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Here we have a patient in her forties who came in with a slowly growing mass on her upper lip, just under her nose. We biopsied the lesion in the office which showed basal cell cancer. We removed the mass in the operating room so the she could receive sedation. A pathologist checked the mass to make sure that we had removed it all while we waited in the operating room. After all, you can do a beautiful reconstruction, but it doesn’t matter if you haven’t removed all of the cancer! We repaired the wound by rotating skin from the remainder of her upper lip. The scars are hidden in natural lines on her lip as well as her nasolabial fold. No revision procedures were performed.