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Nicolas Biro, M.D.Oculoplastic Surgery

Reconstructive Oculoplastics

Eyelid Cancer and Mohs Reconstruction

Eyelid and periocular reconstruction after skin-cancer removal, planned to restore protection, closure, and contour.

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Overview

What This Evaluation Addresses

Removing skin cancer near the eye can leave a defect involving skin, muscle, eyelid margin, tear drainage structures, or deeper tissue. Reconstruction is tailored to the defect after cancer removal and may be coordinated with a Mohs surgeon or another treating specialist.

Reasons to Seek Evaluation

  • A planned Mohs procedure near the eyelid, brow, or cheek
  • A defect that affects eyelid closure or margin position
  • Reconstruction after biopsy or cancer excision
  • Changes in tearing, comfort, or appearance after treatment

Recovery and Next Steps

Plan Around the Individual Treatment

The final defect may differ from estimates made before cancer removal, so the reconstructive plan can change. Healing and scar maturation continue over time. Ongoing skin-cancer surveillance remains with the appropriate treating clinicians.

Common Questions

Can reconstruction be planned before Mohs surgery?

Coordination can occur in advance, but the definitive reconstruction depends on the size, depth, and location of the final cleared defect.

What is the first priority near the eye?

Cancer treatment comes first. Reconstruction then prioritizes eye protection, eyelid function, and an anatomically appropriate closure.

Will scars disappear completely?

All surgery creates scars. Their appearance varies with anatomy, the defect, technique, and individual healing.

This page provides general education, not a diagnosis or treatment recommendation. Candidacy, risks, alternatives, and recovery must be discussed during an appropriate clinical evaluation. Seek urgent care for sudden or severe eye symptoms.

Related Procedures

Ptosis Repair

Evaluation and repair of an upper eyelid that sits lower than expected because of its lifting mechanism.

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Entropion and Ectropion Repair

Treatment planning for an eyelid that turns inward or outward and no longer protects or lubricates the eye normally.

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Tearing and Blocked Tear Ducts

Evaluation of persistent tearing to identify eyelid, ocular-surface, or tear-drainage causes.

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