Board Certifications: American Board of Facial Plastic and
Reconstructive Surgery American Board of Otolaryngology - ABO
Nose Reconstruction After Skin Cancer FAQs
Why is nose reconstruction necessary after skin cancer treatment?
Mohs surgery is the most common treatment for skin cancer. Typically performed by a dermatologist, this procedure involves the removal of the tumor and a small area of skin surrounding it. After excision, the dermatologist will immediately examine the excised skin microscopically to ensure that the cancer has been completely removed. While this technique helps preserve as much normal tissue as possible, there will be an open wound that must be addressed. When skin cancer occurs on the nose, your dermatologist may suggest that you work with a nose surgeon to repair the area. Because the nose is such a prominent feature on the face, great care must be taken to ensure that scarring does not occur and that the nose will retain its original appearance. Patients undergoing Mohs surgery in New York or New Jersey may choose to work with our doctor to repair their nose after skin cancer treatment.
When can nasal reconstruction be performed?
Our doctor recommends that you plan to undergo nasal reconstruction immediately after Mohs surgery, preferably on the same day. The dermatologist and plastic surgeon should coordinate their efforts to achieve the best cosmetic results.
How is nasal reconstruction performed after Mohs surgery?
After the skin cancer has been removed, our doctor will examine your nose and plan the reconstruction. The techniques he uses will depend upon the amount of skin that has been excised and its location on the nose. In all cases, the repair will involve some type of skin graft to cover and close the open wound. Our doctor may take tissue from the surrounding facial areas or even the nose itself, in which case the skin will be rotated over the wound. In some cases, cartilage is also removed during Mohs surgery. In these situations, our doctor must build up the area to restore its original shape and contour. In most cases, the cartilage that is used is taken from the patient’s ear.
Is nasal reconstruction a difficult procedure to perform?
Many surgeons consider nasal reconstruction to be one of the most challenging types of plastic surgery to perform. The nose is not only an important aesthetic feature of the face, but it also plays a critical part in breathing and the sense of taste and smell. Unlike other parts of the body that are affected by skin cancer, such as the cheeks and forehead, the nose is a three dimensional structure, made upon of skin, bone, and cartilage. This makes excision and reconstruction more challenging than it would be on other areas of the body.
Who should perform nose reconstruction?
It is important to work with a doctor who has specific training in nasal reconstruction following Mohs surgery. Located in NYC, Dr. Rizk is a double board certified facial plastic and reconstructive surgeon who spent 4 years of his surgical training focusing on nasal and facial reconstruction following skin cancer treatment. Currently, 10 to 15% of the surgeries he performs are on patients following skin cancer removal or other trauma to the face and nose. This makes him one of the most qualified surgeons to perform nasal reconstruction in the NYC and NJ area. If you will be undergoing nasal skin cancer treatment, please contact us today to set up a consultation to discuss nasal reconstruction.