Eyelid Reconstruction with Skin Graft and Flap - for Basal Cell Carcinoma

See the surgical results of eyelid reconstruction after basal cell carcinoma was done with full thickness skin graft or flap of local tissue. Explore the eyelid for both reconstructive and cosmetic (blepharoplasty) surgery.

Michael Bermant, MD
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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

Facelift surgery (rhytidectomy)

 

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Eyelid Reconstruction

Cancer of the eyelid has special concerns. The eyelid must still protect the eye itself. Drainage structures must remove the lubricating fluids or the tears will overflow over the cheek. The cancer was removed with Modified Mohs' surgery with frozen section analysis of margins. Once the cancer was removed the defect was repaired with a full thickness skin graft. The cancer did not extend deep enough to involve the tear duct systems located just under this cancer.

Basal Cell Carcinoma Eyelid
Tumor before surgery 18 months after surgery
skin graft eyelid cancer Bermant plastic surgery skin graft eyelid cancer Bermant plastic surgery

 

Reconstruction

30 months after surgery
skin graft Bermant plastic surgery3 The full thickness skin graft came from behind the ear. This thin skin was used because of the close match in color and thickness to the skin of the defect.

 

 

Basal Cell Carcinoma Eyelid
Tumor before surgery After surgery
eyelid cancer Bermant plastic surgery flap closure eyelid cancer Bermant plastic surgery flap closure
Smaller eyelid cancer was treated to modified Mohs' surgery and reconstruction with local flap. The reconstruction was designed to pull skin laterally and not cause an ectropion (eyelid pulling away from eye).

 

If the skin is pulled away from the eye an ectropion may result and leave the eye less protected.

 

 

Eyelid Reconstruction

Other eyelid topics of interest:

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.

Eyebrow cancer and reconstruction

Ptosis of the eyelid (drooping of the upper eyelid)

 

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This page last updated on: February 24, 2012

 

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