Revision due to Mohs Surgery - what should I do? (Photo)

Question

4 years ago I had 1 scrape Mohs surgery on my nose! They cut from the top of my nose to the tip of my nose! Scarring looks good; however, after 4 years my cartilage is very pronounced! The doctor told me that is because they stretched the skin! He advised me to let it go; however, it is not his nose! He said he could cut the tip of the cartilage off-I would then be left with a scar and that it would turn white! HELP-What should I do?

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! After Mohs surgery, it can be very challenging to keep the normal consistency and appearance of the nasal skin. Despite this, options do exist. Topical interventions like Morpheus8 which stimulate collagen can help. Micro and nanofat injections provide stem cells to stimulate scar improvement and skin rejuvenation. This can be performed in office through a small incision in your abdomen to harvest the fat. Another option would be to place a piece of temporalis fascia underneath the skin which can help provide camouflage and thicken the skin. At the same time, if needed, the cartilage can be trimmed. Best of luck.

Edwin F. Williams, III, MD · Answer

Thank you for this question. The scar contraction can be very prominent on the nose after Mohs surgery. There are a variety of ways to address this issue. Some of the options include what is called a local flap, meaning that your surgeon can "borrow" or transfer nearby nasal skin to reconstruct the scarred areas. Consider making an appointment with a facial plastic surgeon to discuss your treatment options.

Jonathan Kulbersh, MD · Answer

Thank you for your question. It is possible to reduce nose cartilage during a rhinoplasty procedure to change its shape and appearance. In most rhinoplasties, scarring is minimal. However, if you’re concerned about possible scarring, you may benefit from dermal fillers that can reshape your nose and possibly reduce the appearance of the cartilage you’re concerned with. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and medical history. They’ll be able to suggest the best option for your individual needs.

Zoran Potparic, MD · Answer

This is very tricky problem which may need a true skill to create improvement. Instead of trimming cartilage, which will cause more visible deformity, placement of soft tissue like fascia (taken from temple area) or tissue matrix like Alloderm, would create additional thickness which will reduce current deformity. Good luck.

Ronald J. Edelson, MD · Answer

You should go to a plastic surgeon for a revision. You may need a small flap repair instead of what was done

Revision due to Mohs Surgery - what should I do? (Photo)

Answers (5)

Answer: How to cover thin skin coverage over nasal tip cartilage

Answer: How to cover thin skin coverage over nasal tip cartilage

Answer: Skin cancer

Answer: Skin cancer

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Revision due to Mohs Surgery - what should I do? (Photo)

Answers (5)

Answer: How to cover thin skin coverage over nasal tip cartilage

Answer: How to cover thin skin coverage over nasal tip cartilage

Answer: Skin cancer

Answer: Skin cancer

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.