Skin Cancer Treatment: Nose

The nose poses a series of unique challenges in respect to skin cancers. First, the projection of the nose from the face results in increase exposure to sun. This in turn results in increase risk of developing skin cancer on the nose. Second, this projection will also makes the nose a prominent structure and thus any unsightly scar would be more noticeable. Finally, the nose plays a major function in respiration. All of these factors must be taken in consideration when reconstructing the nose.

Basal Cell Carcinoma of the Nose

Before Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 42-year-old male who noted a growth of the left nose for several months. It was biopsy proven to be basal cell carcinoma. He underwent Mohs excision with complete removal and was referred to Dr. Zandifar for closure. A local advancement flap hidden in the nasolabial line was used to close this defect with no alteration of the shape and function of the nose.

Basal Cell Carcinoma of the Nose

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

A 35 year old male was diagnosed with a large basal cell carcinoma of the right nasal dorsum. He underwent Mohs surgical excision and was left with a very large wound. The location is challenging because most closures would pull on the eyelid and cause a change in the shape of the eyes. He underwent a flap closure by Dr. Zandifar and has full closure of the defect with no change in the shape of the eye.

Basal Cell Carcinoma of the Nose

Before Mohs Excision

After Mohs excision

After reconstruction by Dr. Zandifar

Basal Cell Carcinoma of the Left Nasal Ala

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 67-year-old female who had a basal cell carcinoma of the left nasal ala. After Mohs surgery she was refered to Dr. Zandifar for reconstruction. Nasal alar defects can result in disfigurement of the nostrils and difficulty breathing. In this case a full thickness skin graft was used to close the defect and maintain the cosmesis and function of the nose.

Basal Cell Carcinoma of the Nasal Tip

Before Mohs Excision

After Mohs excision

After reconstruction by Dr. Zandifar

Patient is a 38 year old male with basal cell carcinoma of the nasal tip. These defects are very visible and in most cases require a forehead flap to reconstruct. His defect was reconstructed with a local flap that did not require further surgery to detach and reshape the paramedian forehead flap.

Squamous Cell Carcinoma of the Nasal Wall

Before surgical excision

After surgical excision

After reconstruction by Dr. Zandifar

Patient is a 72-year-old woman with a very large and aggressive squamous cell carcinoma of the nasal wall that had eroded into the bone and the inner nasal lining. She underwent a wide resection of these areas. Her reconstruction required reconstruction of the skin, nasal cartilages and nasal lining. 3 months after surgery she is able to continue to breath from her nose and has great cosmetic outcome.

Basal Cell Carcinoma

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 22-year-old male with a history of chronic sun exposure and prior skin cancers. He underwent Mohs surgical excision of the right nasal sidewall basal cell carcinoma. He had reconstruction of this defect with Dr. Zandifar. The defect was reconstructed with care being done to not disrupt the position of the lower eyelid.

Basal Cell Carcinoma of the Nasal Dorsum

After Mohs excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 56 year old male with an aggressive form of basal cell carcinoma of the nasal dorsum. After clearance of the cancer he was left with a very large nasal dorsum defect. His reconstruction entailed several methods including local flaps and skin grafts. Several months after surgery his nasal contour is normal and he has excellent cosmetic outcome.

Basal Cell Carcinoma of the Nasal Dorsum

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 63 year old male with long history of sun exposure. He had a basal cell carcinoma of the nasal dorsum that was resected by Mohs surgical excision. Dr. Zandifar was able to reconstruct this in one visit and obtain great cosmetic outcome with no visible scarring.

Basal Cell Carcinoma of the Nasal Dorsum

After Mohs excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 48-year-old female with a history of basal cell carcinoma of the nasal dorsum. She underwent Mohs surgical excision of the cancer and was refered to Dr. Zandifar for reconstruction. 2 month after reconstruction the defect is nearly invisible and nasal function has remained completely intact.

Basal Cell Carcinoma of the Nasal Tip

Before Mohs Excision

After Mohs excision

After reconstruction by Dr. Zandifar

Patient is a 51-year-old female with left nasal tip basal cell carcinoma. She underwent Mohs excision and was referred to Dr. Zandifar for re-construction. A local rotational flap was used to reconstruct this defect and 1 month after surgery the scars are not visible.

Basal Cell Carcinoma of the Nasal Sidewall

Before Mohs excision

After Mohs excision

After reconstruction by Dr. Zandifar

Patient is a 40-year-old female with basal cell carcinoma of the nasal sidewall. This was removed with Mohs surgical excision. She underwent reconstruction of this defect by Dr. Zandifar and 2 weeks after surgery shows very little signs of the scar.

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