Reconstruction of Ala, Cheek, and Upper Lip Open image in new window



The patient was a 58-year-old woman who presented with a 2-year history of a growth on the skin of the right ala. She was in good health and had smoked 1½ packs of cigarettes a day for 10 years. Examination of her nose revealed a 1-cm slightly ulcerated skin lesion. Biopsy of the area revealed a basal cell carcinoma. Mohs surgery was performed and resulted in a full-thickness loss of the entire ala. The defect extended into the medial cheek where a 2 × 1 cm loss of soft tissue was noted. In addition, a 2.0 × 1.5 cm skin defect of the adjacent upper lip was present (Fig. 26.1). This represented a complex facial defect involving three separate aesthetic regions: nose, cheek, and lip.


Cartilage Graft Alar Base Auricular Cartilage Polyglactin Suture Caudal Border 
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  1. 1.
    Menick FJ. Facial reconstruction in regional units. Perspect Plast Surg. 1994;8:104.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.University of Michigan School of MedicineAnn ArborUSA

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