What Can Be Done to Correct Asymmetrical Nostril Flare After MOHs? It's Been 1 Month

There are many reasons why there may be asymmetry after a bilobed transposition flap, some of these resolve with time, some with treatment and some may not resolve completely. The best starting option is to return to the doctor who performed the reconstruction and discuss what has happened and what can be done. Bilobed flaps can developing what's referred to as "trapdooring." This is a bulging of the flap, caused by the development of scar tissue beneath the flap... more

It sounds as if the nostril flare or pulling up of the nostril will fall over time if it is a small amount of pull, sometimes massaging the nose in a downward motion can help the nostril fall back down. If there is a larger amount of pull, this can be corrected in a second procedure to push the nostril back down- this may be necessary to correct the pin-cushioning or puffy appearance of the flap itself. Your Mohs surgeon will be able to evaluate you and recommend further treatment. more

You have mentioned two common side effects of bilobed flaps: nostril distortion and pin cushioning. Without seeing your post-operative defect, it is impossible to see if your bilobed flap was done properly or not. Proper design of the bilobed flap along with extensive undermining usually ensures that this nostril flaring does not occur, but with large defects, this can sometimes be inevitable. Usually 1-2mm of nostril flare will relax itself in a few months. If... more