This can be performed under local or general anaesthetic and as a day case. After tumour removal as much normal tissue is left behind to help keep the eyelid looking as normal as possible. The tumour is sent to the pathology laboratory to confirm the type of tumour and if it has all been removed. Eyelid tumours (mainly basal cell carcinomas) may be removed by a dermatologist (skin specialist). This is where a small part of the skin is removed then inspected under a microscope straight away. If cancer cells are still visible, then more tissue is removed and inspected again. This is repeated until there are no more cancer cells seen under the microscope. This helps remove as little normal tissue as possible mean while ensuring all the cancer is removed.
After the tumour is removed the eyelid is reconstructed to get the eyelid looking and functioning as normal as possible. If the tumour removed was small then this can usually be done on the same day. If the tumour removed was large and a lot of the eyelid had to be removed then reconstruction may be done on a different day. Skin or tissue can be taken from the other eyelid or from other parts of the body to re-form the eyelid. We commonly use the skin in front of the ear or from the inner surface of the upper arm. Sometimes we use tissue from the inner surface of the cheek- this heals very well after surgery. As there are many options, we aim to choose the best treatment option for you.