Tumors can be classified as benign (non-cancerous) or malignant (cancerous) and can affect the eyelid or orbit. A biopsy is usually required. Oculoplastic surgeons are ideal for tumor removal and reconstruction, given their comprehensive training in both ophthalmology and oculoplastic surgery.
Mohs micrographic surgery is a procedure used to remove skin cancer by removing tissue in step-wise sections and evaluating it under the microscope until it is all removed. This is done by a MOHS surgeon. The defect left behind is then reconstructed in the next 1-2 days using skin grafts, skin and muscle flaps, or tissue rearrangement. The goal is not only cosmesis but to preserve eyelid function to maintain eye health. Prevention of eyelid cancers is key, so close follow-up with Dr. Rosh not only to monitor the progress of reconstruction but also to monitor for new eyelid/facial lesions is important as well.