Surgical Points:
There have been numerous papers published relating to the treatment of von Recklinghausen disease and the most important outcome sought by the surgeon is to obtain satisfactory aesthetic appearance and symmetry. The latter being more difficult to obtain. At the clinic, we utilize the method I published titled, "A systematic multiple stage surgical approach for attainment of satisfactory and favorable surgical results in an extremely severe von Recklinghausen's disease, elephantiasis neurofibromatosa." Journal of Plastic, Reconstructive and Aesthetic Surgery, Volume 59, Issue 6, June 2006, Pages 662-674
Nagata S

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
Informed consent was obtained from the patient to utilize the photographs.
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A noticeable black-colored giant hairy nevus on the nose where laser therapy is not effective. Favorable rhinoplasty results can be achieved with excellent color match by using a frontal skin flap.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Surgical Points:
The defect of the nasal ala can be reconstructed with the use of the frontal skin flap and cartilage from the auricle.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Rhinoplasty with the use of a frontal skin flap for correction of the nasal defect resulting from resection of a cancerous lesion.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Surgical Points:
Symmetrical morphological result is achieved for correction of decreased volume of the nasal ala with the use of auricular cartilage graft.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Surgical Points:
Correction of the palpebral defect following resection of the cancerous lesion was performed with a frontal island skin flap and mucous membrane from the oral cavity.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Surgical Points:
Fine adjustment and correction of minor defect and malformation resulting from cleft lip surgery are possible.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Surgical Points:
Mammary reconstruction with the rectus abdominis muscle, the sagging of the abdomen is simultaneously reduced.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Surgical Points:
The areola and the nipple can be reconstructed following mammary reconstruction.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Surgical Points:
Mammary reconstruction with the latissimus dorsi muscle from the back offers and alternative method of surgery that avoids scarring of the abdomen and the nipple and areola can be reconstructed.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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Mammary reconstruction with the latissimus dorsi may be ideal for patients with insufficient tissue volume of the abdomen.

Surgical Points:
Use of autogenous tissue avoids long term postoperative complications.

Schematic illustration of the surgical procedure illustrated by Satoru Nagata, MD, PhD.
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The numerous rough and bumpy appearance of nodular sclerosis (Pringle's disease) is surgically ablated and favorable aesthetic appearance is attained.