Wake Skin Cancer Center, P.A., Dr. Elias Ayli, Dermatologist logo for print
110 Capcom Ave. • Suite 103 • Wake Forest, NC 27587
Phone: 919-436-4124 • Fax: 919-439-9645

Reconstructive Surgery

Dr. Ayli has completed a fellowship in Mohs micrographic and reconstructive surgery, and has extensive expertise in the area of advanced facial reconstructive surgery including the use of flaps and grafts.


Mohs defect:

Mohs defect 1 Mohs defect 2


Reconstruction:

Reconstruction


3 month postoperative:

3 month postoperative 1 3 month postoperative 2 3 month postoperative 3


Status post Mohs micrographic surgery (surgical defect) with complete loss of nasal ala (nostril) including loss of nasal mucosa:

post Mohs micrographic surgery


Repair of surgical defect (first stage). Folded paramedian forehead flap to reconstruct nasal lining and skin:

Repair of surgical defect (first stage) 1 Repair of surgical defect (first stage) 2 Repair of surgical defect (first stage) 3


Folded paramedian forehead flap (second stage). Separation of flap with thinning to contour nasal lining and skin surface, placement of an autologous cartilage graft to provide structural support, followed by reconnection of the flap:

Folded paramedian forehead flap (second stage) 1 Folded paramedian forehead flap (second stage) 2 Folded paramedian forehead flap (second stage) 3 Folded paramedian forehead flap (second stage) 4


Division and inset of flap:

Division and inset of flap 1 Division and inset of flap 2 Division and inset of flap 3


3 month postoperative:

3 month postoperative 1 3 month postoperative 2 3 month postoperative 3