Eyelid Cancer Reconstruction with FlapEyelid Reconstruction Mustarde Cheek Flap - for Basal Cell Carcinoma

Eyelid reconstruction after basal cell carcinoma was done with a Mustarde cheek rotational flap. The flap lining and support came from the nasal septal cartilage and mucosa.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Reconstructive Reconstructive Surgery Hand Hand and Nerve Cosmetic Cosmetic aesthetic Congenital Breast Breast Breast Head & Neck plastic surgeon Skin Cancer skin cancer Microsurgery

Bermant Plastic Surgery
About Dr. Bermant

Bermant plastic surgery cosmetic surgeon
Find us

Bermant Plastic Surgery http://www.plasticsurgery4u.com
Multimedia Lectures

Bermant plastic surgery cosmetic surgeon
Kid's view

Bermant plastic cosmetic hand and reconstructive surgery

Other Bulletin Boards

Facelift / Neck lift (rhytidectomy)

Ptosis of the eyelid (drooping of the upper eyelid)

Blepharoplasty (Cosmetic surgery of the eyes)

Ectropion (Drooping of the lower eyelid)

Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.

Reconstruction of the lower eyelid

Mustarde Reconstruction

Facelift surgery (rhytidectomy)


Bermant Plastic Cosmetic Hand and Reconstructive Surgery

Bermant Plastic Hand Cosmetic and Reconstructive Surgery

Bermant Plastic Hand Cosmetic and Reconstructive Surgery

Eyelid Reconstruction


eyelid cancer close to lacrimal drainage system Bermant Plastic Surgery

Tumor Before Surgery

86 year old male biopsy proven cancer lower eyelid.

  • tearing started about 2 weeks ago
  • lower punctum (tear drain hole) pulled from eye surface


Basal cell cancer Bermant Plastic surgery blepharoplasty Close up of tumor shows that it is very close to the punctum (the hole that the tears drain from the eye). Basal cell carcinoma tends to grow much more rapidly when mucosa is involved.

Tumor Excised Modified Mohs' Technique

Defect after first specimen

Eyelid cancer - Bermant Plastic Surgery

The metal probe is in the punctum and into the caniculus- the drainage system for the eye's tears.

Eyelid cancer - Bermant Plastic Surgery

After second specimen, the orbital fat is seen in the center of the wound.

Three separate excisions were needed until all margins were clear of tumor. This was a sclerosing basal cell carcinoma. The wire is in the tear drainage system (punctum and caniculus). Pathology cleared the margins and this did not need to be excised.

Reconstruction - Graft from nose

Nasal cartilage graft eyelid cancer defect Bermant Plastic Surgery

This is a 17 mm piece of cartilage and mucosa from the nasal septum (wall between the nasal passages. It will be placed under the cheek flap to add support to the eyelid. Normal eyelid has cartilage support (tarsus) and mucosal lining to protect the eye.

The black protector behind the eyelids protects the eye during surgery.


Mustarde Cheek Reconstruction

Eyelid reconstruction Bermant Plastic SurgeryTape keeps suture away from eye after surgery

Eyelid reconstruction Cheek flap Bermant Plastic Surgery
  • Reconstruction by sliding remaining eyelid towards nose.
  • Cheek skin then slid to provide remaining eyelid outer skin
  • Cartilage and mucosa from nose add support for the cheek flap.

The forehead flap is a second area of reconstruction for another cancer (squamous cell carcinoma).

See how this reconstruction improves over time.



This Site

How to
Learn More

Dr. Bermant

Bermant Plastic Surgery Encylopedia


Body Shaping
Without Surgery

Guide to

How To Choose Your
Plastic Surgeon

Bookmark and Share This Resource.

Our Encyclopedia
Our Facebook Page
Like This Page

Bookmark Facebook Google Yahoo Bookmarks BlinkList Technorati Reddit Mixx MySpace Diigo Delicious

Integrated Discussion Board
If you like what you see and have learned here, come join our A Body Beautiful Plastic Surgery Forum: a meeting place for

  • those with concerns,
  • those willing to share experiences,
  • and doctors with a passion for certain problems to demonstrate their solutions.

Follow us on Twitter, , Linked in, and Facebook.

Send E-mail to Dr. Bermant

Michael Bermant, MD
Retired Plastic Surgeon

Social Networking

Retirement and Closure of Practice as of 8/31/2011.

ASPS - American Society of Plastic Surgeons

Member of the American Society
of Plastic Surgeons, Inc.

Shop at The Surgery Store for your skin care, comfort, and recovery needs.

Hear Dr. Bermant's Multimedia Lectures in your community

Find this site useful? Tell a friend!

Search our Book Store

© 1996-2012 Michael Bermant, MD

Legal Information - Privacy Policy - Using Before After Photos

This page last updated on: February 24, 2012


ASAPS - American Society for Aesthetic Plastic Surgery

Member of the American Society
for Aesthetic Plastic Surgery, Inc.
Board Certified American Board PS Board Certified American Board
of Plastic Surgery