Patient's Story: A composite graft reconstruction of this woman's columella was performed using skin and soft tissue from the back of her ear following a Mohs excision of a basal cell carcinoma skin cancer. The result shows an excellent skin color and thickness match and an overall excellent result that is barely noticeable.
Patient's Story: This 57 year old man had a biopsy proven basal cell carcinoma involving the nasal tip and nasal alar on the left side of his nose. The patient underwent Mohs excision of his skin cancer and was left with a large defect that required a complex reconstruction. Based on the size, depth and location of the defect, the decision was made to perform a bilobed flap adjacent tissue transfer. By "borrowing" skin from the upper part of the nose and transferring it to the lower part of the nose, Dr. Morin was able to successfully reconstruct the patient's Mohs defect. The patient is seen in these photographs just before surgery with the bilobed flap marked on the nasal skin, and three months after surgery. The after photograph demonstrates a normal appearing nose with excellent shape, contour and symmetry, and a maturing scar that is barely noticeable at conversation distance.
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