Volume 16 - Issue 1 - January 2008

Patient: A 21-year-old Caucasian woman presenting for Mohs surgery and subsequent repair for biopsy-proven morpheaform basal cell carcinoma on nasal ala. Treatment Issues: Using a modified bilobed flap with cartilage strut for repair of a deep surgical defect on nasal ala. Resection of a large tumor near the alar rim may result in both functional and aesthetic concerns. First, alar collapse during the inspiratory phase of breathing can occur. This is especially true for older patients, in whom stretching of the fibrous at