Nasal Reconstruction (rebuilding the nose after skin cancer)

Explore nasal reconstruction after basal cell skin cancer, nasal surgery, & sculpture of the nose 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 Case 1 Extensive recurrent cancer frontal views Nasal Reconstruction  The tumor After final surgery    This patient had basal cell cancer previously removed several times in the past by other doctors. He had also received multiple radiation therapy treatments many years ago for the basal cell cancers of the nose and face. His recurrent basal cell cancer was resected using a modified Mohs' treatment. A new nose was built by using skin from his forehead. There was not enough forehead height for the flap to work without expansion. A skin expander was inserted and inflated up over several weeks. The stretched skin was now ready to rebuild the nose. Technique  Skin Expansion Flap in Place    The forehead skin was brought to the nose and attached. After the blood supply became established to the nose, the forehead attachment was divided. The nasal reconstruction below is after flap division and using the forehead tissue to rebuild the nose. Plastic and reconstructive surgery sometimes needs such staged reconstruction especially when local tissue would not have been enough. Tissue was needed not only for the outer skin, but also the lining. The forehead flap was folded to provide both. The septum was used as another flap for nasal tip support. Nasal Reconstruction After surgery  See the lateral views of this case.

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