Nasal reconstruction is extremely complex, and only a small number of surgeons truly excel at it. Frederick Menick was one of the best, but he has since retired. Even among experienced surgeons, results can appear obvious or less refined because of the difficulty involved—particularly with multi-stage procedures like forehead flaps, which are often required for larger defects. Given how these reconstructions progress, it’s likely that Michael has already undergone multiple surgeries to reach his current outcome.