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After removal of his basal cell cancer by Mohs surgery, this 58 year old gentleman had a defect that included his cheek and a full-thickness defect of his entire left nose and a portion of the right side of his nose. His wound was repaired with a combination of recruiting tissue from his cheek in the form of a local cheek flap, an internal nasal mucosal lining flap, cartilage grafts to recreate the structure of the nose, and a forehead flap for the skin. He is shown 1 year post-operative.