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Your Questions


 




 



Eyelid reconstruction 
 


Eyelid skin cancer and trauma are two of the most common reasons a  person may need eyelid reconstruction. As an oculoplastic surgeon with  experience in both ophthalmology and plastic surgery, Dr. Parsa is an  expert in eyelid reconstruction. Even if the entire upper and lower  eyelids were damaged from trauma or tumor, Dr Parsa can reconstruct the  eyelids by harvesting tissue from other parts of the body. This task is  always accomplished by keeping these important goals in mind: preserve  vision, prevent blindness, maintain eyelid function and improve  cosmesis.• Eyelid cancers: Basal cell carcinoma:  more then 90% of all malignant  eyelid tumors are basal cell carcinoma. It usually presents as a small,  firm and raised nodule with an ulcerated center and fine telangiectatic  blood vessels. Although these tumors do not metastasize to lymph nodes  or distant organs, they can cause extensive local destruction.Squamous cell carcinoma: although less common than  basal cell carcinoma, squamous cell carcinoma is much more aggressive.  Most of the time it is locally invasive, but it can metastasize to  regional lymph nodes and even produce systemic metastatic cancer. Wide  surgical excision of these tumors is the primary treatment. Sometimes  when there is extensive involvement or adequate margins are not  obtained, radiation therapy or other treatment modalities may be used.Malignant melanoma : melanoma is a relatively rare  cancer of the eyelid and accounts for less then 1% of all eyelid  malignancies. The tumor thickness should first be identified via a  biopsy to determine the required margin of resection. The thicker the  tumor (on biopsy), the higher the likelihood of local recurrence and  distant metastasis. Complete surgical excision of these tumors with  5-10 mm clear margins is recommended. At the time of diagnosis, a  systemic evaluation should be undertaken to assess distant metastasis.  These patients need to be followed closely.Sebaceous cell carcinoma: this is a rare type of  cancer involving the eyelids. These tumors primarily originate from the  meibomian glands, sebaceous glands of the eyelids that normally produce  the oily layer of the tear film. These tumors can be mistaken for some  more benign conditions, such as a chalazion or “sty.” Any “sty” that  does not heal and resolve with medical treatment or surgical drainage  should be biopsied to rule out sebaceous cell carcinoma. The treatment  consists of surgical excision and long-term monitoring for regional  lymph node or distant metastasis.
 310.777.8880 Call now to book your consultation



 


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