Left (before): This patient presented to our office with a skin cancer of the left lower eyelid, just at and below the eyelashes. After discussing treatment options, Mohs surgery was chosen because it offers the highest cure rate while minimizing the need to resect normal surrounding tissue.

Middle: This is the defect created after Mohs surgery. As you can see, about 33-50% of the lid was removed. Following this procedure, done in the dermatologist’s office, the patient is driven to our surgery center for plastic surgical reconstruction. This is typically performed under sedation anesthesia, and the patient goes home afterward.

Right (Four months after surgery): The defect was repaired by Dr. Enzer utilizing local regional skin flaps from the remaining aspect of the lower eyelid, as well as transferring a strip of skin from the left upper lid. The patient and Dr. Enzer were very pleased with the outcome, both from a functional and cosmetic standpoint.