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Treatments and Procedures: Nasal Reconstruction after Mohs Surgery

Mohs surgery can effectively address skin cancer on the nose, but can leave a large wound (defect) behind. Since the nose is the most important structure on the body for facial identity and appearance, it is important to choose a facial reconstructive surgeon with extensive experience in nose reconstruction following skin cancer surgery.

Nasal Reconstruction after Mohs Surgery: Why Choose Johns Hopkins Facial Plastic Surgery?

  • Johns Hopkins Facial Cosmetic and Reconstructive Surgery is an innovative leader in reconstructing the nose after Mohs procedures and other cancer surgeries, trauma to the nose and congenital malformations.
  • Our skills in nasal reconstruction can address the range of defects left after Mohs surgery, from small wounds to massive tissue loss.
  • Our facial plastic surgeons are board-certified in both otolaryngology and facial plastic surgery, making them experts in restoring form as well as function.
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Nasal Reconstruction after Mohs Surgery: What to Expect

A common reason for nasal reconstruction is Mohs surgery to remove skin cancer on the tip of the nose. The facial plastic surgeon will discuss surgical options with you to reconstruct your nose, including a local flap, a skin graft or a staged procedure such as a forehead flap.

Local flap: This reconstructive procedure uses the available skin on the nose to close the incision. You may be a candidate for a local flap if the wound on your nose is small and can be covered by stretching the skin. Our surgeons recommend this procedure a few days after Mohs surgery to allow the skin to begin healing and improve the outcome of the procedure.

Skin graft: If the area of missing tissue is too large to be covered with a local flap, the surgeon may relocate skin from elsewhere on the body. During your consultation, the surgeon will identify the best source for a skin graft. As with a local flap, reconstructive surgery takes place a few days after Mohs surgery. A skin graft is performed in one stage as an outpatient procedure.

Staged procedure: A staged procedure such as a forehead flap is a multi-stage process that can begin the day of the Mohs procedure. The surgeon places an expander under the forehead to stretch the skin and create more healthy skin to be used for the nose. When enough new skin has grown, the surgeon will use it to cover the nose and create as natural a result as possible. 

During your appointment, your surgeon will also discuss what to expect on the day of surgery and provide care instructions after surgery. 

Our Physicians

Our doctors are board certified in both otolaryngology—head and neck surgery and facial plastic and reconstructive surgery, which gives our team a unique and comprehensive level of expertise.


Jennifer after nasal reconstruction

Basal Cell Carcinoma and Nose Reconstruction: Jen's Story

A large and complex cancer involved half of Jen's nose, calling for expert treatment to restore her health and appearance. Read Jen's story. 

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