Reconstruction of the nasal area is a challenge due to its vascularization and abundance of fibrotic tissue. Graft in a large defect in the nasal area has a high risk of necrosis and often produces deformity and color mismatch. We report the case of a 65-year-old man with basal cell carcinoma in the left nasal ala. Mohs surgery was performed, obtaining free margin. The final defect measured 2 cm in diameter with partial loss of skin thickness. The combination of a melolabial interpolation flap and an ear cartilage graft was used, with excellent results. This combination led to good structural and aesthetic results.

Keywords: Surgical Flaps; Bone transplantation; Ear cartilage; Carcinoma, Basal cell

INTRODUCTION: Basal cell carcinoma (BCC) is the most common cancer in the world. Although rarely metastasizes, BCC can cause high levels of morbidity due to its locally destructive nature. Local flaps provide reasonable option for reconstruction of facial defects with good result.
OBJECTIVE: Describe the clinical profile of BCC in South Sulawesi, Indonesia.
METHODS: A retrospective analysis was performed in all patients with BCC who had undergone surgical resection in our center. Patient charts were reviewed for demographic information, tumor size, anatomic location, clinical subtype, and surgical method.
RESULTS: There were 70 BCC cases consisting of 18 (25.7%) men and 52 (74.3%) women. The most frequent age group was 46 to 65-year-old group (49 patients, 70%). The most common aesthetic unit affected was the nasal unit (24 patients, 34.3%) with lesions measured 1 cm to 2 cm in diameter (45 patients, 64.29%). The most common clinical subtype was nodular type (37 patients, 52.86 %). Advancement flap was the most frequent technique used (32 patients, 45.71%).
CONCLUSIONS: BCC more frequently occurs in females, on the nose, and in the age range of 46 to 64 years old. Local flaps resulted in an excellent aesthetic result and are the first choice for reconstruction of the face.

Keywords: Basal cell; Carcinoma; Retrospective studies; Surgical flaps

The closure of large defects on the nasal dorsum is a challenge for dermatologic surgeons. The alternatives to repair the defect are a skin graft and some forms of skin flaps. One particular defect closure technique is the crescentic advancement flap, which uses crescent incisions at the nasolabial fold to accommodate the excess tissue. This flap is best used if the defect is in the lateral nose, alar, and nasolabial fold. We report a large defect of the nasal dorsum in a 65-year-old woman that was successfully reconstructed using bilateral cheek-to-nose crescentic advancement flap. The patient showed excellent cosmetic and outcome.

Keywords: Dermatology; Nasal Bone; Surgical Flaps

Sclerosing lipogranuloma is a chronic granulomatous reaction in response to the injection of non-medical substances such as paraffin, silicone, or mineral oil into the skin. This report describes one case of a large defect on the penis following sclerosing lipogranuloma excision surgery that was successfully closed by a double reverse V- Y-plasty reconstruction. The surgery aimed to remove all affected tissue as soon as possible, preventing the persistent granulomatous process that leads to necrosis and severe penile deformity. The double reverse V- Y-plasty is a simple, single-stage procedure useful to reconstruct of a large defect on the penis.

Keywords: Granuloma; Sclerosing solutions; Surgery.