Periocular skin cancer management and lid reconstruction

Periocular skin cancer management and lid reconstruction

Lesions that develop around the eyelid skin may represent a skin cancer. The most common skin cancer found around the eyelids is a basal cell carcinoma, but other skin cancers such as squamous cell carcinomas and melanomas may also occur. While they may vary in severity, early detection and appropriate management are crucial for optimal outcomes.


Risk factors:

1. Sun exposure

Prolonged exposure to the sun’s harmful UV rays increases the risk of developing periocular skin cancers.


2. Fair skin

People with fair skin are more susceptible to skin cancer.


3. History of skin cancer

Individuals with a previous history of skin cancer have a higher risk of developing new skin cancers


Suspicious features that may require further investigation

1.   Persistent lumps or lesions that do not heal within  a few weeks


2. Changes in size, shape or colour of a lesion


3.  Bleeding or crusting:


If you notice any concerning changes in the skin around your eyelids we strongly recommend seeking medical attention.

A biopsy will usually be performed on the same day as your assessment. This will be discussed with you by Dr Botha in more detail at the time of your assessment.

The further management will be determined by the size, location and type of skin cancer. Dr Botha will discuss the appropriate options with you at the time of your consultation.


What to expect after your biopsy

You can expect some swelling and bruising around your eye following the surgery.

You will be provided with a prescription for some antibiotic ointment to use on the wound.

You should avoid any strenuous activity including lifting heavy objects for a few days after your procedure.

For more information or to schedule an assessment please do not hesitate to contact us.

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