Abstract
Cutaneous squamous cell carcinoma (cSCC) is the second most common cutaneous non-melanoma cancer in Mexico, accounting for 20% of all skin cancers. It is considered a global public health concern due to the rising incidence and prevalence, which is associated with an aging population. Treatment for cSCC depends on the severity of the disease, which determines different therapeutic approaches. Reconstructive surgery, as a treatment option, has seen significant advancements over the years, offering new opportunities to improve the quality of life for cSCC patients. Modern surgical techniques require both an aesthetic focus and effective reconstruction to meet the desires and expectations of patients. We present the case of a patient with long-standing SCC located in a facial area that is difficult to access for surgical resection and reconstruction, presenting a therapeutic challenge while achieving an aesthetically harmonious scar.