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

Earlobe stretching dates back to various ancient cultures, symbolizing social status, cultural identity, and spirituality. Since the 1970s, it has gained popularity in the West as a form of self-expression. However, the use of gauges can lead to deformities requiring surgical correction. Numerous techniques have been developed over the past century to address this issue. This case report describes the use of the inverted "snail" technique, which employs two flaps, folding the medial flap into a spiral, and allows for a harmonious and symmetrical adjustment. It can be a viable alternative for correcting extensive deformities and asymmetries.

Keywords: Body modification, non-therapeutic; Ear deformities, acquired; Esthetics; Plastic surgery procedures.

Pain and anxiety management during pediatric dermatological procedures is a crucial aspect of medical care. Skin biopsies can cause stress and discomfort in children, negatively impacting the relationship between health care providers, patients, and caregivers. This study describes a local anesthesia protocol based on non-pharmacological techniques, consisting of prior explanation, parental support, visual distraction, and the use of cold or vibration before pharmacological anesthesia. Implementing this protocol may reduce pain and anxiety perception while offering a low-cost, low-tech, and safe care option.

Keywords: Dermatology; Pediatric Anesthesia; Biopsy; Pain

Reconstruction of the malar region poses a surgical challenge due to its aesthetic relevance and the need to preserve function. We report the case of a 75-year-old man with bilateral basal cell carcinomas of the medial malar region. After tumor excision, reconstruction was performed using advancement flaps: a McGregor flap on the right side and a Burow flap on the left side. Advancement flaps proved effective owing to their simplicity, favorable tissue mobility, and adaptability to facial aesthetic units. The patient had an uneventful postoperative course, achieving satisfactory functional and aesthetic outcomes, highlighting the value of these flaps in facial reconstruction.

Keywords: Surgical Flaps; Basal Cell Carcinoma; Surgical Oncology; Dermatology; Face