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Preoperative appearance of the nasal lesion. On biopsy, this was found to be a basal cell carcinoma.
Nasal Defect after Mohs Excision of a Basal Cell Carcinoma. The defect measures 1.25 cm
A full thickness skin graft is harvested from behind the ear. This area not only provides a good color match for the nose but also hides the donor site scar.
The harvested full thickness skin graft is laid over the defect
The skin graft is sewn in place using a 5-0 nylon stitch
The skin graft is sewn in place using a 5-0 nylon stitch
The skin graft is trimmed to fit the defect
Stay stitches, which are used to secure a bolster,are placed around the circumference of the skin graft.
The skin graft is pie crusted to allow blood from beneath the graft to drain out.
A bolster is secured over the graft.
The bolster is made of Adaptic, cotton and Bacitracin antibiotic ointment.
A bolster is secured over the graft.
The bolster is made of Adaptic, cotton and Bacitracin antibiotic ointment.
A bolster is secured over the graft.
The bolster is made of Adaptic, cotton and Bacitracin antibiotic ointment.
The final appearance of the bolster
The donor site is closed with a 3-0 Chromic for deap tissue and a 4-0 Nylon stitch for skin.
The appearance of the skin graft eight days after the operation. Bolster and stitches have just been removed.
The appearance of the skin graft 24 days after the operation.
The appearance of the skin graft three months after the operation.
