Basal cell on bridge of nose: what are the best options cosmetically for closing up a wound?

Question

What are the best options cosmetically for closing up a wound on direct front of bridge of nose. Is a flap better than a direct linear closure? Is one better than the other if both are possible?

Caner Kacmaz, MD · Answer

Ultrasonic Rhinoplasty device Piezo®:

In traditional Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient.

Zoran Potparic, MD · Answer

It will depend of the size and location of the defect. Direct closure is possible only for small defects less than 1 cm in diameter. Consultation with plastic surgeon before cancer removal is your best option. Good luck.

George Papanicolaou, MD · Answer

Hi there ,
 Without any pictures or an exam, it is hard to know exactly what the best answer is for you. With a basal cell on the nose, It can be closed with a linear incision, a skin graft, a flap, and or sometimes delayed closure requiring integra placement. It all depends on the size of the cancer, what margins need to be removed, the amount of skin elasticity, and how deep the cancer goes. The skin on the nose is very delicate and can distort easy over the bridge. It’s best to visit a Board Certified Plastic Surgeon to evaluate your nose.

Basal cell on bridge of nose: what are the best options cosmetically for closing up a wound?

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