“Jakefix” here. Thanks for all the responses! I had Mohs fifteen years ago on side of nose, near nostril. Great job, used ear cartilage to re-construct. Doctors agree the new BCC in same spot is a new growth unrelated to the one removed 15 years ago (considered cured).

My original Mohs surgeon agreed to do the surgery for the new one, but I’ve since moved and the logistics of traveling 200 miles, a motel, etc, were overwhelming.

So I had Mohs last week again - 6/12 - on nose by a different surgeon. She didn’t close the wound…allowing the wound bed to heal a couple weeks and will then do a skin graft with skin likely from behind my ear. I read grafts “take” better after waiting for wound bed to heal. My surgeon is Mayo Clinic trained and does re-construction, though uses a separate plastic surgeon when necessary.

My concern right now - 4 days after Mohs surgery - is I only have half a smile. There’s a droop of my lip on side where BCC was on nose…I look similar to someone with Bell’s Palsy. My front teeth aren’t visible where the lips don’t move upward as they should when smiling. This didn’t happen 15 years ago.

Has this happened to anyone? Is my face just numb or is there nerve damage? I go back tomorrow for wound check and fresh bandage. I was 60 yrs old fifteen years ago, am now 75. I am worried about this.