Skin cancers contribute very less to the total number of carcinomas. Especially when on the face or exposed parts affect cosmetically more than functionally. One of that is Basal Cell Carcinoma over face; which rarely metastasize. Case is reported in an adult male in a rural setup who came for cosmetic purpose. Who was treated with best modality available in setup, wide local excision with local naso-labial flap reconstruction with follow up for oncotherapy.