Eyelid malignancies are skin cancers that can develop on or around the eyelids. The most common types include basal cell carcinoma, squamous cell carcinoma, and, less commonly, melanoma. Early detection and treatment are essential to prevent the spread of cancer and preserve the function and appearance of the eyelid. At Maldon eye clinic, Mr Ghazi-Nouri has over 20 years experience in management of eyelid tumours.
Eyelid Malignancy Removal and Reconstruction
The primary goal of surgery is to remove the cancer completely while preserving as much healthy tissue as possible. Reconstruction is often performed at the same time to restore the eyelid’s function and appearance.
The image below shows before and after surgery
What to Expect During the Procedure
1. Diagnosis and Planning:
Your doctor will confirm the diagnosis through a biopsy and may perform imaging if needed. The treatment plan is tailored to the size, location, and type of malignancy.
2. Removal of the Malignancy:
The cancer is removed using a precise surgical technique, which ensures all cancerous cells are excised while sparing healthy tissue.
3. Reconstruction:
Once the malignancy is removed, reconstruction is performed to restore the eyelid’s function and appearance. Techniques may include skin grafts, flaps, or sutures, depending on the size and location of the defect.
After the Procedure
- You may experience mild swelling or bruising around the eye, which usually resolves in a couple of weeks.
- Your doctor will provide specific aftercare instructions, including how to care for the surgical site and when to return for follow-up visits.
- Stitches are typically removed within 1-2 weeks.
Potential Risks
As with any surgery, there are risks, including infection, scarring, or asymmetry. Your surgeon will take every precaution to minimise these risks and achieve the best possible outcome.
Benefits of Treatment
- Complete removal of the malignancy to prevent recurrence or spread
- Preservation of eyelid function, including protection of the eye and normal blinking
- Restoration of a natural appearance
When to Contact Your Doctor
If you notice a suspicious lesion on or near your eyelid—such as a growth, an ulcer that doesn’t heal, or a change in the skin’s texture—seek medical attention promptly. Early treatment improves outcomes and minimises the need for extensive reconstruction.
