A patient in his sixties noticed a small bump along the left tip of his nose. When he saw his primary care physician he was referred to a dermatologist. A shave biopsy of the lesion was performed and found to be positive for basal cell carcinoma, the most common form of skin cancer. The patient was referred to a Mohs surgeon for resection of the lesion. Arrangements were made for the patient to follow up with Dr. Zandifar following the resection to have the ensuing defect reconstructed.