Eyelid Reconstruction

Small lesions are removed under local anaesthesia in 15–30 minutes with direct closure. Lesions near the eyelid margin or the tear duct require careful planning so that the lid contour and tear drainage are preserved. Suspicious lesions are removed with a margin of healthy tissue and confirmed clear by histology before the reconstruction is finalised.

When a lesion — or an injury — leaves a defect in the eyelid, the eyelid is rebuilt using local tissue: flaps from the adjacent eyelid or cheek, and, for full-thickness defects, grafts of skin or eyelid lining. The aim is a closing, functioning eyelid first and a good appearance second. Reconstruction is graded by complexity and is performed under local anaesthesia with sedation or under general anaesthesia as a day procedure.

An eyelid lesion suspected of being cancer is examined, photographed and biopsied. ELEMENTAL's dermatology service — see /dermatology — participates where dermoscopic assessment is needed. Once histology confirms the diagnosis and the margins, reconstruction is completed, and the patient is followed up on a schedule appropriate to the tumour type.

Scarring, asymmetry, notching of the eyelid margin, incomplete closure, recurrence of the lesion, and the need for further surgery. Individual outcomes vary and are discussed before any procedure.

Consultation: AED 1,100. Removal and reconstruction are priced by complexity after examination and confirmed in writing.