Background: Lung cancer is the second most common cancer in United States and small cell lung cancer is responsible for 13% of all lung cancer cases globally. Soft tissue metastasis is rare in small cell lung cancer. Case Report: Here we describe a case of male patient admitted to hospital with a growing lesion on left frontotemporal region for one year time period. The patient was operated without any diagnostic modalities because of the lesion's typical findings like lipoma (regular borders, soft, mobile). Pathologic examination showed small cell lung cancer metastasis originated from lung. Conclusion: We discuss metastasis to face in lung cancer cases is rare and initial presentation as a mass on the face even more unusual. This case is a good example which shows patients may be admitted to plastic surgery department with atypical symptoms rather than typical symptoms of malignancies.