Long-Term Management of Basal Cell Carcinoma Undergoing Reconstructive Procedures Before the Acquisition of Negative Margins

Reconstructive surgery without achieving negative margins in basal cell carcinoma (BCC) increases the risk of recurrence. We present a case of a 68-year-old male patient diagnosed with BCC on the left cheek who underwent reconstruction without achieving negative surgical margins. The patient experienced postoperative recurrence, and the lesions recurred despite various treatments. We have followed this patient for approximately 20 years with multiple treatment modalities, and his case highlights the challenges of long-term management associated with reconstruction without achieving negative margins and the importance of combined treatment strategies.