Ditto on the smoking.. she needs to quit. I smoked for 40 years and have paid the price in the last year -- my life will never be the same.... Like Christine, all I have to do is look in the mirror and all I see is surgery scars. If she quits ASAP, hopefully she can avoid the disfiguring surgery.
I wish you the best.

DX 12/6/10 of T3 SCC Tongue.
Surgery 1/3/11 was hemigloss & forearm free flap, midline mandibulectomy, Neck Disection-All nodes clear.
Ended rads 5/11/11. Taste buds back to about 80%. PEG removed 4/5/12, experimenting eating real food again. If I can do this, so can you !! Stay Strong.