Tight and lopsided skin flap reconstruction results

I had basal cell carcinoma on my nose, and I had Mohs surgery to remove it. The following day, I had plastic surgery to close it up. The plastic surgeon did a skin flap reconstruction from skin from my nose, and it pulled skin from my left eye. It's extremely tight and looks lopsided and makes my eye really tired. Will it loosen up and even out when the stitches are out?

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2 answers to “Tight and lopsided skin flap...”

A: Nasal reconstruction after Mohs

Ross Clevens, MD

I appreciate your concern and worry regarding the pulled appearance after Mohs surgery. You should rest assured that it is not uncommon for nearby anatomical structures (lips, nose, ear, eyes) to look a bit pulled after reconstruction. Such effects generally settle out within 90 days or so. If it is persisting... more

A: Surgical Closures Take Time To Heal

Ilya Reyter, MD

There is a great art to performing skin closures after Mohs surgery.  Regardless of who performs the closure, it does take some time for the skin to heal, and the swelling to go down.  Immediately after surgical closure of the wound, it is not unusual for significant swelling to occur, distorting... more

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