This 85-year-old man underwent Mohs resection of a basal cell skin cancer of the helix. He initially declined reconstruction but after the wound failed to heal, he elected for flap repair under local anesthesia.
Photo Gallery
Click Images below for a more detailed view. Individual results may vary.
This 65-year-old woman had a small midline nasal tip defect which Dr. Ramachandra repaired with a single-stage “East-West” flap.
This 26-year-old presented 8 days after acute nasal trauma. Dr. Ramachandra performed a closed reduction of nasal bone fractures under general anesthesia.
This 76-year-old man sought a single-stage repair of a right nostril cancer defect. Pt had already had multiple prior cancer surgeries on his nostril and wanted a simple solution. Dr. Ramachandra performed a nasolabial transposition flap.
This 73-year-old woman had a large supratip defect from a basal cell carcinoma Mohs resection. Dr. Ramachandra opted for a SENMI (superior extended nasal myocutaneous island) flap to reconstruct the defect in a single stage.
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 …
This 47-year-old woman sought repair of her stretched earlobes. Dr. Ramachandra performed a simple in-office procedure under local anesthesia to reconstruct the ear. Repiercing performed at 6 weeks.
This 63-year-old woman underwent belobed flap repair of a left supra-alar basal cell carcinoma.
This 77-year-old woman underwent removal of a large melanoma-in-situ of the left cheek. Dr. Ramachandra performed a single-stage submental transpositional flap repair and advancement flap from the temple region. No revision or dermabrasion performed.
This 73-year-old woman had a 1.4 cm defect from resection of a nasal tip basal cell cancer. Dr. Ramachandra performed a single-staged nasal sidewall advancement flap as well as a full thickness skin graft to the supra-alar region. No revision procedure required.