This is a 52 year old man who presented to the office with a large ulcerated skin lesion on the edge of his right ear. The lesion was biopsied as basal cell carcinoma (skin cancer). He was taken to the operating room where the lesion was removed. This resulted in a defect of 1.3cm in the edge of the ear. This large wound was closed by elevating the skin of the ear and shifting it into the defect. This closed the defect without any obvious ear deformity. He did well after surgery and at one month has healed completely with a “normal” shaped and sized ear.