This patient in her eighties presented with a scaly, red lesion on the right inner cheek. She had a history of skin cancers and other practitioners had attempted removal of this new lesion with non-surgical means. The lesion kept recurring and was suspicious for a squamous cell cancer. We removed it in the operating room and checked the margins prior to closing the area. Not only was she pleased with the reconstructive result, she loved that her lower eyelid bags were also improved! Her post-operative photo was taken about a month after surgery.