, none of them listen, they just don't believe it can happen to them. It does everyday, and it's a life changer!
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