Facial Reconstruction

Nasal tip tumor
Nasal tip tumor
Nasal tip tumor
Nasal tip tumor
Nasal tip tumor
Nasal tip tumor

Nasal tip tumor: Complex Folded Paramedian Forehead Flap Reconstruction 

This man had an unfortunate tumor that grew rapidly during the pandemic when obtaining medical care was challenging. After resection of the tumor, the entire nasal tip skin, nasal tip cartilages, and nasal lining was resected. To reconstruct this a folded paramedian forehead flap was utilized. The folded portion was used to reconstruct the internal lining of the nose. To reconstruct the cartilage of the nose both ear cartilage and rib cartilage was used to rebuild the structure of his nose. This reconstruction involved three surgeries that were each spaced 3-4 weeks apart.


Temple Reconstruction
Temple Reconstruction

Temple Reconstruction: Rotation Advancement Flap, Brow Lift, Canthopexy

This woman had a cutaneous malignancy leaving her with a cutaneous defect of the temple and frontal branch paralysis resulting in drooping of the eyebrow and eyelid. To reconstruct the defect skin from the cheek and forehead was advanced into the defect. The brow was lifted to help improve her peripheral vision, and the eyelid was supported with a canthopexy.


Nose Reconstruction

Nose Reconstruction

This woman presented with a full-thickness defect of the nose. The nose is made up of three basic layers: the external skin, the middle cartilage and bone that creates the structure, and the internal mucosa (lining of the nose). When all three of these layers are missing after skin cancer surgery, the reconstruction becomes more challenging because all layers need to be reconstructed with adequate blood supply. In this case, we were able to use pericranium (lining of the skull) for the internal lining, ear and septal cartilage for the middle structural layer, and a paramedian forehead flap for the external skin. She underwent two surgeries to achieve this result.


Lip Reconstruction

Lip Reconstruction

Lip Reconstruction

This man presented after having a lip cancer resected with Mohs Surgery. The resultant defect was sizeable. Through using a rotation advancement flap hidden in natural skin creases we were able to obtain an excellent functional and cosmetic result.