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Skin Cancer Repair

Skin Cancer Repair of Face and Eyelid

Eyelid skin cancers occur most often on the lower eyelid, but may be found anywhere on the eyelid margins, corners of the eye, eye­brow skin, or adjacent areas of the face. Usually, they appear as painless elevations or nodules. Occasionally, the eyelashes are distorted or missing. There may be ulcerations of the involved area, along with bleeding, crusting, and/or distortion of the normal skin structure. Such findings need to be evaluated and may require a biopsy to confirm the diagnosis of skin cancer.

The most common types of skin cancers are basal cell carcinoma and squamous cell carcinoma. Both types enlarge locally and usually do not spread (metastasize) to distant parts of the body. However, with time, if not completely removed, either type will invade adjacent structures. It is important to know that basal and squamous cell carcinomas are relatively slow growing. Thus, when detected early and treated in a prompt and appropriate manner, chances are better for complete removal of the tumor and minimization of the quantity of tissue affected by the carcinoma. Sebaceous gland carcinoma and malignant melanoma are more serious forms of skin cancer because they may spread (metastasize) to other parts of the body. These types of skin cancer require prompt, aggressive treatment because of the threat of early spread.

There are two very important principles in the management of eyelid skin cancers—complete removal and reconstruction. Complete removal of the tumor is critical to minimize the possibility of' recurrence, which is even more difficult to manage. In most cases, we work with a highly skilled dermatologic surgeon who excises the tumor using a special procedure ("Mohs technique") to ensure total removal. On occasion, Dr. Levin may remove the tumor and ask a pathologist to check the tissue margins ("frozen section") to be sure the tumor has been completely eliminated.

Once the tumor has been removed, reconstructive surgery is usually necessary. Many excellent techniques are available to reconstruct almost any surgical defect. The operation will be specifically tailored to the defect that is present following removal of the tumor. Regardless of technique, the goals remain the same: to reconstruct the eyelid so that it functions properly, protects the eye, preserves vision, and has a satisfactory cosmetic appearance.

Any form of therapy for eyelid skin cancer will leave a scar. However, an effort is always made to minimize scarring and obtain optimal cosmetic results. After surgery, the healing process may take six months to one year. Once the wound has healed, follow up with Dr. Levin or your referring physician is necessary to ensure that the skin cancer does not recur. Should there be development of a new cancer, it can then be detected early and treated promptly.

Gallery - Skin Cancer repair

This patient had removal of skin cancer from the right lower eyelid. The eyelid is shown before and after two-step reconstruction by Dr. Levin.

Skin Cancer Repair Before and After Photos

43 year old man had reconstruction of the right lower eyelid after Mohs surgery for basal cell carcinoma.

Skin Cancer Repair Before and After Photos

67 year old man had basal cell skin cancer removed from his left lower eyelid. The eyelid is shown before and after one-step reconstruction by Dr. Levin.

Skin Cancer Repair Before and After Photos

This patient had skin cancer of the left lower eyelid (top left). After removal of the skin cancer (top right), the lower eyelid is recreated by “borrowing” from the upper eyelid (Hughes procedure:tarso-conjunctival flap with skin graft) (bottom left). The eyes are (partially) sewn closed during this stage. Four weeks later the eyelids are separated and the lower eyelid is recreated (bottom right). (Two step reconstruction).

Skin Cancer Repair Before and After Photos

76 year old man had skin cancer removed from the right lower eyelid. The eyelid is shown before and after one-step reconstruction by Dr. Levin.

Skin Cancer Repair Before and After Photos

This patient had skin cancer removed from the left lower eyelid. The eyelid is shown before and after one-step reconstruction by Dr. Levin.

Skin Cancer Repair Before and After Photos

This patient had skin cancer removed from the right lower eyelid. The eyelid is shown before and after two-step reconstruction by Dr. Levin. (Hughes procedure:tarso-conjunctival flap with skin graft)

Skin Cancer Repair Before and After Photos

55 year old man had skin cancer removed from the left lower eyelid. The eyelid is shown before and after one-step reconstruction by Dr. Levin with a flap and skin graft from behind the ear.

Skin Cancer Repair Before and After Photos

87 year old woman had skin cancer removed from the right lower eyelid. The eyelid is shown before and after one-step reconstruction by Dr. Levin.

Skin Cancer Repair Before and After Photos

This patient had skin cancer removed from the right lower eyelid. The eyelid is shown before and after two-step reconstruction by Dr. Levin.

Skin Cancer Repair Before and After Photos

60 year old man had skin cancer removed from the right lower eyelid. The eyelid is shown before and after one-step reconstruction by Dr. Levin.

Skin Cancer Repair Before and After Photos

This patient had skin cancer removed from the right upper eyelid. The eyelid is shown before and after one-step reconstruction with skin grafting by Dr. Levin.

Skin Cancer Repair Before and After Photos

This patient had skin cancer moved from the lateral (outer) parts of both the upper and lower eyelids. The eyelids are shown before and after one-step reconstruction by Dr. Levin.

Skin Cancer Repair Before and After Photos

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