Basal cell carcinoma scar healing in hair

Posted by ch47 @ch47, Sep 27, 2023

I am having a BCC spot removed from the top of my head in about 3 weeks. Dead center on top and in my part; I have straight, kind of thin hair. Current size is just over 1/2 inch around. Who knows how much will come out with Mohs…
Met the surgeon yesterday to go over things, and discussed potential wound closures. Stitches, staples and just leaving it open. She seems to think leaving open, as closing it could cause more scar tissue and damage to surrounding hair follicles.
(With all my other issues, this is such a small thing, but hair…)
Anyway, does anyone have any ideas/experience with head wound scarring?
Could be tattooed with grey hair or injected with Platelet Rich Fibrin to try and regrow hair after complete healing.
Again, any experience?

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Colleen.
Thank you so much for touching base…surgery went very well yesterday; she (doctor) was able to get clean edges the first time. Thoughtful too, as she knew, because of my prior difficult experience with a very large area (2x4” removed) of bcc on the back of my head I was a bit freaked out, as you all know from my posts. She outlined the area of removal, took a photo and showed it to me, then went over the methods of closing again, in more detail this time.
Once I knew the size removed, thumb nail size, and that it would close about half way on its own, she also gave me the option of additional surgery now, making the area bigger with a diamond shaped cut at each end for proper closure, then stitches, -or- waiting until it was all healed and doing that same procedure with a scar completely healed, starting at 50% of the size now.
I opted to wait…not looking forward to potentially having surgery again and more of my hair being cut off again, but less invasive as would be starting smaller.
Maybe I will be ok with it, but she gave me a great option if a shiny white spot in the middle of my head is not something I grow to love🤣
I am grateful to the surgeon for her skills, and for having a wonderful hairdresser who carefully looks over my scalp every month, and found it early.
And, I truly thank all of you who responded with support and stories to help get me through this
( as it turned out) relatively small and pretty painless procedure. All I had to go on/think about ( for 4 months preceding surgery) was my first horrible experience.
🤗

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Hello! My first cancer location was right there, on top of my noggin, at the crown, and I, too, have very fine hair, which is super-light strawberry-blonde. You can literally see through my hair. My primary care physician just cut it out in the football shape, sutured it up (like a football), and, when he pulled the stitches tight, I got an instant facelift!
Afterward, the hair grew back in the area they had roughed up, so I had little hairs sticking straight out, but then then they curved downward, and all was well. I can't even feel the scar or tell it was ever there.
I suspect you will have the same experience if you get it cut out like mine was. Hey, a free mini-facelift was an unexpected surprise!
Of course, I wish you all the best with your "stitchuation"!

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@gforce

Hello! My first cancer location was right there, on top of my noggin, at the crown, and I, too, have very fine hair, which is super-light strawberry-blonde. You can literally see through my hair. My primary care physician just cut it out in the football shape, sutured it up (like a football), and, when he pulled the stitches tight, I got an instant facelift!
Afterward, the hair grew back in the area they had roughed up, so I had little hairs sticking straight out, but then then they curved downward, and all was well. I can't even feel the scar or tell it was ever there.
I suspect you will have the same experience if you get it cut out like mine was. Hey, a free mini-facelift was an unexpected surprise!
Of course, I wish you all the best with your "stitchuation"!

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Turned out it wound up being a little bigger circle than I thought, but not huge. I was so relieved to have the surgery over in one cut, I couldn’t really think straight, and agreed to wait until all healed before we did the football, even though could have been done then and over with. Thanks a bunch for the info-will give me a better outlook for the future decision. I too have light (mostly grey and a little thin blonde) hair, so probably will have that done later. Wish she would have discussed this option before surgery when I could think a little more clearly…thank you again!
🥴

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@gforce

Hello! My first cancer location was right there, on top of my noggin, at the crown, and I, too, have very fine hair, which is super-light strawberry-blonde. You can literally see through my hair. My primary care physician just cut it out in the football shape, sutured it up (like a football), and, when he pulled the stitches tight, I got an instant facelift!
Afterward, the hair grew back in the area they had roughed up, so I had little hairs sticking straight out, but then then they curved downward, and all was well. I can't even feel the scar or tell it was ever there.
I suspect you will have the same experience if you get it cut out like mine was. Hey, a free mini-facelift was an unexpected surprise!
Of course, I wish you all the best with your "stitchuation"!

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@gforce, I love your sense of humor and am delighted that your "stitchuation" came with a mini-facelift. Ha.

You said the top of your head was your first cancer location. Have you had to have additional spots removed? How are you doing?

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My first experience was a not so mini free facelift…I called it that, but came from the back of my head!!!
Current bcc is healing well, hard to believe what just plain Vaseline can do. Still looks like an entry wound from a good size caliber something…oh well, guess I am looking forward to the next step, no Vaseline…🤣

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@ch47

My first experience was a not so mini free facelift…I called it that, but came from the back of my head!!!
Current bcc is healing well, hard to believe what just plain Vaseline can do. Still looks like an entry wound from a good size caliber something…oh well, guess I am looking forward to the next step, no Vaseline…🤣

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I had a BCC removed from my right ear, on the top ring, a couple years ago. There is still a gap there, but I believe the ring is sprouting another growth. I expect to have it removed, shortly. This is most frustrating, but apparently necessary. oldkarl

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@oldkarl

I had a BCC removed from my right ear, on the top ring, a couple years ago. There is still a gap there, but I believe the ring is sprouting another growth. I expect to have it removed, shortly. This is most frustrating, but apparently necessary. oldkarl

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So sorry that you have to do this again…hard to cover ears all the time…my best to you and your ears…

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