A 63-year-old man presented with a 5-cm squamous cell carcinoma of the forehead. CT scan showed erosion of the outer table of the frontal bone. Workup revealed a cervical metastasis that was unresectable because it invaded the carotid artery. The patient had a past history of multiple basal cell carcinomas treated with surgery and/or radiotherapy. The lid ptosis is a result of these past treatments. The patient was prepared for surgical resection of the primary lesion and underlying bone with a Converse forehead flap reconstruction. The cervical metastasis would be treated with radiotherapy.