After Mohs resection of cutaneous neoplasm
After reconstruction - a bilobed flap (local tissue advancement/rearrangement technique) was used to repair this defect and this is an early (1-2 week after) result
Intra-op view of the defect (after skin cancer resection)
Intra-op view of the bilobed flap closure technique

Basal cell carcinoma prior to resection
After cancer resection
After 1st stage surgery i.e. composite nasal ala reconstruction (with pedicled septal flap for nasal lining recon, septal cartilage graft for structural layer recon, and pedicled melolabial/cheek flap for skin layer recon)
1 week after 1st stage reconstruction - sutures are removed but the internal nasal splint is still in place to support the nostril and the yellow xeroform gauze is to keep the cheek flap pedicle moisturized and protected
2nd stage surgery is pedicle division (the internal septal flap and the external cheek flap), which typically happens about 3 weeks after the first stage
1 week after 2nd stage surgery - external sutures at the nose and cheek are removed
6 weeks after 2nd stage surgery
6 weeks after reconstruction
6 weeks after reconstruction

After Mohs resection of cutaneous neoplasm

After reconstruction - a bilobed flap (local tissue advancement/rearrangement technique) was used to repair this defect and this is an early (1-2 week after) result