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Here we have a basal cell cancer on the ear of a patient who takes a great deal of pride in her appearance. I previously had removed a skin cancer from her neck; she was so pleased with the outcome that she asked me to treat this one. We removed it in the operating room and closed the defect using chondrocutaneous advancement flaps. Her ear is slightly smaller now; you can get a sense of this by looking at the placement of the non-cancerous brown mole that I left behind. It is significantly higher related to the rest of the ear in the postoperative photos. The scars are hidden in the natural fold of the outer portion of the ear. She was thrilled by her final result.