Anyone had GentleCure (IM-SRT) for Basal Cell Carcinoma?

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.

@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.

@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.

@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?

@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.

@cleveland26 I knew what in situ meant because I was an RN so familiar with the term. Did your assuming Medicaire pay for the wand as in my google searches saw that right now the wand use is being reviewed to see if it's going to be paid for by insurance. Said that some facilities have the $1500 to $2000 Wand not being charged to patients till this has either been approved or not by Medicare. How long ago did you have your procedure?

Can't believe you would be given general anesthesia and been expected to drive to another facility with a fresh open wound !

Wrote the Dermatologist office and said I do not want to be cut. So will see what the office says tomorrow.

I was just sent a message from Piedmont Plastic Surgery and Dermatology that they no longer offer the SRT. So their message was to see their Moh's surgeon. What would you do? Thanks!

@2buddy Hi, morning! I would personally try and find another dermatologist to find SRT nearby. I guess if you’re too far from any provider with SRT, Mohs will be your next best option. But don’t wait too long, as you don’t want your skin cancer to spread any. Blessings and prayers for very fast healing ❤️‍🩹!! 🙏🙏💐💐💕💕

@pianist3 Just found out via patient portal that Piedmont Plastic Surgery and Dermatologist is no longer offering the srt due to insurance issues. Evidently Medicare is deciding whether using a wand is shall I say necessary or important which is why my current practice is not using it any longer. Being in the Charlotte NC area there are a lot of facilities. It seems like Moh's is what they are all pushing. Right now looking for another dermatology practice. Have only found one currently. I wouldn't object to the Moh's so much if could find someone to work with the fact that I can not get to an appointment before 11am tops. This is due to having Irritable Bowel Syndrome where in and out of bathroom constantly in morning and then the long sitting due to lumbar degenerative disc disease and scoliosis. Need a chair that is able to adjust positions or at least recline some. Practice going to just has straight back chairs or an exam table with no way to recline. So working to try and find a facility that offers the srt. Any tips you have appreciated.