[Surgical treatment of basal cell epithelioma of the face]

The surgical treatment of basal cell epithelioma proceeds in two stages: excision which must result in eradication and therefore complete cure of the lesion, and repair which, on the face, must not only cover the loss of substance but also take into account cosmetic considerations. Repair may consist of: simple suture after adjustment of the surrounding skin provided it has enough laxity; skin graft preferably using whole-thickness skin taken in the pre- or retro-auricular or supraclavicular regions; regional autoplasty with sometimes a skin island flap, and finally distant flap or free cutaneous or musculocutaneous transplant.