Dermatosurgical pearls: melolabial advancement flap for tension-free closure of a basal cell carcinoma defect under the eyelid

A 73-year-old man presented to the dermatology department with a history of a tumor in the right infraorbital region, present for approximately 2-3 years, which had shown progressive enlargement in recent months. Dermatological examination revealed a nodular, tumor-like lesion, elevated above the surrounding skin, with visible telangiectasias and crusts, clinically suspected to be basal cell carcinoma. Family history of skin cancer was unremarkable. The patient denied frequent sun exposure during child- or adulthood. Routine blood tests showed mild anemia, dyslipidemia, and hyperuricemia. Surgical excision of the lesion was recommended.