Nasal Reconstruction

Individual results may vary.

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Oblique Right: Pre-operative full-thickness nasal facet defect and 3 month post-operative view.

Lower: Base view at completion of first-stage surgery and 3 month post-operative view.

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68 year-old woman with “through and through” defect of the right nasal facet/ala from Mohs resection of a squamous cell cancer. Note the additional defect above this from a basal cell cancer removal. She sought an alternative to paramedian forehead flap, so Dr. Ramachandra performed a two-staged pedicled melolabial flap with composite ear cartilage grafting to replace missing cartilage and internal nasal lining. No revision performed.