Nasal Reconstruction

Patient's Story: An extremely complex nasal reconstruction was performed on this gentleman who had a large portion of his nose resected by a Mohs dermatologist secondary to a basal cell carcinoma skin cancer. All three layers of the patient’s nose, including lining, structural support, and skin, were missing and therefore required reconstructed. The skin was used to reconstruct the nasal lining, rib cartilage grafts were used to restore the necessary nasal support and a forehead flap was used to recreate the nasal skin. The patient is seen here 1 year following his final reconstructive procedure. All components of the nose have been successfully reconstructed and the aesthetic appearance is excellent.

Patient's Story: A full thickness skin graft reconstruction of this woman's nasal dorsum was performed following the Mohs excision of a cell carcinoma. While the aesthetic result of skin grafts on the lower half of the nose are often not ideal, this patient demonstrates that the use of a full thickness skin graft on the upper half of the nose can yield an excellent result.

Patient's Story: A composite graft reconstruction was performed on this woman who had undergone a Mohs excision of the basal cell carcinoma skin cancer involving the columella of her nose. While skin grafts alone are usually not sufficient for nasal reconstruction, composite grafts, which are skin grafts that also contain other layers of soft tissue, can produce excellent results. This patient is seen 6 months following her reconstruction and the columellar scar is barely noticeable.