My husband has been advised to have reconstrucitve surgery folowing an invasive exploration of his nose. He has been diagnosed with a pre cancerous lentigo maligna. It involves Mohs procedure which is quit disfiguring. He saw a plastice surgent who uses enflap reconstruction( forehead cut and graft to pull over his nose. It appears quit tramatic and his nose is cut off. Is this the only procedure availble today? He is 62 years old. The spot has been there since about 1995. Dianna Schwarz
Skin cancers or more aggressive precancerous lesions on the face can be traumatic mentally and physically as well as disfiguring. Despite this, proper treatment to eradicate these lesions should be carried out by experienced Dermatologist MOHS surgeons. Following excision and eradication of these lesions, reconstruction by an experienced Plastic Surgeon or Facial Plastic Surgeon should be carried out.
The method for nasal reconstruction depends on the size and location of the resulting post MOHS surgical defect. Smaller nose defects can be reconstructed with local rotation flaps like the bilobed flap or the Rhomboid flap or melolabial flaps or sliding glabellar flaps. Larger defects require forehead flap reconstruction and even larger ones may require free micro-vascular radial forearm flaps. If the nose defect involves cartilage and bone and inner nasal lining then more complex reconstruction may be needed.
Regardless, very acceptable results can be achieved by experienced plastic surgeons. Dr. Gary Burget in Chicago and Dr. Frederick Menick in Arizona and Dr. Shan Baker in Michigan are some of the top nose reconstructive surgeons in the world. The reconstructive process may take several stages for best results.
I wish you luck.