The authors have indicated no significant interest with commercial supporters.A 73-year-old man was diagnosed with basal cell carcinoma on the midhelix of his left ear. The lesion was excised using Mohs micrographic surgery under general anesthesia in three stages, resulting in a vertical defect of 3.5 cm, which is a 55% loss of the vertical helical rim (Figure 1). Figure 1. Defect of the lower part of the helical rim. *All the authors are affiliated with the