Eyelid basal cell skin cancer and reconstruction Plastic Surgery by Michael Bermant, MD Board Certified Plastic Surgeon

See the surgical results of eyelid reconstruction after basal cell carcinoma with a Mustarde cheek rotational flap. The flap lining and support came from the nasal septal cartilage and mucosa.

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Facelift / Neck lift (rhytidectomy)

Ptosis of the eyelid (drooping of the upper eyelid)

Simple congenital
Acquired Myogenic (muscle related)
Ptosis associated with Blepharophimosis (congenital eyelid deformity)
Ptosis associated with paralyzed eyebrow muscle

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 for 70% eyelid defect

Facelift surgery (rhytidectomy)

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Facelift patient 1
Facelift patient 2
Facelift and blepharoplasty patient before and after photographs
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Neck Lift surgical details

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Eyelid Reconstruction Mustarde Cheek Flap - for Basal Cell Carcinoma

Tumor before surgery

Start out with the surgery page for this problem. This operation for the eyelid cancer is time consuming to repeat excising the tumor until the margins are negative. I used Mohs' modified microsurgery for the frozen section control of the margins. The early results seen there were in the operating room.

Swelling goes down rapidly after surgery. The entire cheek needed to be rotated to create enough tissue to rebuild the extensive defect. The suture line continues towards the ear. The muscle rotated into the eyelid nerve's supply is preserved during surgery. Reconstructing the eyelid with working muscle, there is better function and appearance.

**2 weeks after surgery**

7 weeks after surgery.

4 months after surgery.

See more results from this case:

After surgery results part II with movie

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