Nose has anatomical variation from other facial units. Nasal skin surgery needs experience due to limited skin mobility for postsurgical defect. MMS is the preferred method for facial skin cancers but it is available in only few advanced centers of the country. We performed retrospective study to evaluate the results of traditional surgery and reconstruction in our hospital lacking frozen section facility.

A total of 129 lesions of the face were excised in 87 patients. Thirty-six skin cancers were found in 31 patients. 21 postoperative defects were repaired with full thickness skin graft and seven cases needed local or distant flap. The recurrence occurred in two patients (one lesion each) in 1 year follow-up.

Nasal cutaneous cancers need utmost surgical expertise and experience in reconstruction. Health awareness campaign is needed to avoid skin cancers, especially people living at higher altitude.