Rationale and argument for subunit mohs excision in nasal reconstruction

Zachary R. Jergensen, Ronnie A. Pezeshk, James F. Thornton

Research output: Contribution to journalArticlepeer-review


Background: Optimal aesthetic results are achieved when nasal defects after Mohs micrographic surgery (MMS) are reconstructed as entire nasal subunits. Objective: To illustrate the importance of reconstructing the nose in entire subunits and explore the possibilities of expanding the principles of subunit reconstruction to the concept of subunit Mohs excision. Methods: An 83-year-old man presented for MMS to excise 3 lesions on the nasal ala. The surgeons elected to excise and reconstruct the entire subunit. Results: Excellent aesthetic and functional results were obtained. Conclusion: When a defect greater than 50% of a nasal subunit is encountered during MMS, immediate marginal control excision of the entire subunit can be performed with subsequent reconstruction. This technique ultimately has the potential to deliver a more aesthetically pleasing outcome and should be, at the very least, considered by all Mohs surgeons.

Original languageEnglish (US)
Pages (from-to)343-345
Number of pages3
JournalJournal of Cutaneous Medicine and Surgery
Issue number4
StatePublished - Jul 1 2016


  • Cancer
  • Mohs surgery
  • Nasal reconstruction
  • Nasal subunits
  • Subunit mohs excision

ASJC Scopus subject areas

  • Dermatology
  • Surgery


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