As a skin cancer patient I had a bilobed flap repair on my nose just (16th April this year) and it appears to be healing well, but the colour/texture doesn’t feel the same as the rest of my nose and the new skin feels numb. I’m less concerned about the deep scarring, as that is being aided by using Bio-oil. What really concerns me now is that I have a variety of alternating sensations which include, itching, aches/pains and smarting. I am an out-patient though and no doubt it will be checked out soon.
In the meantime I would appreciated any your comments you might have,
The simple making of an incision in skin will cut through minor nerve fibers at the very least and create numbness or parasthesias including pins and needles, itching, pain, etc.
The creation of a local flap like a bilobed flap certainly is more involved than a simple incision and tissue is moved from one site to the next so you can imagine the cross wiring of minor nerve terminals that can occur. The feelings you are having can be normal and should get better with time although they may or may not resolve completely. You should make sure your surgeon sees you to rule out any other issues such as god forbid a recurrence of the cancer underneath the flap or other issues. If all is well then these symptoms should improve as they are fairly normal for what you have gone through with your nose cancer resection and flap reconstruction.
Color mismatch and pin-cushioning and other surface irregularities can also occur which may need minor revisions or lasers or dermabrasion or steroid injections. It all depends on the exam and your surgeon’s judgement.