[Advanced facial tumors: Surgery as the first-line therapeutic option, even at the cost of disfigurement].

Advanced cutaneous tumors of the face represent a significant challenge in oncologic and reconstructive surgery due to their involvement of multiple aesthetic units. In our retrospective study of 16 patients treated over a five-year period, the primary objective was to achieve complete resection with clear margins (attained in 94% of cases) without emphasizing the reconstructive challenges, which may lead to suboptimal aesthetic outcomes. This finding underscores the necessity of opting for early resection to optimize tumor control and, consequently, enhance patient prognosis and quality of life, despite the inherent difficulties in reconstructing extensive facial tissue defects. A multidisciplinary approach remains essential to tailor treatment to the specific requirements of each case.