Dr. Mobley has taught his surgical techniques internationally and has written numerous medical articles and book chapters on his innovations. Dr. Mobley is a national authority on Facial Plastic Surgery and is published in some of the leading teaching texts of our time.
After nasal skin cancer excision, certain defects may only be optimally repaired by using a technique called a forehead flap. While some people may be concerned about undergoing multiple operations to reconstruct the nose, this technique has an extremely high success rate, and Dr. Mobley's patients are very satisfied with the outcome.
During your consultation, Dr. Mobley will examine you carefully and explain all of your options. If he feels that you would benefit from a forehead flap nasal reconstruction, he will explain each staged operation and the recovery process, and he will answer any questions you may have about why this may be the best surgical option for you.
When it comes to choosing a nasal surgeon, ask yourself, "Why choose anyone besides Dr. Steven Mobley from the University of Utah?". Dr. Mobley is one of the Mountain West's most experienced and busiest nasal surgeons. Whether he is improving a nose's cosmetic appearance, restoring normal nasal breathing, or repairing a nose after trauma or skin cancer, there really is no other surgeon in this part of the country that does as many nasal surgeries as Dr. Mobley. He is a national authority on nasal surgery and has written numerous articles and book chapters on nasal surgery. Dr. Mobley's expertise is sought out by his colleagues, and he lecturers nationally and internationally on his nasal surgery techniques. When it comes to your face, and especially your nose, don't just choose any surgeon. Trust your Face to Dr. Mobley. Trust Experience.
63yo female seen on referral from a University of Utah dermatologic Mohs surgeon. He performed excision of a large skin cancer involving the right half of her nose. The next day, she underwent the first of several staged reconstructions including a paramedian forehead flap. Over time, we rebuilt her nose, creating a natural external appearance and normal internal nasal linings with unobstructed airflow.
A forehead flap is a reconstructive operation for patients who have lost a significant amount of their nose to cancer. To most laypeople the operation at first may seem a bit unusual but in actuality it has been a standard operation in the field of facial plastic surgery for decades. The operation is involves reconstructing the missing parts of the nose with skin from the forehead and often cartilage taken from behind the ear. The complete reconstructive process takes 2-3 operations, called “stages”.
Typically in the first stage a strip of skin from the forehead is brought down to the nose. Often parts of the tip of the nose must be reconstructed by using cartilage taken from behind the ear. This does not significantly change the shape of the ear. This strip of forehead skin must then stay attached for 3 weeks (click for image). This is the length of time necessary to establish a proper blood supply for the new skin in this area. Admittedly, this can be a difficult time of being out in public for many patients.
The second stage of the operation is where we put everything back together. The connection between the forehead and the nose is divided. The skin is contoured to look like nasal skin and both the nose and forehead are stitched carefully back together.
Less commonly a third stage is needed. This is most often the case when a significant amount of the nose has been lost to cancer or if the reconstructed area needs further refinement to achieve optimal nasal contouring. If you need a 3rd stage this will be discussed in detail in your consultation.
Dr. Mobley wants to make cosmetic surgery available to as many people as possible. For that reason we have hand picked lending services exclusively for Dr. Mobley's patients. When you come in for your consultation we will be more than happy to go over all your financial options with you. We have provided web links to our financial lenders so that you may research them on your own if you so desire. www.mlendfinance.com
Forehead flaps are usually performed on an outpatient basis. Some patients are kept overnight in the hospital after the first stage. While patients can look a bit “ghoulish” for the 3 weeks following the first operation, they can go back to normal activity levels rather quickly. In my patients one of the main limitations I have seen is that it can be difficult to wear eyeglasses for the 3 weeks following the first stage. Obviously, most patients choose to avoid major social engagements for the 3 weeks following the first stage.
Recovery from the second stage is much quicker. Patients can go back to light activities a few days after surgery and can usually easily be back at work within a week after the second stage.
When reconstructing the human nose, symmetry is critical. Based on the reconstructive challenges your case presents, as well as your desires, some patients opt for an additional stage so a minor touch-up can be performed. This may involve thinning down skin that looks a bit thick, correcting nostril asymmetry, or other small detail work to make your nose look as normal as possible. These touch-up procedures are not a risk of surgery; rather, they are a possible, optional operation to get the reconstructed nose to look as much like your original nose as possible.
Everyone knows that experience is one of the most important traits a surgeon can have. Dr. Mobley has extensive experience in forehead flap surgery. He is the only University of Utah Facial Plastic Surgeon and as such sees a significant number of forehead flap patients every month. Dr. Mobley also trained under the world-renowned forehead flap surgeon, Dr. Gary Burget, MD, during his prior training in Facial Plastic Surgery fellowship. His practice welcomes patients who wish to go out of network to benefit from Dr. Mobley’s experience.