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It is not uncommon for bilobed flaps to result in nostril asymmetry. Wait at least 3 months and if still present you may need a revision.
There is still a lot of remodeling going on when you are just 6 weeks post-op. This may improve as time goes on. Do you have a picture of your repair? It would be pretty rare for intralesional kenalog to make things worse in regards to pincushioning. Now if it was done too aggressively, you may have some atrophy (depression) at the site.
The pictures do show some color change ad only your surgeon knows the specific details of your procedure and should be the person commenting on post-operative questions such as this
There are a number of elements that need to be considered in deciding the best technique for reconstruction of the nose. Photos of the defect are the most helpful.
Basal cell carcinomas are very slow growing malignancies but if left untreated they can cause bleeding, ulceration and invasion. In some cases they can rarely metastasize. Never leave a basal cell carcinoma untreated as they become a much bigger problem if you don't treat them early...
I agree with others who responded. So much will depend on the size of the cancer and the resulting defect (after the cancer is removed). For large cancers that require a skin graft, a pressure bolster is sometimes used to promote the "take" of the graft. While...
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