This patient from Lahore underwent excision of skin cancer from nasal tip at UOL. Whilst performing ENT cancer surgery, it is necessary to ensure complete removal of the cancer to prevent recurrence. This however leaves quite a large defect on the face. Dr Syed Muzahir Hussain, being extremely proficient in the use of facial flaps was able to remove the cancer and achieve good aesthetic results. There was no recurrence on follow up after 4 years.