Introduction:

Patients with skin lesions have changes in their personal appearance, not only because of the injury itself, but also because of the surgical treatments they must undergo. In the facial region these lesions are clearly evident and have greater aesthetic importance.

Objective:

Characterize a case of three-dimensional alar nasal reconstruction by exeresis of basal cell carcinoma in a geriatric patient.

Clinical case:

An 81-year-old male patient with a personal history of hypertension reports the presence of a nasal lesion of 5-month evolution with progressive growth. At facial physical examination an alteration is detected of the contour of the right nasal wing due to a lesion with a diagnostic impression of basal cell carcinoma. After the preoperative check-up, it is decided to perform three-dimensional exeresis and reconstruction by cartilaginous graft of the auricular concha and nasogenian pedicled flap. At four weeks, the second surgical act is scheduled for disconnection of the pedicled flap.

Conclusions:

The nasogenian pedicled flap combined with an autologous cartilage graft constituted an excellent therapeutic option that allowed three-dimensional nasal reconstruction, obtaining good aesthetic and functional effects, as well as high patient satisfaction with the results obtained.

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