Basal cell carcinoma is the most common skin cancer and can result in significant morbidity if not completely excised. The present article describes a case of nasal reconstruction using the Rieger flap, after the excision of a basal cell carcinoma, which yielded good aesthetic results. The authors have chosen this flap due to the fact that the donor area contains an abundant supply of tissue to cover surgical wounds, which is of a good color and texture for the upper region of the nose.

Keywords: CARCINOMA, BASAL CELL; RECONSTRUCTIVE SURGICAL PROCEDURES; NOSE NEOPLASMS; SURGICAL FLAPS.

Lipomas are frequent soft tissue tumors and can be found anywhere in the body; however, their location in hand is rare. They are called giants when they exceed 5 cm. In these cases, the differential diagnosis must be made with liposarcoma. These benign tumors must be characterized preoperatively with an imaging study, and their treatment is surgical. We present the case of a patient with a giant hand lipoma successfully treated with a modified Bruner incision approach.

Keywords: Lipoma; Liposarcoma; Neoplasms, adipose tissue; Hand

The reconstruction of nasal defects secondary to non-melanoma skin cancer represents a surgical challenge, especially in the nasal tip, due to its limited local laxity and possible asymmetries. There are multiple techniques to perform this closure, but most are flaps from distant locations that can lead to less aesthetic results. We present two cases of basal cell carcinoma on the nasal tip, where reconstruction with the east-west advancement flap was performed after tumor excision, with a modification of the flap in one of the patients, obtaining a good structural and aesthetic result.

Keywords: Surgical flaps; Carcinoma, basal cell; Nose; Dermatologic surgical procedures