Patient - Reconstruction

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Before

This gentleman came to see me because of a scar on his nose from Mohs excision of a squamous cell cancer by a dermatologist. He was not happy with the scar and his wife, who is a former patient of mine, suggested he come see me. When I examined him, he had a flattened scar that was quite obvious. More striking to me was his rhinophyma. This is a condition seen mostly in older men. The cause is poorly understood, but it results in overgrowth of the oil glands in the skin of the nose. This can cause massive growth of nasal skin resulting in disfiguring deformities. It is sometimes mistakenly attributed to alcohol abuse, but this is not the case. The usual treatment is to shave down the skin, a procedure called dermaplaning, using an electric wire loop cautery tip. The raw surface is then re-populated with skin cells growing out of the pores in the nose. 

Reconstruction - Dr. Richard Bosshardt
Reconstruction - Dr. Richard Bosshardt
Reconstruction - Dr. Richard Bosshardt

After

He is shown 5 weeks out after the nose is fully healed. The condition can recur, but usually does so slowly and it is uncommon for patients to have to undergo the surgery more than once. Notice how reshaping the nose helped the scar a great deal as well. The improvement in the shape of his nose is especially well seen from below, in what is called a “worm’s eye” view.

Reconstruction - Dr. Richard Bosshardt
Reconstruction - Dr. Richard Bosshardt
Reconstruction - Dr. Richard Bosshardt

Contact Us

Phone: (352) 742-0079

Fax: (352) 742-0059

Address:
1879 Nightingale Lane, Suite A-2
Tavares, FL
West of Waterman Hospital, just off US 441

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Awards

Dr. Richard Bosshardt has been recognized as a Florida Top Doctor for 2020.

Florida Top Doctor

Dr. Peter Marzek has been recognized as a Castle Connolly Top Doctor for 2020.

Castle Connolly Top Doctor

Dr. Richard Bosshardt recently celebrated 30 years as a member of the American Society for Plastic Surgeons.

American Society for Plastic Surgeons