Basal cell carcinoma is a malignant skin tumor with a slow growth and a progressive evolution in time. This type of skin cancer has a local aggressive evolution, but it rarely metastasizes. Case report: We present the case of a 68 year old female with a nodular erythematous structure, with peripheral basal pearls, central telangiectasias, partially pigmented, asymptomatic, with a 1,2 cm diameter. The tumor was situated in the medial canthus of the nose and had an evolution of approximately 5 years. We excised the tumor under local anesthesia and we repaired the defect with a rotation flap. The tumor was sent for the histopathological exam, which confirmed the diagnosis of nodular pigmented basal cell carcinoma with negative resection margins. The post surgery evolution was favorable. Discussions: Repairing post surgery defects resulted after excising different face skin cancers can be realized through multiple methods, considering the size and the location of the tumors. Local flaps are frequently used in face defects reconstruction because their size and location do not permit primary wound closure. In this article, we will discuss some reconstruction methods which can be used in our patient’s case. Conclusion: Surgical excision remains the best treatment for skin cancers. The purpose of reconstruction is to restore the normal aspect and the functionality of the area with optimal aesthetic benefits