Initial excision of skin cancer

Additional skin removed until cancer-free

Skin is marked prior to closure
of large "defect"

After healing


Skin marking for anticipated excision.

Resulting "defect" may be large

This illustration shows the exposed
cartilage of the nose after removal
of the cancerous skin.

Dotted line shows forehead skin
that will be used to cover the defect.
Also note additional cartilage graft to
replace that removed by cancer excision.

Flap is sutured in place and
forehead donor area is closed.

Leaving the flap attached at its
base ensures a good blood supply
during grafting.

Excess tissue from the base
of the flap is removed.

Incisions healed