Man 59 yo, 3 months ago the facial spots getting growth fastly and bleeding. There were 2 spots on right and another one on left site. High frequency ultrasound with elastoscan scanning had deep penetration underskin and harder pattern which suggested basal cell carcinoma invasive. Biopsy the mass, microscopic report proved a BCC (basal cell carcinoma). Elastographic map pre-op of skin lesion is best evaluation for guiding of biopsy and planning operation.