I've also had my share of BCC's removed and also had melanoma in situ (top layer, stage 0) about 3 years ago. Mine don't feel typical from what I see in pictures or from what my dermatologist even describes to me. My melanoma on my left arm was a red patch. It didn't itch or cause too much alarm but I had it for years (scary I know!
) but I noticed it was getting bigger and the cream I was putting on it was doing nothing. It was slightly patchy or dry, but again didn't bother me. My derm said it was Excema. I requested that she test it to be sure and she was completely dumbfounded and shocked it was melanoma. They took all kinds of pictures and apparently it's a rare type in that they don't see it a lot and she has used me as an example in her conferences she attends so it's nice to know my pictures might be helping others. I had a huge chunk cut out and unfortunately they didn't get it all, so I had to go back and this time had to have a skin graft. My arms are pretty small and it's above my wrist and there simply wasn't enough room left to stitch my arm back together. The skin graft was taken from my thigh and yes it was painful but I healed nicely and so very grateful I'm fine.
I go every 6 months (don't see that changing and I'm okay with that) and have had at least 5 BCC's removed. I've also had two on my nose removed and the most recent was just in October near my nose tip and again, small red patch (so tiny) that wasn't going anywhere) so it required the MOHS surgery. It took 5 attempts/layers to remove it all and I hadn't even had this spot a year. It took a skin graft/patch from outside my ear to close it and my surgeon is amazing and you can barely tell. I've had two MOHS surgeries on my nose now and this is all w/in the last 3-4 years. My MOHS surgeon told me I would have gotten these even if I lived in cave. He said it's genetics and also what you were exposed to years ago. Like many of you, I'm very fair skinned, freckles, green/blue eyes, reddish/blonde hair and our parents didn't protects us 100% growing up from the sun.
I always wear sunscreen on my face and arms and legs when they are exposed in the summer. I have a thin white SPF 50 jacket I always wear outside or while I'm driving. My husband got my windows and even windshield tinted in my car with UV special coating in my car (about $200 total). I try my best to avoid the sun and limit my time and always seek shade. I have cruised several times and just do it in the shade or limited hours in the direct sun.
My biggest advice for anyone and I've already read several comments from other posters, - listen to your gut!! I have found EVERY BCC and my Melanoma on my own. There was something about each spot I didn't like or noticed it was growing just a bit or that it wasn't going away. Each of mine have been red patches or a red spot. I have lots of freckles and several moles but they have always been "ok".
All the best to you - be diligent and don't put off anything that looks suspicious know others have been through the same thing!
Heather
Ps. As another poster, I use the Elta MD on my nose specifically (30 SPF) and usually an SPF 15 on my face during days I I'm not outside. When I cruise or go to WDW or I'm outside longer than usual (I work from home) I use an SPF 30 for my face. I tend to break out easily so I have to weigh that. I use the Keys Soap SPF 30 on my arm to cover my skin graft from my melanoma surgery and I recommend reviewing sunscreens and the "safest/healthiest" ones on the EWG.ORG website. Both of mine come highly recommended with very few chemicals, if any and are considered safe and more effective. We use the Coppertone Water Babies for our bodies because, again it's considered safe, and protects well due to the higher zinc oxide %.