Austin McCormick

                                                  Consultant Ophthalmic and Oculoplastic Surgeon MBChB, FRCOphth

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Tel: 01517098442                             Fax: 01517097509                                Email:  liverpool.eyesurgeons@virgin.net                               Address:  86 Rodney Street  L1 9AR UK

Eyelid Skin Cancer Photographs

These 4 photographs show the stages of excision and reconstruction of a basal cell carcinoma. 1 - the basal cell carcinoma is seen between the nose and the eyelids. 2 - the area after excision of the lesion. The defect is packed with a dressing. The area excised is larger than the lesion as a margin has to be excised around it to ensure complete excision. 3 - A skin flap from the nose has been rotated around to fill in the defect. 4 - The final result with good functional and cosmetic result.

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Top - A basal cell carcinoma has been excised from the left lower eyelid. At least 1/2 of the eyelid has been lost.  Bottom - the left lower eyelid has been reconstructed using a periosteal flap from the bone of the nose and by sliding the remaining eyelid towards the nose. The outer part of the eyelid is reconstructed by a skin flap.

Top - A basal cell carcinoma of the lower eyelid. Middle - After excision of the skin cancer. Bottom - After reconstruction using a sliding skin flap from the lower eyelid.

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1 A right lower lid basal cell carcinoma is seen below the eyelashes. 2 The solid arrow points to the basal cell carcinoma. The dotted arrow points to a benign naevus not included in the excision. 3 After excision and direct closure using sliding skin flaps. 4 The final result.

Top - Left lower lid basal cell carcinoma.   Middle - After excision of basal cell carcinoma.   Bottom - The lower eyelid has been reconstructed using a Hughes flap from the inside of the upper lid and a full thickness skin graft.