Massive Eyelid Skin Cancer Defect Before and After Reconstruction

This patient underwent Mohs surgery to remove a massive basal cell cancer of the left upper and lower eyelids also involving the tear drain system.  The patient lost roughly a 1/3 of the upper eyelid and over half of the lower eyelid.  Dr. Burroughs was able to reconstruct with local flaps, and constructed a new tear drain system to avoid the patient having to have his eye tear and run onto the cheeks continuously.  Cancer reconstruction is a much smaller part of Dr. Burroughs’ practice than cosmetic surgery, but he tries his best to gain a cosmetic outcome even with massive cancer defects like that shown.  Function will follow form, so by restoring the eyelids and reconstructing where it actually looks good lends itself to the eyelids properly working and protecting the eye.  Dr. Burroughs achieves considerable personal satisfaction helping patients that need cancer reconstruction.