I had a large squamous cell lesion removed from near my hairline/forehead in June. My recommendation is to have a plastic surgeon close the wound after the surgery to minimize (not eliminate) the scarring. After surgery I had a Frankensteinish 4 inch line of stitches but now it is not that noticeable. Fortunately, I was able to avoid a skin graft which is much more difficult from an aesthetic point of view. Both the surgery and reconstruction were done under only local anesthesia with no discomfort.