Introduction. Basal cell carcinomas are one of the most prevalent cancer type among white-skinned populations worldwide. They are noted frequently at sun-exposed sites, like head areas. Intense exposition with solar ultraviolet radiations is condemned in their etiopathogeny. Metastases are exceptional. The aims of this study were to establish the existence of facial basal cell carcinomas in Madagascar and to evaluate their management. Patients and methods. This is a retrospective study of facial basal cell carcinomas seen at the Ear, Nose and Throat Department at the Joseph Ravoahangy Andrianavalona Hospital in Antananarivo. Results. Our patients were aged 46 à 70 years (mean age= 52). There were three male and two female patients. Four patients underwent a wide surgical excision, and one albinos patient received radiotherapy. All patients came from the Highlands of Madagascar. The carcinomas were localized in the facial areas, but also in thorax and hands with the albinos patients. Diagnosis was confirmed by histopathological examination underwent with all patients. Conclusion. There are basal cell carcinomas among Malagasy people whose origins are Arabian, African and Asiatic (Indonesia and Ma- laysia). However, more research is needed to establish epidemiology of basal cell carcinomas in Madagascar.