Reconstruction of the Nipple–Areola Complex After Mohs Micrographic Surgery

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A 54-year-old Caucasian man presented to our office for surgical consultation of biopsy-proven basal cell carcinoma (BCC) arising on the left chest extending into the areola. Physical examination revealed a pink ulcerated plaque, measuring 2.5 × 1.1 cm. Tumor clearance was achieved after the first stage of Mohs micrographic surgery (MMS), resulting in a 3.0 × 1.7 cm defect, which included approximately 50% of the medial aspect of the areola but spared the nipple. The depth of the defect extended to the level of the subcutaneous fat (Figure 1).
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