Getting GentleCure (IM-SRT) for my 2 Basal Cell Carcinomas

Posted by pianist3 @pianist3, Aug 21, 2025

Hi, everyone! So, I'm in the process of scheduling my treatment for my 2 basal cell carcinomas (they are above my lip.) Anyway, after much research and also being terrified of needles and Mohs surgery (I can't use epinephrine and I have severe anxiety), I've decided to go with GentleCure (IM-SRT). My doctor says I'm a good candidate for it. I'm hoping and praying that I can get through the treatments easily. I will be bringing my stuffed doggie. 🙂 Has anyone had this treatment? Please, please send me only positive comments and anything helpful to make this process easier and more gentle on my skin. I'm reading up on taking more healthy foods to heal my skin, collagen building supplements (maybe) and lots of prayer!! I'm just hoping and praying for no pain, no burning, no radiation sickness, etc. I'm praying for you all!!! Thank you for any encouragement and kind words...life is not always easy...but, I will certainly be wearing more sunscreen and wearing it daily from now on!! Love you guys!!! Mia 🙂

Interested in more discussions like this? Go to the Melanoma & Skin Cancer Support Group.

Profile picture for Susan, Volunteer Mentor @grammato3

@texashummingbird: you are having your fair share of medical procedures and findings! So sorry to hear you're going through so much at once. For your questions about the breast cancer and upcoming surgery, you can get more answers and support at this forum: https://connect.mayoclinic.org/group/breast-cancer/

Wishing you the best and a speedy recovery!

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@grammato3 Thank you very much! I appreciate your help, 🥰
Suzanne

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I am looking for those with experince or thoughts on Gentle Cure srt versus Moh's surgery. I am 80 year old female. The basil cell is located on sidewall of nose and is in situ. Second site is the tip of my nose and is squamous cell in situ originating from an actinic keratosis. Since my Medicaire and secondary cover both that isn't an issue. My issue is having to spend a full day getting up extremly early with a small puppy that doesn't wake till 8am as I do also. I would prefer going a few times a week at regular appointment times for a few weeks. I've been researching the Gentle Cure and it is said to not require any cutting and stitching. And leaves no scaring. I saw where my neighbor had had one on her nose removed via Moh's and she has a scar down the center of her nose. She said she had fibrous tissue that had also formed visable on her nose. That got me really more than curious about the Gentle Cure. Also with neither of these cancers invasive into any other layers of skin at this time. What are your experiences with both types. Thanks for any and all replies.

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Profile picture for 2buddy @2buddy

I am looking for those with experince or thoughts on Gentle Cure srt versus Moh's surgery. I am 80 year old female. The basil cell is located on sidewall of nose and is in situ. Second site is the tip of my nose and is squamous cell in situ originating from an actinic keratosis. Since my Medicaire and secondary cover both that isn't an issue. My issue is having to spend a full day getting up extremly early with a small puppy that doesn't wake till 8am as I do also. I would prefer going a few times a week at regular appointment times for a few weeks. I've been researching the Gentle Cure and it is said to not require any cutting and stitching. And leaves no scaring. I saw where my neighbor had had one on her nose removed via Moh's and she has a scar down the center of her nose. She said she had fibrous tissue that had also formed visable on her nose. That got me really more than curious about the Gentle Cure. Also with neither of these cancers invasive into any other layers of skin at this time. What are your experiences with both types. Thanks for any and all replies.

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@2buddy: many people in your similar situation have expressed these concerns. There were several such comments and experiences in the other thread where I saw you also posed this very reasonable question so it would be helpful to read through the various responses there.

Additionally, there are postings here on the topic of Gentle Cure vs Mohs:: https://connect.mayoclinic.org/discussion/getting-gentlecure-im-srt-for-my-2-basal-cell-carcinomas-above-lip/

Ultimately, the ideal person with whom to have this conversation would be your medical provider who could provide you with the most appropriate recommendation based upon your history, clinical presentation and personal preferences, which it appears you have already carefully considered.

Let me know what you decide and how your treatment goes once you choose. Best of luck!

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Profile picture for 2buddy @2buddy

I am looking for those with experince or thoughts on Gentle Cure srt versus Moh's surgery. I am 80 year old female. The basil cell is located on sidewall of nose and is in situ. Second site is the tip of my nose and is squamous cell in situ originating from an actinic keratosis. Since my Medicaire and secondary cover both that isn't an issue. My issue is having to spend a full day getting up extremly early with a small puppy that doesn't wake till 8am as I do also. I would prefer going a few times a week at regular appointment times for a few weeks. I've been researching the Gentle Cure and it is said to not require any cutting and stitching. And leaves no scaring. I saw where my neighbor had had one on her nose removed via Moh's and she has a scar down the center of her nose. She said she had fibrous tissue that had also formed visable on her nose. That got me really more than curious about the Gentle Cure. Also with neither of these cancers invasive into any other layers of skin at this time. What are your experiences with both types. Thanks for any and all replies.

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Had 2 MOHs surgeries 1 week apart. SCC on cheek was in situ. SCC on nose was not. My dermatologist told me MOHS is the better treatment even if in situ.

Talk to your dermatologist to ask more questions. Weigh out the options. Best of luck and hugs.

