Reconstruction of the Nose
The main goal of nasal reconstruction following removal of skin cancer is to maintain the contour of the nose. Following Mohs surgery on the nose, a patient will either have a defect of the skin, skin and cartilage, or skin, cartilage and the internal lining of the nose (full thickness). Each layer that is missing will need to be reconstructed.
Ways of reconstructing nasal defects include:
- Local Flaps (using skin from the area adjacent to the defect)
- Skin Graft (taking skin from another area to repair the defect)
- Healing by Secondary Intention (let the wound heal on its own)
- Primary Closure (suture the wound)
- Regional Flaps (using skin from the cheek or forehead to repair the defect)
Your physician will choose the type of reconstruction based on the location, size and depth of the skin defect. In addition, the patient’s goals with the reconstruction (simplicity of the reconstructive process versus the best cosmetic outcome possible), the patient’s health status and past medical problems will also be important in the decision-making.