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Should this be allowed to heal alone? (Photo)

I have had several cancers on my face and have had all but one closed by plastic surgeon with good results. The last one on my nose was allowed to heal Alone and did so . Now I have one very close to that same area and the doctor once again once it to heal on its end but this one is not as close to the crease which makes me very concerned what should I do? Need advice ASAP as this was done three days ago. How long can I wait to close it another way?

Doctor Answers (4)

SHould this be allowed to heal alone?

+1
Hello!  Thank you for your question!  Without an examination, it is difficult to say.  Given the size and location of your defect, I would suggest that having a flap placed in the area would give you the best result.  I fear that allowing this to heal by secondary intention, just to heal by itself, will cause significant retraction of your nostril.  A flap will give a better appearance than a skin graft, which often appears as a "patch" appearance.  Hope that this helps!  Best wishes!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Defect After Mohs

+1
It could heal on its own but you will be left with a noticeable scar.  A flap in this area -- island pedicle/cheek advancement -- is very easy to perform by any dermatologic surgeon and/or plastic surgeon.  You will be happier if you do a reconstruction in my opinion.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
5.0 out of 5 stars 39 reviews

Mohs Surgery?

+1
Well. I do a lot of these procedures. This one can go either way. It is in a pretty good place for a plastic surgeon to do a flap and it should look really good. If you have been happy with your plastic surgeon's results I would let that person look at it. Letting it heal on it's own is an option as well and that can also leave good results.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 21 reviews

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Mohs healing by secondary intention

+1
When you have a site like you do on your nose, often the best thing to do is allow it to heal by secondary intention. There is not a good way to do a graft there, there is not a good way to do a flap, and there is no give in the skin to close it with sutures in a linear manner. So having it heal by secondary intention is the most common thing done for this area. Keep the site clean, well gooped up with Vaseline and/or Polysporin, and keep all crusts and dry blood away from the area.

"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.5 out of 5 stars 8 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.