LAUSR

An 86-year-old man with a medical history significant for Type 2 diabetes mellitus and bladder carcinoma underwent Mohs micrographic surgery for an ulcerative, 1.7 · 2.2-cm basal cell carcinoma of the right lower third of the nose. Tumor clearance was achieved after 3 stages, resulting in a 4.3 · 3.4-cm defect of the nasal tip, supratip, medial half of the right nasal ala, nasal dorsum, and the medial aspects of both nasal sidewalls. The full-thickness portion of the defect resulted in loss of the lateral crus of the right lower lateral cartilage and the lower half of the right upper lateral cartilage (Figure 1). How would you repair this?