Removal of a lump from the eyelid, including skin cancer, and careful rebuilding of the lid afterwards.
What it is
Most eyelid lumps are harmless, but some are skin cancers, which are common on the lids. The lump is removed with a margin of healthy tissue, and the lid is rebuilt so that it protects and closes properly.
The operation
Small lumps are removed and closed directly. Larger ones may need tissue moved from nearby, sometimes in two stages.
Where skin cancer is confirmed, the specimen is examined in the laboratory, or removed with Mohs surgery first, and the lid rebuilt afterwards.
What it does not do
The aim is to remove the lump completely and keep the lid working. Appearance matters, but protecting the eye comes first.
Who it can help
It may suit you if removes a lump, including skin cancer, and rebuilds the lid is what you notice most, and you are otherwise well.
- A lump or sore on the lid that does not heal
- A lash line that has lost lashes
- Bleeding, crusting or a pearly edge
- A lump that is growing or changing
Any lump that bleeds, grows or loses lashes should be seen promptly.
Recovery and risks
Everyone heals at their own pace. This is a typical course, and your consultant will tell you what to expect in your case.
The first two days
Swelling and bruising are at their most noticeable. Rest with your head raised and use cold compresses.
The first week
The lids feel tight or gritty. Stitches, where they are used, come out at about seven days.
Weeks two and three
Bruising fades. Many people are back at work and comfortable being seen.
Three to six months
Scars settle and soften. Your final review is around this time.
Possible risks
Every operation carries some risk. For eyelid lump removal and reconstruction these include:
- Dry or irritated eyes, usually temporary
- A small difference between the two sides
- A visible or thickened scar
- Infection or bleeding, which are uncommon
- Very rarely, a change in your vision
Your surgeon will go through the risks that apply to you, and give you written information to take home.
Insurance
Eyelid lump removal and reconstruction is sometimes covered when the problem affects your health or your vision. Surgery for appearance alone is not.
Check your cover with your insurer before your consultation, and your surgeon will supply what they need.
Questions patients ask
Will I know if it is cancer?
Not until the tissue has been examined. Your consultant will explain what they suspect and what the laboratory finds.
Will my eyelid look different?
The lid is rebuilt to work and to look as natural as possible. Your consultant will explain what to expect for the size and position of your lump.
Is it done in one operation?
Often, but larger repairs are done in two stages a few weeks apart.
Is it covered?
Usually yes. This is medical treatment.