So it's been 2 years since my Mohs surgery.  You can see in the first picture what my nose looks like.  I do have makeup on but you can only just see the white area on my nose. Until now, I've been happy with the result.

Yet, I remember the plastic surgeon saying to me that if you roll the skin over your nose, you can see where the basal carcinoma is sitting.  Well I noticed a raised surface on my nose.  At first I thought it was scar tissue, but I became increasingly concerned. I had the doctor check it, but they weren't worried.  Then, rolling the skin on my nose, the outline became apparent, the was a circle, barely visible to the naked eye, in fact only I could see it.  I returned to the skin doctor and under special microscope glasses, she could see it.  So I'm using Picato treatment on my skin.  It costs around $150 and is used to remove solar keratoses.  Undocumented, it also has a good outcome for basal cell carsinoma.

So once again I am documenting the treatment.  First application (of 3) today.  My skin is red. It is stinging a little, much like bad sun burn.  It's going to get worse and blistering.

I've been told Picato is like a very mild form of chemotherapy and is like a chemical peel of the skin.

I suspect that I am using a chemical version of black salve.  My doctor has said that while black salve can be effective, it can also leave massive craters on your face and is a huge risk to take with something on the very tip of my nose.

So here we go. Stay tuned for the journey.