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Profile picture for 2buddy @2buddy

I am looking for those with experince or thoughts on Gentle Cure srt versus Moh's surgery. I am 80 year old female. The basil cell is located on sidewall of nose and is in situ. Second site is the tip of my nose and is squamous cell in situ originating from an actinic keratosis. Since my Medicaire and secondary cover both that isn't an issue. My issue is having to spend a full day getting up extremly early with a small puppy that doesn't wake till 8am as I do also. I would prefer going a few times a week at regular appointment times for a few weeks. I've been researching the Gentle Cure and it is said to not require any cutting and stitching. And leaves no scaring. I saw where my neighbor had had one on her nose removed via Moh's and she has a scar down the center of her nose. She said she had fibrous tissue that had also formed visable on her nose. That got me really more than curious about the Gentle Cure. Also with neither of these cancers invasive into any other layers of skin at this time. What are your experiences with both types. Thanks for any and all replies.

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Have you seen the Mohs surgeon. ?If it a doctor other
than your dermatologist you are entitled to have a consultation with them discussing options before scheduling surgery. No rush in your situation.

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Profile picture for seniormed @seniormed

Have you seen the Mohs surgeon. ?If it a doctor other
than your dermatologist you are entitled to have a consultation with them discussing options before scheduling surgery. No rush in your situation.

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@seniormed I see the Mohs surgeon this coming Thursday. But I do not want Mohs. Now I've seen and talked to four neighbors and seen the scars they have from their nose moh's surgery. I also can't sit for that long due to degerative disc disease in lumbar spine. There must be other options for a sidewall basal cell in situ and the squamous cell on tip of nose. Plus as I tried to explain to the dermatologist those tiny pink pimple but flat scaley patches come and go. May be four today and only one tomorrow. So to me this means that the whole tip or end of nose has what have been repeatedly treated as actinic keratosis. So then Moh's isn't going to even touch the others you can't see that day. I did read that blue light doesn't penetrate deep enough though to get the root of them so to speak.

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Profile picture for 2buddy @2buddy

I am looking for those with experince or thoughts on Gentle Cure srt versus Moh's surgery. I am 80 year old female. The basil cell is located on sidewall of nose and is in situ. Second site is the tip of my nose and is squamous cell in situ originating from an actinic keratosis. Since my Medicaire and secondary cover both that isn't an issue. My issue is having to spend a full day getting up extremly early with a small puppy that doesn't wake till 8am as I do also. I would prefer going a few times a week at regular appointment times for a few weeks. I've been researching the Gentle Cure and it is said to not require any cutting and stitching. And leaves no scaring. I saw where my neighbor had had one on her nose removed via Moh's and she has a scar down the center of her nose. She said she had fibrous tissue that had also formed visable on her nose. That got me really more than curious about the Gentle Cure. Also with neither of these cancers invasive into any other layers of skin at this time. What are your experiences with both types. Thanks for any and all replies.

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Also anyone have information on Field approach as read this is an option?

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Profile picture for 2buddy @2buddy

@seniormed I see the Mohs surgeon this coming Thursday. But I do not want Mohs. Now I've seen and talked to four neighbors and seen the scars they have from their nose moh's surgery. I also can't sit for that long due to degerative disc disease in lumbar spine. There must be other options for a sidewall basal cell in situ and the squamous cell on tip of nose. Plus as I tried to explain to the dermatologist those tiny pink pimple but flat scaley patches come and go. May be four today and only one tomorrow. So to me this means that the whole tip or end of nose has what have been repeatedly treated as actinic keratosis. So then Moh's isn't going to even touch the others you can't see that day. I did read that blue light doesn't penetrate deep enough though to get the root of them so to speak.

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@2buddy I am a 78 year old man. I had basal cell carcinoma on the tip of my nose. I had the Gentlecure superficial radiation therapy - twenty sessions beginning this past December and finishing in January. I do have a little crater like scar on tip of my nose which is the result of the biopsy not the radiation. I am very satisfied with the results. I wish you all the best.

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Profile picture for cleveland26 @cleveland26

@2buddy I am a 78 year old man. I had basal cell carcinoma on the tip of my nose. I had the Gentlecure superficial radiation therapy - twenty sessions beginning this past December and finishing in January. I do have a little crater like scar on tip of my nose which is the result of the biopsy not the radiation. I am very satisfied with the results. I wish you all the best.

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@cleveland26 Thanks for your reply. Here I can get the SRT at the facility here. Did they use the wand to visualize the cancer each time you had a treatment? I'm about to write the Dermatology practice and tell them I do not want to be cut. That I would like the SRT at their facility. Is there a specific way you asked for this treatment vs Mohs? Right now I can see that I will also have a small crater type scar tip of nose. The sidewall of the nose biopsy site is smooth as can be. So 20 sessions for basal cell which is sidewall of nose . Tip is the squamous cell in situ. Was yours also in situ?

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Profile picture for 2buddy @2buddy

@cleveland26 Thanks for your reply. Here I can get the SRT at the facility here. Did they use the wand to visualize the cancer each time you had a treatment? I'm about to write the Dermatology practice and tell them I do not want to be cut. That I would like the SRT at their facility. Is there a specific way you asked for this treatment vs Mohs? Right now I can see that I will also have a small crater type scar tip of nose. The sidewall of the nose biopsy site is smooth as can be. So 20 sessions for basal cell which is sidewall of nose . Tip is the squamous cell in situ. Was yours also in situ?

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@2buddy Yes, my bcc was in situ . (Ha, I had to Google that to see what in situ meant!) Yes, they used the wand before each treatment. No, I did not ask for a specific way for treatment basically because I didn't know anything.

I chose the SRT over Mohs surgery for several
reasons. I was told that after the Mohs surgery that I would be sent down the street to have a plastic surgeon close the incision, after having been administered general anesthesia. Not knowing how long either procedure would take, I could have had a problem with transportation. My wife no longer drives at night.

I am satisfied with the whole thing and glad I don't have to drive into Tacoma every day for a while. I wish you all the best.

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