Fig. 1

A 65-year-old woman with a huge left middle face BCC was treated by the present technique. a The frontal view before the operation. b The defect left after extensive resection, the left lower eyelid totally defect and left lower lateral nasal cartilage defect. c Hard palate(blue arrow) transplant to reconstruct inner layer of lower eyelid and auricular cartilage to reconstruct lower lateral nasal cartilage. d The frontal branch flap of superficial temporal artery was used to cover the middle face defect, the flap donor site received free skin graft. e, f 3 years after operation, no tumor recurred, the patient acquired good esthetic effect and relatively normal open and close eye function, but a little flap had color change