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As a plastic surgeon, I often encounter patients who have experienced failed reconstructions following skin cancer surgery. Today, I had the opportunity to perform a reconstruction using a technique I designed and published in 2020 - the SENMI flap. This minimally invasive approach allows us to rebuild all three layers of the nose: internal lining, structure, and external lining. While the initial defect may have been small, we needed to slightly enlarge it to ensure a successful reconstruction. The key is to use the patient's own nasal cartilage, which is of higher quality and more rigid than ear cartilage. This provides a predictable and solid result, allowing the patient to move forward with confidence. Reconstructive surgery can be a delicate process, but with the right techniques and expertise, we can help patients achieve their desired outcome and put their concerns behind them. I'm proud to offer this innovative approach to my patients, providing them with a superior solution for their nasal reconstruction.