Revision Suggestions After Mohs Surgery Repair

Thanks for the question. There is a vertical skin deficiency on the right nostril following the flap repair and this has lead to alar retraction. In addition the alar crease has been blunted due to the flap repair. These two issues can be correct with a surgical revision. You should ask for an opinion from a Facial Plastic or Plastic Surgeon. I hope this helps.

Revision might be needed, but the flap may continue to improve with time. If you want to avoid further surgery, you may get some improvement with conservative steroid injections in the high areas or filler injections to the low areas. Seek  the advice of a surgeon with lots of reconstruction experience. Good luck!

Nasal symmetry can be achieved by undergoing revision so that the missing groove can be sculpted to match the other side. It is a fairly straight forward procedure. It is difficult to appreciate the other changes on the photos provided so it is difficult to say what type of revision would be most appropriate. Importantly, scar remodeling takes place over the course of a year so the final result is likely to be more pleasing that what you are seeing right now. Meanwhile, raise your concerns with your surgeon so that you have a plan of action if you are not satisfied with the final outcome.