Case 1: Nasolabial flap – 1 Step

Authors: Liv Schöllhammer, MD, Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD

75 years old male with basal cell carcinoma on the left side of the nose involving parts of the alae.

Before and after

Step 1: Drawing

The tumor seen with the naked eye is marked and a surgical margin of 5 mm margin drawn.

Step 2: Excision

The tumor was excised in 5 mm margin including subdermal slim tissues and marked a 12 o clock for the histologic assessment. Tumor radically excised using per-operative freezing histology.

Step 3: Flap drawing

Drawing for the nasolabial flap

Step 4: Flap is raised

The nasolabial flap is raised

Step 5: Closing

Closure of defect and donor site

Step 6: Post operative

3 months follow-up. A minor drag in the left alae nasi is found. The patient was satisfied with the result.