EYELID SKIN CANCER

Eyelid skin cancers are very common and account for up to 10% of all skin cancers. It is imperative they are detected and treated in time.

Eyelid skin cancer treatment requires a very high standard of competency in early detection, complete excision and meticulous reconstruction for the best possible outcome.

Your Concerns

  • Changes in eyelid skin
  • Sore eyes or sties
  • Droopy lower eyelids

My Recommendations

  • Surgery to remove cancer

Maximum Results

  • Improved eyelid function
  • Cancer-free
  • Normal sight

WHAT’S INVOLVED

Consultation

  • Assess size of the defect
  • Assess condition of the eyelid

Customised Plan

  • Surgery
  • Overnight stay

The Benefits

  • Cancer removal

EYELID SKIN CANCER

Skin cancer on or around the eyelids demands specialised and meticulous surgical techniques for the best functional and aesthetic results. Three common skin cancers of the eyelid are:

  1. BCC (Basal Cell Carcinoma)
  2. SCC (Squamous Cell Carcinoma)
  3. Melanoma

Skin cancers located in the forehead, eyebrow, upper nose, upper cheek and temple areas do affect the eyelids due to their close proximity and should be managed aggressively to protect eyelid function:

TREATMENT 

  • Complete excision of the skin cancer.
  • The resulting defect is reconstructed using either a local flap or a skin graft for the best result.
  • Radiation or further surgery depending on the original pathology. 
  • Diagnose and treat eyelid skin cancers early as smaller defects are less disfiguring.
  • If the skin cancer has spread to the nerve, blood vessel or lymphatics, further treatment is required.
  • Regular lifelong surveillance of a skin cancer patient is recommended.

EYELID SURGERY

  1. Upper and lower eyelid skin cancers cause both functional and cosmetic problems, therefore meticulous techniques are necessary for a good outcome.
  2. Excision of the skin cancer completely followed by reconstruction of the defect with a flap or a skin graft to give you the best possible cosmetic outcome.
  3. Minimise scar formation by using meticulous surgical techniques, multilayered closure using fine sutures with minimum tension on the delicate facial skin.
  4. Eyelid scars affect function; therefore it is important to prevent them. Monitor the progress of the scar and modify the scar as necessary by the judicious use of creams, gels, injections and laser.

BEFORE AND AFTER SURGERY 

  1. Aspirin, Warfarin, Plavix, Co Plavix, Assantin, fish oil and krill oil should be stopped 7-10 days prior to surgery to minimise bleed and help healing. 
  2. If the patient has a cardiac stent contact the cardiologist regarding stopping the medications.
  3. Bruising around the eyes and face is common; it is recommended to minimise social engagements for a week after surgery.