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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 reconstructive surgery. 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.

Contact our office today to schedule a consultation for you or a family member with Dr. Parsa.

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4.8 / 5.0

Based on 29 reviews

Dr. Parsa is not only an amazing surgeon! He is also very caring and meticulous! His expertise shows in his wonderful bedside manner overall knowledge of his field. I appreciate his knowledge, advice and professionalism for over 6 years. I trust him with my eyes and refers him to my family and friends! His staff is trusting and caring and I love seeing them!

Erica D.

Words cannot express how thankful and appreciative I am to have found you. I am deeply grateful for you, for your generosity and caring nature as pertaining to my medical condition. As you know, I was apprehensive about having further surgery, but you are and have been reassuring and confident in the type of procedure you would perform in order to fix my eyelid from the beginning. The fact that you are not pushy and gave me the time and space to make the decision on my own allowed me to prepare myself mentally and emotionally, that really made a difference. Besides from that, your continuous generosity made me confident that you were the right doctor for the task at hand. You will never know how appreciative I am of that. I would also like to let you know how pleased I am with the results of the surgery. I have not felt this comfortable in years. My parents are also very grateful since this was my 14th surgery. You have a true gift. Thank you again for your patience, time, concern, and overall care. I pray that God continues to give you strength to help people who truly need life-changing medical procedures.

Sophia P.

Dr. Parsa is an amazing doctor. Warm and very caring. I had my eyes done a couple years ago and I couldn't be happier. Dr. Parsa likes to take the conservative approach which I greatly appreciate in a doctor when it comes to cosmetic surgery. I also go to Dr. Parsa for Botox and he always knows just the right amount. The staff in Dr. Parsa's office are all terrific!

Todd H.