This 75-year-old woman was found to have a large, rapidly developed squamous cell skin cancer on her nose. This cancer was removed in our Ohio Fine Arts Skin & Laser office procedure room, followed immediately by a "bilobed flap" reconstruction to yeild a nose with an ideal skin match in color and texture. Her healing time was 1 to 2 weeks. Subsequent CO2 laser scar treatments left imperceptable scarring. Her entire cancer was removed once and for all, and the reconstruction was completed in the same one-hour office visit. This patient was delighted and relieved that the process was so simple and comfortable.