This document summarizes a case presentation of an 81-year-old patient with an extensive ulcerative lesion on the right side of their nose diagnosed as infiltrative basal cell carcinoma. It provides background information on basal cell carcinoma, including that it is the most common skin cancer, rarely metastasizes but can cause significant local tissue destruction. Treatment options are discussed, favoring surgical excision for this patient given their age and desire to preserve their eye.