Update on reconstructive options for nasal Mohs defects 1.5 cm or less

Area of Science:

• Dermatology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Mohs surgery effectively treats skin cancer but often leaves defects requiring reconstruction.
• Nasal reconstruction presents unique challenges due to the nose's complex anatomy and aesthetic importance.

Purpose of the Study:

• To review contemporary reconstructive options for small (≤1.5 cm) nasal defects resulting from Mohs surgery.
• To provide an update on established and novel closure techniques for nasal reconstruction.

Main Methods:

• Literature review of current scientific articles and surgical techniques.
• Analysis of modifications, expanded applications, and outcomes of existing methods.
• Identification and description of newly developed closure techniques.

Main Results:

• Various reconstructive techniques, some historical and others contemporary, are available for nasal defects.
• Modifications and adaptations of older techniques enhance their current applicability.
• A growing array of closure options allows for tailored reconstruction to improve aesthetic and functional results.

Conclusions:

• The article updates knowledge on core and novel techniques for nasal reconstruction after Mohs surgery.
• Subtle modifications and expanded applications of established methods are highlighted.
• New techniques are presented that may address specific reconstructive needs, optimizing patient outcomes.