We examined the prognosis of super elderly patients undergoing surgery for facial skin cancer. All patients were hospitalized and all surgeries were performed under local anesthesia. Eleven surgeries were performed for 11 patients aged over 90 years old with facial skin cancer. The patient population consisted of six men and five women, with a mean age of 93 years old；36.4% had dementia, 36.4% used antithrombotic drugs, and 45.5% were receiving nursing care. The histological types of cancer were squamous cell carcinoma（SCC）in 64% and basal cell carcinoma（BCC）in 36%. The resection margin was negative in all patients. The method of resurfacing was local flap in 64% and full-thickness skin graft in 36%. At the 19-month follow-up, nine patients were alive without recurrence of skin cancer and one patient had died due to sepsis caused by burn. Although skin cancer recurred in one patient, she is still alive and receiving radiation therapy. The incidence of facial skin cancer among elderly people is increasing, but there is no treatment protocol. Therefore, tailored therapy is expected. Excellent treatment outcomes are required for elderly patients with facial skin cancer.
