This patient in her mid-sixties had a morpheaform basal cell carcinoma at the junction of her upper lip and her nose. Because of the location of the tumor and the kind of tumor it was, we referred her to have the lesion removed using Mohs technique. The resulting defect encompassed a portion of her right upper lip and the base of her nose. The defect was closed in the office using a flap from her upper lip and a skin graft. The result is shown without makeup at four weeks post-op.