Gunjan Modi, MD

This patient had Mohs surgery for a basal cell carcinoma on his nasal tip. 👃🏻 Mohs surgery is the gold standard for treatment of skin cancers, especially in high real estate areas like the nose— it maximizes tissue preservation and has the lowest possible recurrence rate.
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How do we repair this wound from Mohs skin cancer surgery? Swipe to see the starting point and progress!
Every defect (aka "wound") that results from the removal of skin cancer requires a customized reconstructive solution. Here, we designed a nasal crescenteric advancement flap along with a Burow’s graft.
Essentially, the skin on the cheek was advanced (aka "pushed") into the wound to cover as much as possible. A skin graft was used to cover the remainder of the wound. Using adjacent skin provides the best match to the patient’s skin thickness, texture, and color. Not only does it need to look good, it needs to function: he has to be able to breathe out of his nose after all this is done!
The patient took about 4 weeks to heal completely, but he was ecstatic with the final result! @ The Surgery Center at Plano Dermatology

This is a “lentigo maligna,” which is a melanoma of sun-exposed areas.

When caught early and treated properly, lentigo maligna has a 98-99% cure rate.