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- Newborn Ear Deformity: What Can Be Done? - April 11, 2018
- Ear Molding: An Overview - November 2, 2017
- Otoplasty for Protruding Ears - September 26, 2017
- Basal Cell Carcinoma: Facial Reconstruction Timing - September 26, 2017
- Clinical Considerations of Mohs Reconstruction of Cheek Defect - September 26, 2017
- Basal Cell Carcinoma: Nasal Bridge Reconstruction - September 26, 2017
- Skin Cancers Involving the Eyebrow: Clinical Considerations - October 3, 2016
- Treatment of Multiple Skin Cancer Lesions - June 1, 2016
- Skin Cancer: Nasal Reconstruction and Scar Management - June 1, 2016
- Sleep Disorders: Sleep Apnea and Upper Stimulation Therapy - August 25, 2015
- The Naked Vocalist Podcast Featuring Dr. Reena Gupta - May 27, 2015
- New Therapy for Sleep Apnea – First Sleep Pacemaker placed in California at Osborne Head and Neck Institute. - December 12, 2014
- Boxer’s Ear: Can your ear explode? - December 12, 2014
- Nose Picking (Rhinotillexis) and Septal Perforations: Why I should stop picking my nose…? - November 24, 2014
- Deviated Septum and Septal Perforation - July 28, 2014
- Hereditary Hemorrhagic Telangiectasia: Nasal Septal Perforation Repair - June 25, 2014
- Dr. Mantle recognized at the Beverly Hills Medical Science Academy Awards - May 8, 2014
- Commonly Misdiagnosed Pathologies: Arteriovenous Malformations - April 9, 2014
- Salivary Gland Surgery: Sialocele Prevention - March 28, 2014
What is the best reconstruction after Mohs surgery?
Basal cell carcinoma is the most common type of skin cancer afflicting close to a million patients a year. The head and neck region is a particularly common location for diagnosis of basal cell carcinoma. Within this region, the nose is one of the more frequently afflicted locations. This is likely due to the prominence of the nose on the face and its frequent exposure to sunlight.
Various techniques can be utilized by board-certified plastic and facial plastic surgeons to reconstruct the resulting defect of the nose after a Mohs surgeon or a dermatologist has removed a cancerous lesion. These techniques depend on the size and the location of the defect. When the defect involves the bridge of the nose, various minimally invasive reconstructive techniques can be utilized to close the defect with great cosmetic results.
It is important to note that successful reconstruction of facial skin defects requires a skilled and experienced surgeon. Extensive experience in facial plastic surgery as well as familiarity with modern methods and techniques are essential to obtain excellent cosmetic results. Patients have the option to have their Mohh’s facial defect reconstructed with whatever surgeon they would like. In addition, it is not uncommon to have skin cancer removed by a Mohs surgeon and the resulting defect reconstructed by an experienced facial plastic and reconstructive surgeon at a later time.
A 55-year-old male presents with basal cell carcinoma of the bridge of his nose. He undergoes Mohs surgical excision of this skin cancer with clear margins. A large defect is produced along the bridge of the nose and requires reconstruction.
The patient presented to Dr. Zandifar for this reconstruction. A local advancement flap was utilized to close the defect with excellent cosmetic results. One week after surgery the patient’s scar is minimally visible.