The submental area is common for BOT recurrence and the "norm" would be ND of some type with many nodes removed for biopsy and hard to get them to take just a node out. I have some hard cysts that they keep telling me are sebaceous cysts from radiation and they keep getting bigger so they want to take a couple of them out at the same time. I guess to answer your question, they would not want to just remove one node and unless I get bulked up and put back some more of that 100 lbs I have lost they don't think I would make it through a surgery at this point. I think that gives me a few months reprieve and an opportunity to refire some atrophied muscle. It is more the entire neck and facial muscles are fasiculating like crazy and further nerve damage could result in inability to hold my head up and there doesn't seem to be a good case to make that happen faster than it already is. I have no pectoral muscles left except the one they would want to use. Makes it quite the dilemma.