Facial Reconstruction Case Study 78

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Facial Reconstruction Case Study 78

This lady has had a basal cell carcinoma removed from her nose with MOHS surgery. This has led to a defect on the nasal side wall. The options are a local flap or a graft. A graft can often lead to a contour irregularity whereas a local flap can give a more uniform reconstruction. All patients need to be taken through the pros and cons of each technique. Local flaps involve a lot of stitching initially although with time the scars mature and if the flap is closed under minimal tension the results can be excellent. The result is shown at 6 months postop and the scars are barely visible.