Reconstructive Procedures

Eyelid Reconstruction

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Eyelid Reconstruction

When trauma, cancer removal, or other medical conditions damage your eyelids, specialized reconstruction can restore both function and appearance. Our surgeons have extensive experience rebuilding eyelids using advanced techniques that protect your vision while creating natural-looking results. Whether you need minor repair or complex reconstruction, we work carefully to restore the eyelid function and appearance you need.
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What is Eyelid Reconstruction?

Eyelid reconstruction is surgery to rebuild damaged eyelid tissue after injury, cancer removal, or other medical conditions that affect the eyelid structure. This might involve repairing small cuts and wounds or completely rebuilding an entire eyelid using tissue from other areas. The goal is to restore normal eyelid function so your eye stays protected and lubricated while also creating a natural appearance.

Our surgeons use various techniques depending on how much tissue needs to be replaced and where the damage is located. Learn more about our consultation process to discuss your specific reconstruction needs.

What Can Eyelid Reconstruction Accomplish?

Eyelid reconstruction addresses many different types of damage:

  • Repair defects from skin cancer removal or tumor excision
  • Fix traumatic injuries from accidents or burns
  • Restore eyelid function after previous surgery complications
  • Rebuild eyelids that are missing significant tissue

Eyelid Reconstruction Techniques

We choose the best approach based on the size and location of your eyelid damage:

Direct Closure

For smaller defects, we can often bring the remaining eyelid tissue together with careful stitching. This works well when there’s still enough healthy tissue to close the gap without affecting eyelid function.

Local Tissue Flaps

When direct closure isn’t possible, we move nearby healthy tissue to fill the defect. This might involve rotating skin from the upper eyelid to repair the lower eyelid, or using tissue from the temple area to rebuild damaged sections.

Skin Grafts

For larger defects, we take healthy skin from behind your ear, your upper eyelid, or other areas of your body to patch the damaged area. The grafted skin heals into place and becomes part of your new eyelid.

Full-Thickness Reconstruction

When the entire thickness of your eyelid is damaged, we need to rebuild both the front skin layer and the back mucous membrane layer. This complex procedure often requires multiple stages to achieve the best results.

Corrective Before and After

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Procedures Commonly Combined with Eyelid Reconstruction

Reconstruction often works better when combined with other treatments:

Scar Revision

We may need to remove or soften scar tissue from previous injuries or surgeries to create a smooth foundation for the reconstruction.

Canthal Repair

Sometimes the corners where your eyelids meet are also damaged and need to be rebuilt to ensure proper eyelid support and function.

Tear Duct Reconstruction

If your tear drainage system was damaged, we may need to rebuild those structures to prevent chronic tearing or dry eyes.

Brow Lift

In cases where forehead or brow tissue is used for reconstruction, we might adjust your eyebrow position to maintain facial symmetry.

How Much Does Eyelid Reconstruction Cost?

Most eyelid reconstruction is covered by insurance because it’s medically necessary to protect your vision and eye health. This includes repairs after cancer removal, trauma, or medical conditions that affect eyelid function. The exact coverage depends on your specific case and insurance plan. We’ll work with your insurance company to get approval and handle the paperwork. 

Recovery & Results

Recovery varies depending on how extensive your reconstruction is. Simple repairs might heal in 1-2 weeks, while complex reconstructions can take 6-8 weeks for complete healing. You’ll have some swelling and bruising initially, and we’ll give you detailed care instructions to help everything heal properly. Most patients need to avoid strenuous activities for 2-3 weeks. The final results continue to improve for several months as swelling goes down and the reconstructed tissue settles. Our goal is to give you an eyelid that functions normally and looks as natural as possible.

Candidates for Eyelid Reconstruction

You might need eyelid reconstruction if you have:

  • Eyelid damage from skin cancer removal or other tumor surgery
  • Traumatic injuries that affect eyelid structure or function
  • Birth defects or medical conditions affecting eyelid development
  • Previous surgery complications that require repair

LEADERS IN OCULOFACIAL PLASTIC SURGERY IN HOUSTON, THE WOODLANDS, TX AND PENSACOLA, FL

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Houston, TX Location

At our Houston office, we deliver advanced cosmetic and reconstructive eyelid surgery techniques in a welcoming environment. Our experienced team focuses on achieving natural-looking results tailored to each person’s unique anatomy and goals.

Schedule a Consultation at our Houston Location
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The Woodlands, TX Location

In The Woodlands, we offer consultations and clinic services, providing our expertise, artistry, and exceptional care to points north of Houston.

Schedule a Consultation at The Woodlands Location
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Pensacola, FL Location

At our Pensacola office, we deliver advanced eyelid surgery techniques in a serene coastal environment. Our experienced team focuses on achieving natural-looking results tailored to each patient’s unique anatomy and aesthetic goals.

Schedule a Consultation at The Pensacola Location

Frequently Asked Questions About Eyelid Reconstruction

Will my reconstructed eyelid look and feel normal?
Our goal is to create an eyelid that functions normally and looks as natural as possible. While reconstructed eyelids may not be identical to your original eyelid, most patients are very satisfied with both the appearance and function. The final results depend on factors like the size of the original defect and the quality of surrounding tissue, but modern reconstruction techniques can achieve excellent outcomes.
How many surgeries will I need for eyelid reconstruction?
Simple reconstructions often require just one surgery, while more complex cases might need two or three staged procedures. We prefer to do everything in one surgery when possible, but sometimes it’s better to rebuild the eyelid in stages to get the best final result. We’ll discuss the expected timeline during your consultation.
Can I wear makeup after eyelid reconstruction?
You’ll need to avoid makeup around the surgical area for about 2-3 weeks while everything heals. Once you get clearance from your surgeon, you can usually return to wearing makeup normally. Some patients find that makeup application is actually easier after reconstruction because the eyelid shape and function are improved.
What are the risks of eyelid reconstruction surgery?
Like any surgery, there are some risks, including bleeding, infection, or healing problems. Specific to eyelid reconstruction, there’s a small chance that the eyelid might not close completely or that you might need additional adjustments. However, serious complications are rare when the surgery is performed by experienced oculoplastic surgeons.
How soon after cancer removal can I have reconstruction?
The timing depends on your specific situation and what your cancer doctor recommends. Sometimes we can do immediate reconstruction right after tumor removal, while in other cases, we require waiting to make sure all the cancer has been cleared. We work closely with your oncologist or dermatologist to determine the best timing for your reconstruction.

Contact Us for a Consultation

Ready to restore your eyelid function and appearance after trauma or medical treatment? Contact our offices in Houston, The Woodlands, or Pensacola, FL, today to schedule a personalized consultation with our expert surgeons. Let us help you rebuild what’s been damaged and get back the protection and comfort your eyes need with the advanced reconstructive care you deserve.

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