Chiara Del Noce · Ophthalmology
Eyelid tumours and reconstruction
Assessment of eyelid lesions, tumour surgery and functional eyelid reconstruction.
Eyelid lesions include benign conditions and malignant tumours that may sometimes look similar. Specialist assessment defines the diagnostic pathway and, where removal is needed, allows disease control and eyelid reconstruction to be planned together.
Lesion assessment · Removal when indicated · Eyelid reconstruction
When an eyelid lesion should be checked
A lesion that grows, changes appearance, bleeds, ulcerates, alters the eyelid margin or causes localised loss of eyelashes should be assessed. These signs do not automatically indicate a malignant tumour, but self-diagnosis is not appropriate.
Diagnosis and planning
The pathway may include clinical examination, photography with consent and, when indicated, biopsy or removal with histological examination. The extent, location and nature of the lesion guide treatment and the type of reconstruction.
Eyelid reconstruction
After removal of a lesion, reconstruction aims to restore a stable eyelid margin, adequate closure and protection of the ocular surface while respecting anatomy and proportions as far as possible. The technique depends on the size and position of the defect and the tissues available.
Disease control and eyelid function take priority. Timing, possible staged procedures, scarring and limitations of the result are discussed individually.
Do not delay assessment of a suspicious lesion
A persistent or changing lesion should be assessed before it becomes painful. Significant bleeding, rapid worsening, pain or visual disturbance require prompt medical attention.
Frequently asked questions
Are all eyelid lumps tumours?
No. Many lesions are benign. Only clinical assessment and any necessary investigations can establish their nature.
Is reconstruction performed at the same time?
It depends on the type of lesion, the method used to confirm complete removal and the characteristics of the defect. The plan is defined case by case.
Can it be guaranteed that no mark will remain?
No. Healing and scarring vary between individuals. The result cannot be guaranteed and must also be considered in relation to eyelid function.
Illustrative images on this website do not depict real lesions or clinical outcomes. Diagnostic and treatment pathways are defined only after consultation.
Specialist assessment
Every recommendation begins with a consultation
Anatomy, function and expectations are considered together to define an appropriate individual pathway.
Appointment information