Procedure Information
Description: Category: Skin Cancer Reconstruction
Before (Left): This patient presented with a slowly growing ulcerated tumor in the inner corner of the left eye. Fortunately, it was a basal cell carcinoma and did not invade the eye or orbit (eye socket).
Mohs (Center): Dr. Enzer advised the patient to have Mohs surgery to resect the tumor in order to offer the highest cure rate as well as to minimize the loss of surrounding normal tissue. This resulted in the loss of most of the inner portion of the eyelid area, one of the most challenging areas to reconstruct in the body. This area also contains the drainage system for the tear ducts, but during the surgery the area was checked, and they were found to be intact.
After (Right): This photo was taken five months after the reconstruction. The defect was reconstructed with a plastic surgery flap of skin transposed from between the eyelids and a second plastic surgery flap of skin from the left cheek. Finally, a small skin graft was taken from behind the left ear and sewn into the inner corner of the eyelids. Both the patient and Dr. Enzer were very pleased with the outcome, both from a functional and cosmetic viewpoint.