Patient Story: Bridge of Nose Basal Cell Carcinoma Treated with Mohs Surgery and Cartilage Grafting

An 81-year-old male patient was diagnosed with a basal cell carcinoma (BCC) on the bridge of his nose, an area where the skin is thin and the underlying cartilage plays a vital role in structure and support. Because of the cancer’s depth and location, Dr. Lance Henry, double board-certified dermatologist and micrographic surgeon, and the most experienced Fellowship-trained Mohs Surgeon in the region, recommended Mohs micrographic surgery followed by cartilage graft reconstruction.

Mohs surgery is the gold standard for removing skin cancer from structurally sensitive areas. It ensures complete cancer removal while preserving healthy tissue—especially important on the nose, where support and contour are essential. In this case, once the BCC was completely excised, the loss of tissue required a structural repair to prevent nasal collapse and maintain the bridge’s shape.

To restore both form and function, Dr. Henry performed a cartilage graft, skillfully rebuilding the nose’s underlying framework. This technique provides durable support, especially in older patients whose tissue may be more fragile.

At four months post-op, the “after” photo shows remarkable healing: the graft has integrated well, the contour of the nasal bridge is smooth and stable, and the overlying skin has healed with minimal visible scarring. The result is both structurally sound and cosmetically natural.

This case highlights the advanced level of care possible with Mohs surgery combined with specialized reconstruction. The patient is now cancer-free, fully healed, and confident in the long-term durability and appearance of his result.

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