Summary Nasal reconstruction is the most technically challenging facial reconstruction. There are special considerations to be made when reconstructing defects in the upper two-thirds versus the lower third of the…
Summary Postoperative bleeding and hematoma are an ever-present risk given the current preference to perform Mohs excisions and repairs with no regard to patient’s anticoagulation status. Although gratifyingly rare, appropriate…
Summary box Conchal cartilage is adequate for the majority of nasal reconstruction. The morbidity of graft harvest is not trivial. Care must be taken during harvest, especially in elderly patients,…
Summary Even though on initial postoperative visits skin grafts are often marginal in appearance, they very rarely need complete revision once healed. Skin graft contour abnormalities are most commonly concavity…
Summary The chin is a prominent aesthetic subunit. Its reconstruction is complicated by the fact that it is a prominent convexity with little inherent laxity and little surrounding laxity. It…
Summary Full-thickness skin grafting constitutes a large percentage of procedures for head and neck reconstruction. For color-matched grafts, skin must be harvested from above the clavicles; there are few indications…
Summary Hyperpigmentation can be common with full-thickness skin grafts that have prolonged healing. Dermabrasion and/or laser therapy is very efficacious in improving final appearance. Hypopigmentation is often unpredictable in occurrence…
General Principles Avoidance and management of complications begins prior to making the first incision. “Extreme ownership,” initially coined by Navy SEAL Jocko Willink, is a concept in leadership that defines…
General Principles Patients typically present to an ambulatory surgical center for anesthesia and subsequent reconstruction the day of their Mohs procedure, usually without any prior medical screening. Often patients are…
Mohs micrographic surgery (MMS) allows for efficient evaluation of the entire margin in an outpatient setting under local anesthesia with the goal of confirming clear histologic margins prior to reconstruction….
