Patient is a 71 y/o female diagnosed with basal cell carcinoma involving the left ala of the nose. Surgical site has been appropriately prepared and patient anesthetized for the operation. Due to the sub-unit involvement and size of the lesion (1cm) a bilobed flap reconstruction has been planned after excision.
The diameter of the lesion is measured at 1cm and outlined for excision. A modified version of the lesser bilobe flap is done to avoid the pincushioning or trapdooring commonly seen with the standard resection.
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