Isolated keloid treatment has variable and often unsatisfactory results. The combination of therapies has proven to be an effective alternative mainly for recalcitrant cases. Surgical excision and immediate postoperative electron beam irradiation is an effective alternative in healing and reducing the recurrence rate of these lesions. The authors describe a patient with recalcitrant bulky keloid who had a good therapeutic outcome.

Keywords: Ear; Keloid; Radiotherapy

Three-dimensional facial analysis is the basis for planning appropriate treatment. We evaluated the face in thirds. The distance from the hairline to the glabella, from the glabella to the subnasale and from the subnasale to the menton must be equal. Some conditions such as androgenetic alopecia can cause a greater distance from the hairline to the glabella. We report the case of a 48-year-old patient with androgenetic alopecia and basal cell carcinoma in the right hairline in which forehead reduction surgery was performed in association with tumor excision, simultaneously providing esthetic improvement and resolving the oncological issue.

Keywords: Carcinoma, Basal Cell; Esthetics; Surgical Oncology.