Basal cell carcinoma (BCC) is the most common skin cancer. Depending on its size and location, the reconstruction of the defect resulting can become very challenging for the dermatological surgeon. Shark Island Pedicle Flap (SIPF) technique is used for defects mainly in the alar or perialar nasal region, but we also use it in a modified way to close a large lesion defect in the cutaneous portion of the lip. We report two cases, one being the application of classic SIPF and the other a modified one, in which both results were satisfactory, both in terms of cosmetics and functionality.

Keywords: Carcinoma; Basal cell; Surgical flaps; Nose; Case reports

Z-plasty, a versatile surgical technique, skillfully addresses diverse needs in dermatological surgeries, especially the lengthening, dispersion, and realignment of scars through relaxed skin tension. We report a case of two synchronous defects after excising nasal squamous cell carcinomas using the Z-plasty technique, highlighting its simplicity, adaptability and esthetics.

Keywords: Carcinoma Squamous Cell; Surgical Flaps; Nose; Case Reports.