In Los Angeles, skin cancers of all types (Basal Cell Carcinoma, Squamous Cell Carcinoma, Melanoma, etc.) are ubiquitous. Dermatologists are excellent at detecting and removing the overwhelming majority of these lesions by ablation and primary excision. When aesthetically critical areas on the face are involved, Moh’s micrographic surgery is often used. Although tissue loss can be minimized with this technique, patients are left with disfiguring wounds. These wounds are best repaired by a plastic surgeon who is comfortable and adept with facial surgical techniques.