Nasal and Eyelid Reconstruction (rebuilding the nose and eyelid after skin cancer)

Explore nasal and eyelid reconstruction after basal cell skin cancer, nasal surgery, & sculpture of the nose and eyelid by Dr. Michael Bermant, MD plastic & cosmetic surgery.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Reconstructive Hand Cosmetic Congenital Breast Head & Neck Skin Cancer Microsurgery

About Dr. Bermant Find us Multimedia Lectures Kid's view Other Bulletin boards Nasal obstruction Nasal obstruction 2 Nasal obstruction 3 Septal perforation Nasal reconstruction Rhinoplasty 1 Rhinoplasty 2 Rhinoplasty 3 Rhinoplasty 4 Rhinoplasty 5 Nasal Reconstruction Basal Cell Cancer Nose Reconstruction Forehead Flap Lateral Views Bishop Miter's Flap Bilobed Flaps Nasolabial Flap Sclerosing Basal Cell Cancer Nose / Cheek Reconstruction Basal Cell Cancer Nose and Eyelid Excised with Mohs' Chemosurgery and Reconstructed with Full Thickness Skin Graft. Learn more about rhinoplasty Introduction to Dr. Bermant's rhinoplasty Your nasal consultation with Dr. Bermant Rhinoplasty issues - nasal anatomy and function introduction Risks of nasal surgery Rhinoplasty - surgical details Rhinoplasty hump deformity and correction. Rhinoplasty photographic views Female rhinoplasty cases Male rhinoplasty cases Rhinoplasty - Keeping the Black nose ethnic Surgical details - Rhinoplasty - Keeping the Black nose ethnic Anatomy details - Rhinoplasty - Keeping the Black nose ethnic Surgical details - Rasping the nasal dorsum (with graphic movie) Surgical details - Moving the nasal bones (with graphic movie Ethnic Rhinoplasty - the Asian nose. Narrowing the width the bone issues Reducing the nostril width Refining the tip Rhinophyma Acne Rosacea sculpting nasal deformity. PlasticWeb Cancer Topics Sun Protection basal cell cancer Other Nasal Topics Medical Treatment of Nasal Obstruction Nasal Reconstruction Rhinophyma (Acne Rosacea) PlasticArt Tour of Nasal Deformity in Art Nasal deformity, is it bothering you? Nasal hump and drooping tip deformity Rubens nasal hump and drooping nasal tip (1612) Bouchardon's Pope Clement XII Statue (after 1730) Houdon's Adrian - Cyprien Statue (19th Century) Italian plate (1520-25) Thomas Gainsborough painting Mrs. M. Fitzherbert (1780) Deformity after nasal fracture Rodin man with a broken nose Rodin Man with a Broken Nose with computer "surgery" Young Duke with Deformed Nose (1785) Nasal tip loss Egyptian Statue New Kingdom (1539-1295 BC) Sphinx Nasal Loss Ramses nose from mummy reconstruction Kafre nose from statue reconstruction Roman Statue Caligula (38-40 AD) Ancient Statue Home

Basal Cell Skin Cancer Basal cell skin cancer recurrence treated with Mohs' chemosurgery and reconstructed with full thickness skin grafting. Nasal Reconstruction Mohs' Surgery  The defect from the front Lateral View   This patient had basal cell cancer and basosquamous cell cancers previously removed several times in the past by another doctor. She had difficulties with the eyelid tumor sites pulling the lid away from the eye (ectropion) from the earlier operations. When I first saw her it was evident that there was extensive cancer involving the eyelid and nose. This is an ideal case for Mohs' Chemosurgery. A surgeon (most frequently a dermatologist) fixes the tumor on the patients face with a chemical and then analyses the removed specimen for margins. More tissue is removed until no more tumor is found. Defects resulting from such surgery can be quite extensive as in this case.   Nasal Reconstruction Mohs' Surgery Full thickness skin graft A full thickness skin graft was taken from the neck and this is a photograph of suturing it in place. I tried to add enough tissue to prevent an ectropion (pulling of the lower eyelid away from the eye). The black threads were used to tie a dressing in place to stabilize the graft until the tiny blood vessels could grow into the tissue. The smaller brown lines are absorbable suture for additional support.   Nasal Reconstruction Mohs' Surgery Ectropion from front Lateral View    Skin grafts shrink as they heal. Full thickness grafts shrink much less than partial thickness grafts. The neck skin was the closest match in color and texture to the removed tissue in this patient.   Nasal Reconstruction Mohs' Surgery  The defect from the front Lateral View    A second skin graft was placed under the eye and the cartilage from the lid was tightened to treat the ectropion. This was done from a blepharoplasty incision just below the eyelashes. Tightening of the eyelid with a blepharoplasty alone would not overcome the forces of the contracting skin graft. The ectropion did not recur after the supplemental grafting.   Nasal Reconstruction Mohs' Surgery 4 years after surgery Notice how nice the grafts look four years after the surgery. The ectropion never recurred. However the lesion on the cheek is a recurrent basosquamous cancer. It extends beyond the grafted area. Even Mohs' chemosurgery can have a recurrence. These cancers are frequently multicentric (occurring in more than one site). Good patient education and close follow-up by your surgeon is usually the best choice. I prefer to see my patients on a regular basis after such cancers. Early detection can mean a smaller operation.   Return to Ectropion Eyelid Cancer and Reconstruction Canthal release advancement Mustarde cheek flap More eyelid reconstruction Eyebrow cancer and reconstruction

If you like what you see and have learned here, call our office for a consultation. We have a preliminary remote package for those needing to travel great distances to see us. Browse around the many pages and become comfortable with: Dr. Bermant's surgical sculpture and expertise Our Fully Accredited Surgery Center this introduction to what we offer our patients Send E-mail to Dr. Bermant or write / call to see how we can help you with your plastic surgery needs: Michael Bermant, MD Ironbridge Medical Park 11601 Ironbridge Road Suite 201 Chester, Virginia 23831 (804) 748-7737 Easy access from around the world right next to Richmond, VA Shop at The Surgery Store for your skin care, comfort, and recovery needs.

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