This 88-year-old female was referred by her family physicain for an enlarging and bleeding skin cancer of the interbrow area. The rather aggressive squamous cell carcinoma skin cancer was comfortably removed in the office procedure room by Facial Plastic and Reconstructive Surgeon, Dr. David Hartman at Fine Arts & Laser, Dover Ohio. Binocular Microscopy was used to get full removal of the cancer. A "Note Flap" was used to give outstanding cosmetic and functional reconstruction. The patient has been very pleased with the ease and professionalism of her care.