Eyelid Skin Cancer Surgery
What are the main types of skin cancer seen in the eyelid?
Nearly 90% of skin cancers on the face are a single type called Basal Cell Carcinoma. It, like most skin cancers, forms as a result of cumulative sun damage over many years. The good news about Basal Cell is that it is a slow-growing skin cancer. It does not spread to other parts of the body and typically remains small in size. If it is left untreated, however, over many years, it can grow to a size that can affect your vision or the health of your eye.
The remaining 5-10% of skin cancers are made up of Squamous Cell Carcinoma, Sebaceous Gland Carcinoma, and Melanoma. These skin cancers are more aggressive than Basal Cell, and have a tendency to grow more quickly. They can often be associated with pain and discharge and redness of the eye. Melanoma can also spread to other parts of the body and represents a much more dangerous skin cancer that needs to be treated aggressively.
How is surgery for skin cancer performed?
There are two surgical options for removal of a skin cancer. When we think about surgery for skin cancers, we separate the surgery into two parts. First, the skin cancer has to be removed. This involves removing the visible growth, and then taking small samples around the growth called margins. The margins are examined under a microscope to ensure that no skin cancer is present, meaning that all the skin cancer was removed. If there are areas where skin cancer is still present, more skin is removed from those areas and then re-examined. This process continues until all the skin cancer is removed. This removal process can be performed by Dr. Dewan in the operating room with the assistance of a pathologist. Alternatively, Dr. Dewan frequently works with specialized dermatologists called Mohs Surgeons. They perform the surgery in their own offices.
The second stage is called reconstruction. Once the skin cancer has been removed, the skin and eyelid needs to be repaired so that the eyelid looks good and functions normally. As a specialist in eyelid surgery, Dr. Dewan uses a variety of techniques to give you the best cosmetic and functional result. This reconstruction may be performed at the same time as the removal of the cancer if Dr. Dewan is performing the surgery in the operating room. If a Mohs surgeon did the removal, Dr. Dewan repairs the eyelid in his office or operating room within 1-2 days of the removal.
What is the recovery like from a skin cancer removal?
Does insurance cover skin cancer removal?
How do I prevent future skin cancers?
Before and After
the best results.