Patient 1
Patient's Story: This patient underwent an extensive nasal reconstruction after Mohs surgery for basal cell carcinoma removed a significant portion of his nose. Because the nasal lining, structural framework, and external skin were all affected, each layer required separate reconstruction. Skin grafting was used to restore the internal lining, rib cartilage grafts recreated structural support, and a forehead flap replaced the missing nasal skin. He is shown one year after completing the final reconstructive stage with successful restoration of the nasal anatomy and a well-defined aesthetic result.
Patient 2
Patient's Story: This patient required a highly complex nasal and cheek reconstruction after Mohs surgery for basal cell carcinoma removed a substantial portion of both areas. The defect involved the full thickness of the nose, including the internal lining, supporting framework, and external skin. Tissue was used to recreate the nasal lining, rib cartilage grafts rebuilt the structural foundation, and a forehead flap provided coverage for the missing nasal skin. She is shown one year after her final reconstructive procedure with successful restoration of the nasal components and a refined overall appearance.
Patient 3
Patient's Story: This patient underwent composite graft reconstruction after Mohs surgery removed a basal cell carcinoma involving the nasal columella. Unlike a standard skin graft, the composite graft included additional layers of soft tissue to restore both coverage and contour in this delicate area. She is shown six months after reconstruction, with a well-healed result and a columellar scar that is barely visible.
Patient 4
Patient's Story: This patient underwent reconstruction of the upper half of the nose after Mohs surgery removed a basal cell carcinoma. A full-thickness skin graft containing a small layer of underlying fatty tissue was used to restore the surgical defect. Because the skin over the upper nose is naturally thinner than the skin covering the lower nasal region, this modified grafting technique provided an appropriate match in thickness and contour. She is shown one year after reconstruction, with a well-integrated graft that is barely noticeable.
Patient 5
Patient's Story: This 43-year-old woman underwent nasal reconstruction after Mohs surgery removed a biopsy-confirmed basal cell carcinoma from the left side of her nose. The excision created a large defect involving most of the left nasal sidewall. Because of the size, depth, and location of the wound, a full-thickness skin graft was selected to restore the missing tissue and preserve the contour of the nose. She is shown six months after reconstruction with a smooth nasal profile and a natural-looking result.
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