Reconstruction of the medial malar region and lower eyelid with a McGregor flap after resection of pigmented basal cell carcinoma

Basal cell carcinoma is the most common skin cancer, most often found in the head and neck region. We present the case of a 47-year-old male patient with pigmented basal cell carcinoma in the right medial malar region. After confirmatory biopsy, the lesion was excised with a 5 mm safety margin, extending to the lower eyelid. Reconstruction was performed using the McGregor flap, a technique that enables effective tissue advancement with minimal tension, minimizing the risk of complications. The patient had an uncomplicated recovery with satisfactory oncologic, aesthetic, and functional outcomes, demonstrating the technique's efficacy in complex periocular reconstructions.

Keywords: Carcinoma, Basal Cell; Surgical Flaps; Dermatology; Surgical Oncology; Face; Skin Neoplasms