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(a) Nodular skin lesions surrounding the base of the right ear and spreading along the right side of the face. (b) The first debulking procedure addressed the dorsal nodules on the medial side of the pinna. (c) During the second procedure the skin lesions on the side of the face were removed and the defect was closed with a myocutaneous advancement flap. (d) The wounds in the head region healed with almost no scar formation and no nodular lesions reappeared 6 months after treatment
