After removal of a basal cell cancer by Mohs surgery, this 57 year old woman had a defect of her nasal ala. Dr. Amit Bhrany repaired her nose with a cartilage graft placed along her nostril rim (alar rim) prevent post-operative notching (retraction), and a skin graft was harvested from in front of her ear (preauricular) to reconstruct the nasal skin. She is shown 6 months post-operative.