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Reconstructive Techniques

Reconstructive Cases – Bilevel Grafts

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DISCUSSION Nasal ala skin defects can be reconstructed with skin grafts generally with excellent results. However, deeper defects of the nasal ala repaired with a skin graft may result in a depressed deformity. Contraction of skin graft healing may also cause retraction of the nasal ala, especially with deeper defects. Adding a cartilage graft  to…

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BCC Left Upper Lip

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HISTORY 87-year-old man presents with 1 year history of lesion on left upper lip.  Biopsy taken 11-16-2017 and pathology showed basal cell carcinoma. Mohs excision and reconstruction were performed on 1-19-18. Mohs slide histology was presented for review. A question of appearance of perineural invasion was discussed.       DISCUSSION   The Mohs slides…

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Recurrent SCC of Nasal Tip

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HISTORY 71-year-old man presents with recurrence of SCC of left nose. Mohs excision of left nasal tip SCC was performed on 2-9-17. Left nasal fullness under flap, initially thought to be a scar, progressed until drainage appeared. Pathology of draining debris under flap showed invasive squamous cell carcinoma.  Intranasal mapping biopsies were performed on 2-12-18.…

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Scalp Reconstruction 3

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Patient diagnosed with malignant melanoma of midline forehead. Mohs excision performed by primary dermatologist. Forehead/scalp reconstruction performed by Dr. Simon Madorsky at SCARS Center.  

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Scalp Reconstruction 2

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Patient diagnosed with nodular and micronodular Basal Cell Carcinoma of left forehead. Mohs surgery performed by Dr. Gregory Bartlow. Forehead/scalp reconstruction performed by Dr. Simon Madorsky at SCARS Center.   

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Nose Reconstruction 7

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Patient diagnosed with Basal cell carcinoma of left nose and cheek. Mohs surgery performed by primary dermatologist. Nose reconstruction performed by Dr. Simon Madorksy at SCARS Center.                

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Nose Reconstruction 6

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Patient diagnosed with Basal cell carcinoma of the skin of the tip of nose. Mohs surgery performed by primary dermatologist. Nose reconstruction performed by Dr. Simon Madorsky at SCARS Center.  

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Nose Reconstruction 5

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Patient diagnosed with Basal cell carcinoma of left nose. Mohs surgery performed by Dr. Matthew Goodman at SCARS Center. Nose Reconstruction performed by Dr. Simon Madorsky at SCARS Center.  

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