The patient is a 56-year-old male who was diagnosed with basal cell carcinoma of the nasal dorsum. His type of basal cell carcinoma was quite aggressive. He first presented to a Mohs surgeon who was not able to clear the margins of the tumor. He was taken to the operating room to obtain clearance from this aggressive skin cancer. The patient was cleared of his cancer, however, he was left with a very large defect over his nasal dorsum.