This case involves a 56-year-old male patient who presented to his dermatologist with a mole on his chin. The dermatologist diagnosed him with an infected hair follicle, prescribed topical treatment, and recommended follow up in 2 weeks. During the follow up, the dermatologist informed the patient that the infection had cleared. The patient continued to experience swelling in the area and presented to the dermatologist 2 months later with the same complaints. The dermatologist ran a biopsy which revealed a basal cell carcinoma. A Mohs procedure was performed to remove the mole. The patient required substantial skin removal. As a result of the defect caused by the Mohs procedure, the patient required a skin flap to fix the carcinoma site.