Mohs and reconstruction
Basal cell carcinoma of the nose: margin control and a bilobed flap
On the nose, the aim is to remove the tumour completely, preserve as much healthy tissue as possible and restore natural contours.
Clinical case
DiagnosisNodular basal cell carcinoma
Mohs surgery1 stage
ReconstructionBilobed local flap
What this demonstrates
Mohs surgery provides staged microscopic margin control and stops once clear margins are confirmed. A bilobed flap uses nearby nasal skin and can restore a defect with tissue of a suitable thickness, colour and contour.
Important: reconstruction depends on the size and depth of the defect, the affected nasal subunit, cartilage support and individual anatomy.
There is no primary tumour photograph in this case set. The sequence begins with the post-Mohs defect and planning, followed by the operative stage, early healing and the one-year result. Images are de-identified and published with confirmed consent.