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case_images: Pre-Surgical Condition: The patient before surgical excision, showing the nodular ulcer lesion on the left ala of the nose.
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case_images: However, a residual portion of the left ala nasal remained, rendering the nose defect unfavorable for prosthetic reconstruction (Figure 1).
case_images: Post-Surgical Defect: The patient's nasal defect after the surgical removal of basal cell carcinoma, before radiotherapy.
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case_images: Following the successful surgery to remove the left ala nasal, the nose defect became favorable for prosthetic reconstruction (Figure 2).
case_images: Impression-taking Process: Alginate material being applied to the patient's face to capture the nasal impression.
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case_images: The initial stage involved taking impressions of the patient's nose using alginate material (Figure 3).
case_images: Wax Contouring: The wax model being shaped on the patient's cast to ensure anatomical accuracy and symmetry.
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case_images: The same procedure was repeated for the son's facial impression, resulting in two casts:one from the patient and one from the patient's son:for further modeling and shaping of the prosthetic nose (Figure 4).
case_images: Silicone Injection: Injection of silicone elastomer into the mold with intrinsic coloration to match the patient's skin tone. The prosthesis was prepared following radiotherapy.
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case_images: However, upon pattern application, discrepancies between the pattern and the patient's face were noted, prompting the decision to take a new impression using polymer material (Figure 5).
case_images: Final Nasal Prosthesis: The completed nasal prosthesis, post-coloration and trimming, ready for fitting after the healing period following radiotherapy.
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case_images: This involved creating a border around the patient's face, applying Vaseline, injecting polymer, and setting it with gypsum (Figure 6).
case_images: Fitted Prosthesis: The nasal prosthesis fitted to the patient's face, demonstrating the aesthetic restoration achieved.
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case_images: After ensuring the wax pattern's adequacy from various angles and securing retention with glass and nasal undercuts, the patient's agreement on size and shape prompted progression to the next steps (Figure 7).
case_images: Removal of Prosthesis from Flask: The nasal prosthesis being removed from the flask and the margins being trimmed with scissors after 24 h of setting.
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case_images: After the 24-h setting period, the nose prosthesis was removed from the flask and the margins were trimmed with scissors (Figure 8).
case_images: Retention Mechanism: Close-up of the prosthesis secured with undercuts, skin adhesive, and eyeglasses for retention.
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case_images: After applying the color, the prosthesis was left to dry for an hour before being securely placed on the patient's face (Figure 9).